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Title: Outcomes of hip and knee replacement surgery in private and public hospitals in Australia
Epworth Authors: de Steiger, Richard
Other Authors: Harris, Ian
Cuthbert, Alana
Lorimer, Michelle
Lewis, Peter
Graves, Stephen
Keywords: Public
Total Hip Replacement
Total Knee Replacement
Fractured Neck of Femur
Department of Surgery Epworth Healthcare
Epworth HealthCare, Vic, Australia
Issue Date: May-2019
Publisher: Royal Australasian College of Surgeons; Wiley-Blackwell Publishing
Citation: (2019). Outcomes of hip and knee replacement surgery in private and public hospitals in Australia. ANZ journal of surgery.
Abstract: This study determined the contributing factors of hospital sector (private versus public) variation in revision rates after elective total hip replacement (THR) for hip fracture, and elective total knee replacement (TKR). Using data from a large national arthroplasty registry, funnel plots for hospitals were generated, displaying the proportion of revised primary procedures. The proportion of outliers for each distribution was defined as the proportion outside the upper 99.7% confidence limit. Survival analyses determined differences between hospital sector revision rates separately for implants with the lowest revision rate, and for all other implants. Multivariate Cox regression determined the role of hospital sector in revision, adjusting for possible confounders.
Description: Includes 2 Funnel Plot Revision graphs and 2 Cumulative Percent Revision tables
DOI: 10.1111/ans.15154
PubMed URL:
ISSN: 1445-1433
Journal Title: Australian and New Zealand Journal of Surgery
Type: Journal Article
Affiliated Organisations: Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), Adelaide, South Australia, Australia.
Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, The University of New South Wales, Sydney, New South Wales, Australia.
South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia.
Type of Clinical Study or Trial: Data Analysis
Kaplan-Meier Survival Analysis
Regression Analysis
Subgroup Analysis
Appears in Collections:General Surgery and Gastroenterology

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