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Conversion total hip arthroplasty: Primary or revision total hip arthroplasty
Ran Schwarzkopf1, Mahta Baghoolizadeh1
1Ran Schwarzkopf, Department of Orthopaedic Surgery, Division of Adult Reconstruction, NYU Hospital for Joint Diseases, NYU Langon Medical Center, New York, NY 10003, United States.
World Journal of Orthopedics
|November 25, 2015
Summary
Conversion total hip arthroplasty (THA) requires more resources and yields poorer outcomes than primary THA, resembling revision THA. This suggests reclassifying conversion THA for better resource allocation.
Area of Science:
- Orthopedic Surgery
- Health Economics
- Reimbursement Policy
Background:
- Total hip arthroplasty (THA) is common in the elderly.
- Conversion THA is currently grouped with primary THA for reimbursement.
- Evidence is lacking to support this classification.
Purpose of the Study:
- To compare conversion THA with primary and revision THA.
- To analyze intraoperative, postoperative factors, and functional outcomes.
- To determine if conversion THA resembles primary or revision THA.
Main Methods:
- Comparative analysis of intraoperative and postoperative factors.
- Evaluation of functional outcomes.
- Comparison between conversion THA, primary THA, and revision THA.
Main Results:
- Conversion THA demands more intraoperative and postoperative resources than primary THA.
- Patients undergoing conversion THA experience worse long-term functional outcomes.
- Conversion THA patient profiles align more closely with revision THA than primary THA.
Conclusions:
- Conversion THA should not be classified with primary THA for risk stratification and reimbursement.
- Conversion THA procedures require specific planning for increased resource needs.
- Reclassifying conversion THA into the same Diagnosis Related Group (DRG) as revision THA is recommended for equitable healthcare resource allocation.
