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Total knee arthroplasty: improving outcomes with a multidisciplinary approach

Authors Feng JE, Novikov D, Anoushiravani AA, Schwarzkopf R

Received 4 November 2017

Accepted for publication 7 December 2017

Published 25 January 2018 Volume 2018:11 Pages 63—73

DOI https://doi.org/10.2147/JMDH.S140550

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


James E Feng, David Novikov, Afshin A Anoushiravani, Ran Schwarzkopf

Division of Adult Reconstructive Surgery, NYU Langone Orthopedics, NYU Langone Health, New York, NY, USA

Abstract: Total knee arthroplasty (TKA) is the most commonly performed inpatient surgical procedure within the USA and is estimated to reach 3.48 million procedures annually by 2030. As value-based care initiatives continue to focus on hospital readmission rates and patient satisfaction, it has become essential for health care providers to develop and implement a multidisciplinary approach to enhance TKA outcomes while minimizing unnecessary expenditures. Through this necessity, clinical care pathways have been developed to standardize, organize, and improve the quality and efficiency of patient care while simultaneously encouraging the collaboration among various medical care providers. Here, we review several systems based programs and specialty care practices that can be adopted into the standard orthopedic practice.

Keywords: perioperative optimization, clinical care pathways, adult reconstruction total joint replacement, perioperative orthopaedic surgical home, POSH

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