在一个城市学术性单中心全关节置换中心，患者及手术感染风险因素的变异性。
Variability of patient and surgical risk factors for infection in a single, urban, academic total joint replacement center.
作者信息
Gualtieri Anthony P, Yoo Andrew, Philips Michael S, Bosco Joseph, Slover James
机构信息
New York University Langone Orthopedic Hospital, 301 E 17th St, Suite 1402, New York, NY, 10003, USA.
University of California San Diego Department of Orthopedics, 350 Dickinson St, Suite 121, MC8894, San Diego, CA, 92103, USA.
出版信息
J Orthop. 2019 Nov 13;19:178-183. doi: 10.1016/j.jor.2019.11.005. eCollection 2020 May-Jun.
BACKGROUND
We describe surgeon-specific patient and procedure variability in a single center to determine how much variability exists between surgeons.
METHODS
Data was analyzed from 2009 to 2013 at a single center. The total number of primary and revision hip and knee arthroplasty surgeries were quantified for each surgeon.
RESULTS
Surgeon caseload varied significantly, with the largest differences observed in primary TKA caseload. The largest patient differences were in regards to percentage of patients with diabetes mellitus amongst primary TKA patients.
CONCLUSION
Significant differences in patient characteristics that could significantly impact outcomes after total joint arthroplasty were found amongst surgeons.
背景
我们描述了单中心外科医生特定的患者和手术变异性，以确定外科医生之间存在多大的变异性。
方法
分析了2009年至2013年单中心的数据。对每位外科医生的初次和翻修髋关节和膝关节置换手术总数进行了量化。
结果
外科医生的病例数量差异显著，在初次全膝关节置换病例数量上观察到的差异最大。最大的患者差异在于初次全膝关节置换患者中糖尿病患者的比例。
结论
在外科医生中发现了可能显著影响全关节置换术后结果的患者特征的显著差异。
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