19 results on '"Memtsoudis, Stavros G."'
Search Results
2. Sleep apnea in total joint arthroplasty patients and the role for cardiac biomarkers for risk stratification: an exploration of feasibility.
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Lyons MM, Bhatt NY, Kneeland-Szanto E, Keenan BT, Pechar J, Stearns B, Elkassabany NM, Memtsoudis SG, Pack AI, and Gurubhagavatula I
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- Feasibility Studies, Humans, Postoperative Complications etiology, Arthroplasty, Biomarkers metabolism, Myocardium metabolism, Risk Assessment, Sleep Apnea, Obstructive metabolism
- Abstract
Obstructive sleep apnea (OSA) is highly prevalent in patients undergoing total joint arthroplasty (TJA) and is a major risk factor for postoperative cardiovascular complications and death. Recognizing this, the American Society of Anesthesiologists urges clinicians to implement special considerations in the perioperative care of OSA patients. However, as the volume of patients presenting for TJA increases, resources to implement these recommendations are limited. This necessitates mechanisms to efficiently risk stratify patients having OSA who may be susceptible to post-TJA cardiovascular complications. We explore the role of perioperative measurement of cardiac troponins (cTns) and brain natriuretic peptides (BNPs) in helping determine which OSA patients are at increased risk for post-TJA cardiovascular-related morbidity.
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- 2016
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3. Anesthesia and Analgesia Practice Pathway Options for Total Knee Arthroplasty: An Evidence-Based Review by the American and European Societies of Regional Anesthesia and Pain Medicine.
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Kopp, Sandra L, Børglum, Jens, Buvanendran, Asokumar, Horlocker, Terese T, Ilfeld, Brian M, Memtsoudis, Stavros G, Neal, Joseph M, Rawal, Narinder, and Wegener, Jessica T
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Humans ,Pain ,Postoperative ,Analgesia ,Anesthesia ,Conduction ,Nerve Block ,Arthroplasty ,Replacement ,Knee ,Evidence-Based Medicine ,Societies ,Medical ,United States ,Europe ,Pain Management ,Anesthesiology ,Clinical Sciences - Abstract
In 2014, the American Society of Regional Anesthesia and Pain Medicine in collaboration with the European Society of Regional Anaesthesia and Pain Therapy convened a group of experts to compare pathways for anesthetic and analgesic management for patients undergoing total knee arthroplasty in North America and Europe and to develop a practice pathway. This review is intended to be an analysis of the current literature to assist individuals and institutions in designing a pathway for total knee arthroplasty that is based on existing evidence and expert recommendation and may be customized according to individual settings.
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- 2017
4. Improving Safety of Bilateral Knee Arthroplasty: Impact of Selection Criteria on Perioperative Outcome.
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Gerner, Philipp, Memtsoudis, Stavros G., Cozowicz, Crispiana, Stundner, Ottokar, Figgie, Mark, Sculco, Thomas P., and Poultsides, Lazaros
- Abstract
Background: Bilateral total knee arthroplasty (BTKA) procedures are associated with an increased risk of complications when compared with unilateral approaches. In 2006, in an attempt to reduce this risk, our institution implemented selection criteria that specified younger and healthier patients as candidates for BTKA. Questions/Purpose: We sought to investigate the effect of these selection criteria on perioperative outcomes. Methods: In a retrospective cohort study, we used institutional data to identify patients who underwent BTKA between 1998 and 2014. Patients were divided into 2 groups: those who underwent surgery before the 2006 introduction of our selection criteria (1998–2006) and those who underwent surgery after (2007–2014). Groups were compared in terms of demographics, comorbidity burden, and incidence of perioperative complications. Regression analysis was performed, calculating incidence rate ratios to evaluate changes in complication rates. Results: Before the selection criteria were implemented in 2006, patients who underwent BTKA were older and had a higher comorbidity burden. The rate of major complications per 1000 hospital days decreased from 31.5 in 1998 to 7.9 in 2014. A reduction in cardiac complications was the most significant contributor to this decrease in major complications. Conclusion: After stringent criteria for BTKA candidates were implemented at our institution, selection of younger patients with lower comorbidity burden was accompanied by a reduction in the incidence of operative complications. This suggests that introducing such criteria can be associated with a reduction in adverse perioperative outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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5. Anaesthesia provider volume and perioperative outcomes in total joint arthroplasty surgery.
