Transparency to Reduce Surgical Implant Waste.
10.4055/cios.2015.7.2.207
- Author:
Kiel J PFEFFERLE
1
;
Matthew F DILISIO
;
Brianna PATTI
;
Stephen D FENING
;
Jeffrey T JUNKO
Author Information
1. Department of Orthopaedic Surgery, Summa Health System, Akron, OH, USA. Kiel.pfefferle@gmail.com
- Publication Type:Original Article
- Keywords:
Implant waste;
Knee arthroplasty;
Hip arthroplasty
- MeSH:
*Cost Savings;
Disposable Equipment/economics;
Humans;
Joint Prosthesis/*economics/statistics & numerical data;
*Orthopedics;
Retrospective Studies
- From:Clinics in Orthopedic Surgery
2015;7(2):207-210
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Rising health care costs and emphasis on value have placed the onus of reducing healthcare costs on the surgeon. METHODS: Financial data from 3,973 hip, knee, and shoulder arthroplasties performed at a physician owned orthopedic hospital was retrospectively reviewed over a two-year period. A wasted implant financial report was posted starting the second year of the study. Each surgeon's performance could be identified by his peers. RESULTS: After posting of the financial report, 1.11% of all hip and knee arthroplasty cases had a waste event compared to 1.50% during the control year. Shoulder arthroplasty waste events occurred twice as often than that observed in hip and knee arthroplasty during the study period. A decrease in waste events was observed but was not statistically significant (p = 0.30). CONCLUSIONS: Posting a non-blinded wasted implant data sheet was associated with a reduction in the number of wasted orthopedic surgical implants in this series, although the reduction was not statistically significant.