{"id":"https://openalex.org/W199875239","doi":"https://doi.org/10.3928/0147-7447-19960201-08","title":"REVISION TOTAL JOINT ARTHROPLASTY: DOES MEDICARE REIMBURSEMENT JUSTIFY TIME SPENT?","display_name":"REVISION TOTAL JOINT ARTHROPLASTY: DOES MEDICARE REIMBURSEMENT JUSTIFY TIME SPENT?","publication_year":1996,"publication_date":"1996-02-01","ids":{"openalex":"https://openalex.org/W199875239","doi":"https://doi.org/10.3928/0147-7447-19960201-08","mag":"199875239","pmid":"https://pubmed.ncbi.nlm.nih.gov/8834288"},"language":"en","primary_location":{"id":"doi:10.3928/0147-7447-19960201-08","doi":"https://doi.org/10.3928/0147-7447-19960201-08","is_oa":false,"landing_page_url":"https://doi.org/10.3928/0147-7447-19960201-08","pdf_url":null,"source":{"id":"https://openalex.org/S157799717","display_name":"Orthopedics","issn_l":"0147-7447","issn":["0147-7447","1938-2367"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4320800624","host_organization_name":"Slack Incorporated (United States)","host_organization_lineage":["https://openalex.org/P4320800624"],"host_organization_lineage_names":["Slack Incorporated (United States)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopedics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111977136","display_name":"Merrill A. Ritter","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Merrill A Ritter","raw_affiliation_strings":["Center for Hip and Knee Surgery, Mooresville, Ind. 46158, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Hip and Knee Surgery, Mooresville, Ind. 46158, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Kimberly D Carr","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kimberly D Carr","raw_affiliation_strings":[""],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113885379","display_name":"E. Michael Keating","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"E Michael Keating","raw_affiliation_strings":[""],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106084158","display_name":"Philip N. Faris","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Philip N Faris","raw_affiliation_strings":[""],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048275861","display_name":"David L. Bankoff","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David L Bankoff","raw_affiliation_strings":[""],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5024423565","display_name":"Philip H. Ireland","orcid":"https://orcid.org/0000-0002-4540-9331","observed_orcids":["https://orcid.org/0000-0002-4540-9331"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Philip M Ireland","raw_affiliation_strings":[""],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.2473,"has_fulltext":false,"cited_by_count":46,"citation_normalized_percentile":{"value":0.79075166,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"19","issue":"2","first_page":"137","last_page":"139"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9599999785423279,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9599999785423279,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.025499999523162842,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.009100000374019146,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/revision-total-joint-arthroplasty","display_name":"revision total joint arthroplasty","score":0.9760000109672546},{"id":"https://openalex.org/keywords/total-knee-arthroplasty","display_name":"total knee arthroplasty","score":0.8479999899864197},{"id":"https://openalex.org/keywords/hip-arthroplasty","display_name":"total hip arthroplasty","score":0.9990000128746033},{"id":"https://openalex.org/keywords/medicare-reimbursement","display_name":"Medicare reimbursement","score":0.9819999933242798},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.7749999761581421},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.9779999852180481},{"id":"https://openalex.org/keywords/surgeon-variation","display_name":"surgeon variation","score":0.335999995470047}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9590538144111633},{"id":"https://openalex.org/C3020453552","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Total hip replacement","level":2,"score":0.7880533933639526},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6257171034812927},{"id":"https://openalex.org/C2986595273","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Total knee replacement","level":2,"score":0.6239944100379944},{"id":"https://openalex.org/C2992150780","wikidata":"https://www.wikidata.org/wiki/Q1863402","display_name":"Total joint