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Memtsoudis, Stavros G., Wilson, Lauren A., Bekeris, Janis, Liu, Jiabin, Poultsides, Lazaros, Fiasconaro, Megan, and Poeran, Jashvant
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LENGTH of stay in hospitals , *ANESTHESIOLOGISTS , *LOGISTIC regression analysis , *ODDS ratio , *ANESTHESIA , *HOSPITAL statistics , *ANESTHESIOLOGY , *CLINICAL competence , *HEALTH care teams , *HOSPITALS , *SURGICAL complications , *TOTAL hip replacement , *TOTAL knee replacement , *EMPLOYEES' workload , *COMORBIDITY , *TREATMENT effectiveness , *RETROSPECTIVE studies - Abstract
Background: While increased surgical-provider volume has been associated with improved outcomes, research regarding volume-outcome relationships within high-volume institutions and the role of anaesthesiologists is limited. Further, the effect of anaesthesia-care-team composition remains understudied. This analysis aimed to identify the impact of anaesthesiologist and surgeon volume on adverse events after total joint arthroplasties.Methods: We retrospectively identified 40 437 patients who underwent total joint arthroplasties at a high-volume institution from 2005 to 2014. The main effects of interest were anaesthesiologist and surgeon volume and experience along with anaesthesia-care-team composition. Multivariable logistic regression models were used to evaluate three outcomes: any complication, cardiopulmonary complication, and length of stay (>5 days). Odds ratios (ORs) and 99.75% confidence intervals (CIs) were reported.Results: Across all three models, anaesthesiologist volume and experience, and anaesthesia-care-team composition were not significant predictors. Surgeon annual case volume >50 was associated with significantly reduced odds of any complication (annual case volume: 50-149; OR: 0.80; CI: 0.66-0.98) and prolonged length of stay (OR: 0.69; CI: 0.60-0.80). Surgeon experience >20 yr was associated with significantly reduced odds of prolonged length of stay (OR: 0.85; CI: 0.75-0.95).Conclusions: Anaesthesiologist volume and experience, and anaesthesia-care-team composition did not impact the odds of an adverse outcome, although a higher surgeon volume was associated with decreased odds of complications and prolonged length of stay. Further study is necessary to determine if these findings can be extrapolated to less specialised, lower volume surgical settings. [ABSTRACT FROM AUTHOR]- Published
- 2019
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6. Anaesthetic care of patients undergoing primary hip and knee arthroplasty: consensus recommendations from the International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) based on a systematic review and meta-analysis.
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Memtsoudis, Stavros G., Cozowicz, Crispiana, Bekeris, Janis, Bekere, Dace, Liu, Jiabin, Soffin, Ellen M., Mariano, Edward R., Johnson, Rebecca L., Hargett, Mary J., Lee, Bradley H., Wendel, Pamela, Brouillette, Mark, Go, George, Kim, Sang J., Baaklini, Lila, Wetmore, Douglas, Hong, Genewoo, Goto, Rie, Jivanelli, Bridget, and Argyra, Eriphyli
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TOTAL hip replacement , *META-analysis , *VENOUS thrombosis , *ACUTE kidney failure , *ECONOMIC databases , *GASTROINTESTINAL surgery - Abstract
Background: Evidence-based international expert consensus regarding anaesthetic practice in hip/knee arthroplasty surgery is needed for improved healthcare outcomes.Methods: The International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) systematic review, including randomised controlled and observational studies comparing neuraxial to general anaesthesia regarding major complications, including mortality, cardiac, pulmonary, gastrointestinal, renal, genitourinary, thromboembolic, neurological, infectious, and bleeding complications. Medline, PubMed, Embase, and Cochrane Library including Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, NHS Economic Evaluation Database, from 1946 to May 17, 2018 were queried. Meta-analysis and Grading of Recommendations Assessment, Development and Evaluation approach was utilised to assess evidence quality and to develop recommendations.Results: The analysis of 94 studies revealed that neuraxial anaesthesia was associated with lower odds or no difference in virtually all reported complications, except for urinary retention. Excerpt of complications for neuraxial vs general anaesthesia in hip/knee arthroplasty, respectively: mortality odds ratio (OR): 0.67, 95% confidence interval (CI): 0.57-0.80/OR: 0.83, 95% CI: 0.60-1.15; pulmonary OR: 0.65, 95% CI: 0.52-0.80/OR: 0.69, 95% CI: 0.58-0.81; acute renal failure OR: 0.69, 95% CI: 0.59-0.81/OR: 0.73, 95% CI: 0.65-0.82; deep venous thrombosis OR: 0.52, 95% CI: 0.42-0.65/OR: 0.77, 95% CI: 0.64-0.93; infections OR: 0.73, 95% CI: 0.67-0.79/OR: 0.80, 95% CI: 0.76-0.85; and blood transfusion OR: 0.85, 95% CI: 0.82-0.89/OR: 0.84, 95% CI: 0.82-0.87.Conclusions: Recommendation: primary neuraxial anaesthesia is preferred for knee arthroplasty, given several positive postoperative outcome benefits; evidence level: low, weak recommendation.Recommendation: neuraxial anaesthesia is recommended for hip arthroplasty given associated outcome benefits; evidence level: moderate-low, strong recommendation. Based on current evidence, the consensus group recommends neuraxial over general anaesthesia for hip/knee arthroplasty.Trial Registry Number: PROSPERO CRD42018099935. [ABSTRACT FROM AUTHOR]- Published
- 2019
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7. Does blood transfusion type affect complication and length of stay following same-day bilateral total knee arthroplasty?
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Soranoglou, Vasileios G., Poultsides, Lazaros A., Wanivenhaus, Florian, Nocon, Allina A., Triantafyllopoulos, Georgios K., Sculco, Peter K., Memtsoudis, Stavros G., and Sculco, Thomas P.
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AUTOTRANSFUSION of blood ,HOMOGRAFTS ,LENGTH of stay in hospitals ,SURGICAL complications ,TOTAL knee replacement ,RETROSPECTIVE studies ,ODDS ratio - Abstract
Same-day Bilateral Total Knee Arthroplasty (BTKA) safety is still controversial. The aim of this study was to examine the association of blood transfusion type (pure autologous, pure allogeneic, and combined) with complication and prolonged length of stay (PLOS) following same-day BTKA. 649 consecutive patients were retrospectively identified over a two-year period. Pure allogeneic transfusions were associated with increased odds of minor complication when compared to patients who had pure autologous transfusions. No association was found between blood transfusion type and major complication or PLOS. Our results suggest that blood transfusion type may be influential in minor complication after BTKA. [ABSTRACT FROM AUTHOR]
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- 2018
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8. Impact of Melatonin on Sleep and Pain After Total Knee Arthroplasty Under Regional Anesthesia With Sedation: A Double-Blind, Randomized, Placebo-Controlled Pilot Study.
- Author
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Kirksey, Meghan A., Yoo, Daniel, Danninger, Thomas, Stundner, Ottokar, Ma, Yan, and Memtsoudis, Stavros G.
- Abstract
This pilot study explores sleep disruption after total knee arthroplasty and the impact of melatonin on sleep and postoperative pain. Sleep time was decreased on the last preoperative night and first two postoperative nights. Sleep efficiency was decreased on all three postoperative nights. Compared to placebo, melatonin increased sleep efficiency by 4.4% (mean; 95% CI -1.6, 10.4; P=0.150) and sleep time by 29 min (mean; 95% CI -2.0, 60.4; P=0.067). Melatonin appeared to have no effect on subjective sleep quality or daytime sleepiness, pain at rest or pain with standardized activity. In conclusion, sleep quality is impaired after total knee arthroplasty and exogenous melatonin does not appear to improve postoperative sleep or pain to a significant degree. [ABSTRACT FROM AUTHOR]
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- 2015
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9. Fast-track hip and knee arthroplasty...how fast?
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Wainwright, Thomas W., Memtsoudis, Stavros G., and Kehlet, Henrik
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TOTAL hip replacement , *TOTAL knee replacement , *GENERAL practitioners , *REOPERATION , *HIP surgery , *AMBULATORY surgery - Published
- 2021
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10. Steroid Modulation of Cytokine Release and Desmosine Levels in Bilateral Total Knee Replacement A Prospective, Double-Blind, Randomized Controlled Trial.
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Jules-Elysee, Kethy M., Wilfred, Sarah E., Memtsoudis, Stavros G., Kim, David H., YaDeau, Jacques T., Urban, Michael K., Lichardi, Michael L., McLawhorn, Alexander S., and Sculco, Thomas P.
