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Hip arthroscopy utilization and associated complications: a population-based analysis.

Ryan M Degen1, Johnathan A Bernard1, Ting J Pan2

  • 1Department of Sports Medicine and Shoulder Service, Center for Hip Preservation.

Journal of Hip Preservation Surgery
|September 27, 2017
PubMed
Summary
This summary is machine-generated.

Hip arthroscopy utilization surged 95-fold in New York from 1998-2012. While complication rates remained stable, lower-volume surgeons had higher readmission rates, indicating a need for further study.

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Area of Science:

  • Orthopedic Surgery
  • Health Services Research

Background:

  • Hip arthroscopy has seen increased utilization.
  • Understanding trends in its application, patient demographics, and outcomes is crucial.

Purpose of the Study:

  • To review trends in hip arthroscopy utilization, patient demographics, and complication rates in New York State from 1998 to 2012.
  • To investigate the relationship between surgeon volume and patient outcomes.

Main Methods:

  • Utilized the Statewide Planning and Research Cooperative System (SPARCS) database for New York State.
  • Analyzed 12,194 hip arthroscopy cases performed between 1998 and 2012.
  • Assessed patient demographics, procedural details, 30- and 90-day complication and readmission rates, and surgeon volume.

Main Results:

  • Hip arthroscopy procedures increased 95-fold annually.
  • 30-day complication rate was 0.2%, 90-day was 0.3%.
  • Lower-volume surgeons (<102 cases/year) had significantly higher 90-day readmission rates compared to higher-volume surgeons (>163 cases/year).

Conclusions:

  • Hip arthroscopy utilization significantly increased in New York State.
  • No associated increase in annual complication rates was observed with rising utilization.
  • Higher readmission rates were associated with lower-volume surgeons, warranting further investigation into surgeon experience and case complexity.