replacement","level":2,"score":0.5982369780540466},{"id":"https://openalex.org/C2777417762","wikidata":"https://www.wikidata.org/wiki/Q1863402","display_name":"Joint replacement","level":3,"score":0.5550942420959473},{"id":"https://openalex.org/C2778104916","wikidata":"https://www.wikidata.org/wiki/Q1693864","display_name":"Knee replacement","level":3,"score":0.5455566644668579},{"id":"https://openalex.org/C2779703844","wikidata":"https://www.wikidata.org/wiki/Q760125","display_name":"Reimbursement","level":3,"score":0.5333820581436157},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.5260710120201111},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.5061764121055603},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D005251","descriptor_name":"Fees, Medical","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006622","descriptor_name":"Hip Prosthesis","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007196","descriptor_name":"Indiana","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007720","descriptor_name":"Knee Prosthesis","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D010348","descriptor_name":"Patient Care Team","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D011475","descriptor_name":"Prosthesis Failure","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D012086","descriptor_name":"Reoperation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017046","descriptor_name":"Cost Savings","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3928/0147-7447-19960201-08","doi":"https://doi.org/10.3928/0147-7447-19960201-08","is_oa":false,"landing_page_url":"https://doi.org/10.3928/0147-7447-19960201-08","pdf_url":null,"source":{"id":"https://openalex.org/S157799717","display_name":"Orthopedics","issn_l":"0147-7447","issn":["0147-7447","1938-2367"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4320800624","host_organization_name":"Slack Incorporated (United States)","host_organization_lineage":["https://openalex.org/P4320800624"],"host_organization_lineage_names":["Slack Incorporated (United States)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopedics","raw_type":"journal-article"},{"id":"pmid:8834288","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8834288","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Orthopedics","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.6240000128746033}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2147862355","https://openalex.org/W1986943837","https://openalex.org/W2347385506","https://openalex.org/W4391116278","https://openalex.org/W2950217949","https://openalex.org/W4402981242","https://openalex.org/W2031508181","https://openalex.org/W2042215031","https://openalex.org/W2996062781","https://openalex.org/W4397040455"],"abstract_inverted_index":{"In":[0],"1991,":[1],"five":[2,76],"different":[3],"total":[4,11,17,23,28,42,52,81,94,115,124,146,154,177],"joint":[5,178],"replacement":[6,83,139,148,156],"surgeons":[7,77,171],"performed":[8],"337":[9],"primary":[10,16,41,61,135],"knee":[12,24,43,49,82,116,136,147],"replacements":[13,25,117,179],"and":[14,26,45,63,89,102,118,137,142,152],"250":[15],"hip":[18,29,53,95,125,138,155],"replacements.":[19,30],"They":[20],"revised":[21],"25":[22],"73":[27],"The":[31,68],"average":[32,55],"length":[33],"of":[34,74,163,175],"stay":[35,56],"was":[36,57,106],"6.6":[37],"days":[38,47,59,65],"for":[39,48,60,66,72,92,113,122,133],"the":[40,75,93,161],"arthroplasty":[44],"7.5":[46],"revisions.":[50,67],"For":[51],"replacement,":[54,96],"5.9":[58],"surgery":[62],"6":[64],"operative":[69],"time":[70,97,112],"required":[71],"each":[73],"to":[78,180],"complete":[79],"a":[80,107,119,134],"increased":[84,98,149,157],"55%,":[85],"3%,":[86],"38%,":[87],"72%":[88],"38%;":[90],"whereas":[91],"87%,":[99],"77%,":[100],"84%":[101],"58%.":[103],"Overall,":[104],"there":[105],"41%":[108],"increase":[109,121],"in":[110,131,160],"operating":[111],"revision":[114,123,153],"77%":[120],"replacement.":[126],"Allowable":[127],"charges":[128],"by":[129],"Medicare":[130],"1993":[132],"were":[140],"$1,298":[141],"$1,363,":[143],"respectively.":[144],"Revision":[145],"24.3%":[150],"($1,613)":[151],"30.8%":[158],"($1,782)":[159],"state":[162],"Indiana.":[164],"These":[165],"figures":[166],"do":[167],"not":[168],"encourage":[169],"those":[170],"who":[172],"are":[173],"capable":[174],"doing":[176],"revise":[181],"other":[182],"surgeons'":[183],"problems.":[184]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":2},{"year":2014,"cited_by_count":4},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