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STEROIDS ,CYTOKINES ,TOTAL knee replacement ,ARTHROPLASTY ,INTERLEUKINS ,PLACEBOS ,VISUAL analog scale - Abstract
Background: The perioperative inflammatory response as measured by elevated levels of interleukin-6 (lL-6) has been linked to acute respiratory distress syndrome, postoperative confusion, and fever. Because of the extent of surgery, patients undergoing bilateral total knee arthroplasty may be at high risk of complications. We had found a significant decrease in IL-6 in patients having bilateral total knee replacement who received two doses of 100 mg of hydrocortisone eight hours apart; however, by twenty-four hours, IL-6 levels were equal to those in the group that received a placebo. In the present study, we investigated whether the administration of three doses would reduce IL-6 levels at twenty-four hours and affect other outcomes such as desmosine level, a marker of lung injury. Methods: After institutional review board approval, a total of thirty-four patients (seventeen patients and seventeen control subjects) were enrolled in this double-blind, randomized, placebo-controlled study. Three doses of intravenous hydrocortisone (100 mg) or placebo were given eight hours apart. Urinary desmosine levels were obtained at baseline and at one and three days postoperatively. The level of lL-6 was measured at baseline and at six, ten, twenty-four, and forty- eight hours postoperatively. Pain scores, presence of fever, and functional outcomes were recorded. Results: The level of IL-6 increased in both groups, but was significantly higher in the control group, peaking at twenty- four hours (mean and standard deviation, 623.74 ± 610.35 pg/mL versus 148.13 ± 119.35 pg/mL; p = 0.006). Urinary desmosine levels significantly increased by twenty-four hours in the control group, but remained unchanged in the study group (134.75 ± 67.88 pmol/mg and 79.45 ± 46.30 pmol/mg, respectively; p = 0.006). Pain scores at twenty-four hours were significantly lower in the study group (1.4 ± 0.9 versus 2.4 ± 1.2; p = 0.01) as was the presence of fever (11.8% versus 47.1%; p = 0.03). Range of motion at the knee was significantly greater in the study group (81.6 ± 11.6 versus 70.6 ± 14.0 in the right knee [p = 0.02] and 81.4 ± 11.3 versus 73.4 ± 9.4 in the left knee [p = 0.03]). Conclusions: Hydrocortisone (100 mg) given over three doses, each eight hours apart, decreased and maintained a lower degree of inflammation with bilateral total knee replacement as measured by IL-6 level. Corticosteroids decreased the prevalence of fever, lowered visual analog pain scores, and improved knee motion. The significantly lower values of desmosine in the study group suggest that this treatment may be protective against lung injury. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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11. Pen operative Outcomes after Unilateral and Bilateral Total Knee Arthroplasty.
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Memtsoudis, Stavros G., Yan Ma, della Valle, Alejandro González, Mazumdar, Madhu, Gaber-Baylis, Licia K., Mackenzie, C. Ronald, and Sculco, Thomas P.
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HEALTH outcome assessment , *TOTAL knee replacement , *ARTHROPLASTY , *KNEE surgery , *JOINT surgery , *SURGICAL complications , *DATA analysis , *MORTALITY - Abstract
The article features the study that aims to determine the difference in perioperative outcomes between unilateral total knee arthroplasties (UTKAs) and bilateral total knee arthroplasties (BTKAs) in the U.S. The study analyzes the data from Nationwide Inpatient Sample from 1998 to 2006. Researchers separated data on BTKAs, healthcare-system related and patient demographics, and the incidence of procedure-related complication and in-hospital mortality. The study concludes that BTKAs are more risky compared to UTKAs while BTKAs caused patients to increase their morbidity.
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- 2009
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12. Critical Care Issues in the Patient After Major Joint Replacement.
