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Updated: Aug 18, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Significant variation exists in home care services following total joint arthroplasty
Nizar N Mahomed1, Johnny T C Lau, Manfred Koo Seen Lin
1Division of Orthopaedic Surgery, Musculoskeletal Health and Arthritis Program, University Health Network, University of Toronto, Toronto, Ontario, Canada. nizar.mahomed@uhn.on.ca
Objective:
To determine a preliminary profile of the variation in rehabilitation and home care services for patients with total joint arthroplasty (TJA) in Ontario in 2001.
Methods:
A cross-sectional survey was conducted of directors at the 43 regional community care access centers (CCAC).
Results:
One-third (36%) of CCAC had existing care pathways, 54% had defined discharge criteria, and 32% had predetermined the length of home care services. The intensity and frequency of services provided were variable.
Conclusion:
There is a need to standardize rehabilitation protocols to maintain quality of care and contain costs.
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