Retrospective Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jun 18, 2016; 7(6): 376-382
Published online Jun 18, 2016. doi: 10.5312/wjo.v7.i6.376
Joint arthroplasty Perioperative Surgical Home: Impact of patient characteristics on postoperative outcomes
Duy L Phan, Kyle Ahn, Joseph B Rinehart, Michael-David Calderon, Wei-Der Wu, Ran Schwarzkopf
Duy L Phan, Department of Orthopaedic Surgery, University of California, Irvine Medical Center, Orange, CA 92868, United States
Kyle Ahn, Joseph B Rinehart, Michael-David Calderon, Wei-Der Wu, Department of Anesthesiology, University of California, Irvine Medical Center, Orange, CA 92868, United States
Ran Schwarzkopf, Division of Adult Reconstruction, Department of Orthopaedic Surgery, New York University Langone Medical Center, New York, NY 10279, United States
Author contributions: Phan DL wrote and revised the manuscript; Ahn K and Schwarzkopf R designed the research study, performed data collection and revised the manuscript; Rinehart JB designed the research study, performed data collection and statistical analysis, and revised the manuscript; Calderon MD and Wu WD performed data collection and statistical analysis.
Institutional review board statement: The study was reviewed and approved by the University of California, Irvine Institutional Review Board.
Informed consent statement: Informed consent was waived by the IRB.
Conflict-of-interest statement: Dr. Phan has no relevant disclosures to make in relation to the submitted study. Dr. Phan has not received research funding, speaker fees, consulting fees, or royalties from any organizations. Dr. Phan is an employee of the Department of Orthopaedic Surgery, University of California, Irvine Medical Center. Dr. Phan does not own company stock or options. Dr. Phan does not own any patents. Dr. Phan is not on the editorial board of any journals. Dr. Phan is not a board member of any societies. Dr Schwarzkopf has a conflict of interest with Smith&Nephew, Intelijoint, Gauss Surgical.
Data sharing statement: All technical data is available from the corresponding author at schwarzk@gmail.com. Consent was not obtained for data sharing but the presented data is anonymized and the risk of identification is low.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ran Schwarzkopf, MD, MSc, Assistant Professor, Division of Adult Reconstruction, Department of Orthopaedic Surgery, New York University Langone Medical Center, 301 East 17th Street, New York, NY 10279, United States. schwarzk@gmail.com
Telephone: +1-212-5137711
Received: February 10, 2016
Peer-review started: February 14, 2016
First decision: March 1, 2016
Revised: March 7, 2016
Accepted: March 24, 2016
Article in press: March 25, 2016
Published online: June 18, 2016
Core Tip

Core tip: The Perioperative Surgical Home (PSH) model is designed to improve healthcare delivery and reduce medical costs. In this study, patients in a joint arthroplasty PSH program were stratified based on preoperative characteristics and comorbidities to determine if these variables would impact postoperative results. Our results suggest that a joint arthroplasty PSH program may improve postoperative consistency and limit the influence of different patient attributes on surgical outcome. Arthroplasty patients with preoperative characteristics traditionally considered risk factors for negative outcomes, such as a high body mass index or an elderly age, may benefit from enrollment in a PSH program.