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Memtsoudis, Stavros G., Rosenberger, Peter, and Walz, J. Matthias
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CRITICAL care medicine , *PUBLIC health , *THERAPEUTICS , *HOSPITAL wards , *CRITICALLY ill , *EMERGENCY medicine , *INTENSIVE care units ,DIAGNOSIS of bone diseases - Abstract
Admission rates of orthopedic patients to intensive care units are increasing. Thus, an intensivist's familiarity with specific problems associated with major joint replacement surgery is of utmost importance in order to meet the needs of this particular patient population. In this article, the authors review the most commonly encountered complications after major hip and knee arthroplasty. Perioperative risk factors for morbidity and mortality and the epidemiology, diagnosis, and treatment of cardiopulmonary complications in this patient population are discussed. Procedure-specific complications such as fat embolism and acrylic bone cement-related issues are reviewed. [ABSTRACT FROM AUTHOR]
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- 2007
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13. Bilateral total knee arthroplasties: a call for practice guidelines.
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Memtsoudis, Stavros G. and Liu, Spencer S.
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TOTAL knee replacement , *SURGICAL complications , *ARTHROPLASTY , *PREOPERATIVE risk factors , *MEDICAL practice - Abstract
The authors reflect on the debate over the risks and benefits of same-day bilateral total knee arthroplasty (BTKA). They argue that the subject is of greater interest by physicians because the number of total joint arthroplasties in general has been rising dramatically. They suggest the need for hospitals and physicians to consider using conservative patient selection criteria to mitigate the increased risk for complication associated with same-day BTKA.
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- 2013
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14. Venous Thromboembolism and Orthopedic Surgery
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Bass, Anne R., MacKenzie, C. Ronald, editor, Cornell, Charles N., editor, and Memtsoudis, Stavros G., editor
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- 2020
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15. Tranexamic acid and perioperative myocardial infarction: a retrospective database analysis.
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Zhong, Haoyan, Poeran, Jashvant, Liu, Jiabin, Illescas, Alex, Cozowicz, Crispiana, and Memtsoudis, Stavros G.
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MYOCARDIAL infarction , *TRANEXAMIC acid , *CORONARY artery bypass , *RETROSPECTIVE studies , *DATABASES , *ANTIFIBRINOLYTIC agents - Published
- 2022
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16. Association between sex and perioperative opioid prescribing for total joint arthroplasty: a retrospective population-based study.
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Soffin, Ellen M., Wilson, Lauren A., Liu, Jiabin, Poeran, Jashvant, and Memtsoudis, Stavros G.
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ARTHROPLASTY , *OPIOIDS - Abstract
Background: Scarce data exist on differential opioid prescribing between men and women in the pre-, peri-, and postoperative phases of care among patients undergoing total hip/knee arthroplasty (THA/TKA).Methods: In this retrospective population-based study, Truven Health MarketScan claims data were used to establish differences between men and women in (1) opioid prescribing in the year before THA/TKA surgery, (2) the amount of opioids prescribed at discharge, and (3) chronic opioid prescribing (3-12 months after surgery). Multivariable regression models measured odds ratios (OR) with 95% confidence intervals (95% CI).Results: Among 29 038 THAs (42% men) and 48 523 TKAs (52% men) men (compared with women) were less likely to receive an opioid prescription in the year before surgery (54% vs 60%, and 54% vs 60% for THA and TKA, respectively); P<0.001. However, in multivariable analyses male sex was associated with higher total opioid dosages prescribed at discharge after THA (OR=1.04; 95% CI 1.03, 1.06) and TKA (OR=1.05; 95% CI 1.04, 1.06); both P<0.001. Chronic opioid prescribing was found in 10% of the cohort (THA: n=2333; TKA: n=5365). Here, men demonstrated lower odds of persistent opioid prescribing specifically after THA (OR=0.90; 95% CI 0.82, 0.99) but not TKA (OR=0.96; 95% CI 0.90, 1.02); P=0.026 and P=0.207, respectively.Conclusions: We found sex-based differences in opioid prescribing across all phases of care for THA/TKA. The results highlight temporal opportunities for targeted interventions to improve outcomes after total joint arthroplasty, particularly for women, and to decrease chronic opioid prescribing. [ABSTRACT FROM AUTHOR]- Published
- 2021
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17. Anesthesia practice among joint arthroplasty patients with a previous lumbar spine surgery.
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Illescas, Alex, Zhong, Haoyan, Cozowicz, Crispiana, Poeran, Jashvant, Memtsoudis, Stavros G., and Liu, Jiabin
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ARTHROPLASTY , *SPINAL surgery , *LUMBAR vertebrae , *TOTAL knee replacement , *TOTAL hip replacement , *ANESTHESIA - Abstract
To analyze the use of neuraxial techniques in total hip or knee arthroplasty patients who previously underwent lumbar spine surgeries. Retrospective analysis of a national database. U.S. hospitals. Patients undergoing a total hip or knee arthroplasty, stratified by those with a previous lumbar fusion or decompression procedure. Our primary outcome was the use of neuraxial anesthesia; secondary outcomes included combined complications, cardio-pulmonary complications, and prolonged length of stay. Patients with and without a history of a lumbar procedure were compared using mixed-effects regression. Among 758,857 THAs 8961 had a history of lumbar fusion and 8599 of decompression. Among 1,387,335 TKAs 15,827 had a history of lumbar fusion and 13,652 of decompression. History of a lumbar fusion was associated with lower odds of neuraxial anesthesia use in THA (OR: 0.74 CI: 0.70–0.79, p ≤0.0001) and TKA (OR: 0.80 CI: 0.77–0.84, p ≤0.0001). Previous lumbar fusion -but not decompression- surgery is associated with lower neuraxial anesthesia in THA/TKA patients, despite its use being universally associated with decreased length of stay. More research is needed to address the importance of neuraxial techniques in patients with prior spine surgery. • Lumbar procedures are common in the U.S. and are expected to increase in practice. • We analyzed more than 2.1 million patients undergoing total joint arthroplasty. • Only 15.6% of patients with previous lumbar fusion received neuraxial anesthesia. • History of a lumbar fusion was associated with lower odds of neuraxial anesthesia use. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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18. Opioid prescription levels and postoperative outcomes in orthopedic surgery.
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Cozowicz, Crispiana, Olson, Ashley, Poeran, Jashvant, Mörwald, Eva E., Zubizarreta, Nicole, Girardi, Federico P., Hughes, Alexander P., Mazumdar, Madhu, and Memtsoudis, Stavros G.
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PERIOPERATIVE care , *MEDICAL care , *ORTHOPEDIC surgery , *OPERATIVE surgery , *SPINE abnormalities - Abstract
Given the basic need for opioids in the perioperative setting, we investigated associations between opioid prescription levels and postoperative outcomes using population-based data of orthopedic surgery patients. We hypothesized that increased opioid amounts would be associated with higher risk for postoperative complications. Data were extracted from the national Premier Perspective database (2006-2013); N51,035,578 lower joint arthroplasties and N5220,953 spine fusions. Multilevel multivariable logistic regression models measured associations between opioid dose prescription and postoperative outcomes, studied by quartile of dispensed opioid dose. Compared to the lowest quartile of opioid dosing, high opioid prescription was associated with significantly increased odds for deep venous thrombosis and postoperative infections by approx. 50%, while odds were increased by 23% for urinary and more than 15% for gastrointestinal and respiratory complications (P < 0.001 respectively). Furthermore, higher opioid prescription was associated with a significant increase in length of stay (LOS) and cost by 12% and 6%, P < 0.001 respectively. Cerebrovascular complications risk was decreased by 25% with higher opioid dose (P = 0.004), while odds for myocardial infarction remained unaltered. In spine cases, opioid prescription was generally higher, with stronger effects observed for increase in LOS and cost as well as gastrointestinal and urinary complications. Other outcomes were less pronounced, possibly because of smaller sample size. Overall, higher opioid prescription was associated with an increase in most postoperative complications with the strongest effect observed in thromboembolic, infectious and gastrointestinal complications, cost, and LOS. Increase in complication risk occurred stepwise, suggesting a dose-response gradient. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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19. Disparities in the provision of regional anesthesia and analgesia in total joint arthroplasty: The role of patient and hospital level factors.
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Zhong, Haoyan, Poeran, Jashvant, Liu, Jiabin, Liguori, Gregory, Popovic, Marko, Poultsides, Lazaros, and Memtsoudis, Stavros G.
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CONDUCTION anesthesia , *REGIONAL disparities , *HOSPITAL patients , *ANALGESIA , *ARTHROPLASTY , *PAIN management , *HOSPITALS , *TOTAL hip replacement - Abstract
• Significant racial difference exists in the provision of regional anesthesia and analgesia. • Hospitals with a low volume of joint arthroplasties tended to serve a relative larger proportion of minority patients. • Our data suggest a potential role of hospital-specific factors as targets to reduce these disparities. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
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