{"id":"https://openalex.org/W7203733729","doi":"https://doi.org/10.1007/s00402-026-06434-w","title":"The effect of surgeon volume on outcomes after total hip arthroplasty: a systematic review and meta-analysis","display_name":"The effect of surgeon volume on outcomes after total hip arthroplasty: a systematic review and meta-analysis","publication_year":2026,"publication_date":"2026-08-20","ids":{"openalex":"https://openalex.org/W7203733729","doi":"https://doi.org/10.1007/s00402-026-06434-w","pmid":"https://pubmed.ncbi.nlm.nih.gov/42622668","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13493433"},"language":"en","primary_location":{"id":"doi:10.1007/s00402-026-06434-w","doi":"https://doi.org/10.1007/s00402-026-06434-w","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00402-026-06434-w","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00402-026-06434-w.pdf","source":{"id":"https://openalex.org/S118785805","display_name":"Archives of Orthopaedic and Trauma Surgery","issn_l":"0936-8051","issn":["0936-8051","1434-3916"],"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-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Orthopaedic and Trauma Surgery","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s00402-026-06434-w.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5078311102","display_name":"Nils Mei\u00dfner","orcid":"https://orcid.org/0000-0002-7321-219X","observed_orcids":["https://orcid.org/0000-0002-7321-219X"]},"institutions":[{"id":"https://openalex.org/I4210103243","display_name":"Sana Kliniken AG","ror":"https://ror.org/01b4gqk18","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210103243"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Nils Meissner","raw_affiliation_strings":["Department of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany. nils.meissner@sana.de"],"raw_orcid":"https://orcid.org/0000-0002-7321-219X","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany. nils.meissner@sana.de","institution_ids":["https://openalex.org/I4210103243"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117127263","display_name":"Katharina Anna Ortwig","orcid":"https://orcid.org/0009-0007-6691-4250","observed_orcids":["https://orcid.org/0009-0007-6691-4250"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Katharina Ortwig","raw_affiliation_strings":["German Society for Orthopedics and Trauma Surgery, Berlin, Germany"],"raw_orcid":"https://orcid.org/0009-0007-6691-4250","affiliations":[{"raw_affiliation_string":"German Society for Orthopedics and Trauma Surgery, Berlin, Germany","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022004773","display_name":"Sonia Ramos\u2010Pascual","orcid":"https://orcid.org/0000-0002-0409-613X","observed_orcids":["https://orcid.org/0000-0002-0409-613X"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Sonia Ramos-Pascual","raw_affiliation_strings":["ReSurg (Switzerland), Nyon, Switzerland. journals@resurg.com"],"raw_orcid":"https://orcid.org/0000-0002-0409-613X","affiliations":[{"raw_affiliation_string":"ReSurg (Switzerland), Nyon, Switzerland. journals@resurg.com","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057280725","display_name":"Chinyelum Agu","orcid":"https://orcid.org/0009-0000-5351-5268","observed_orcids":["https://orcid.org/0009-0000-5351-5268"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chinyelum Agu","raw_affiliation_strings":["ReSurg (Switzerland), Nyon, Switzerland"],"raw_orcid":"https://orcid.org/0009-0000-5351-5268","affiliations":[{"raw_affiliation_string":"ReSurg (Switzerland), Nyon, Switzerland","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046311142","display_name":"Johannes St\u00f6ve","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210096324","display_name":"St. Marien- und St. Annastiftskrankenhaus","ror":"https://ror.org/00nkf9b38","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210096324"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Johannes Stoeve","raw_affiliation_strings":["Department of Orthopaedic and Trauma Surgery, St. Marien- und St. Annastiftskrankenhaus, Ludwigshafen am Rhein, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic and Trauma Surgery, St. Marien- und St. Annastiftskrankenhaus, Ludwigshafen am Rhein, Germany","institution_ids":["https://openalex.org/I4210096324"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031351387","display_name":"Daniel Schrednitzki","orcid":"https://orcid.org/0000-0003-2696-1769","observed_orcids":["https://orcid.org/0000-0003-2696-1769"]},"institutions":[{"id":"https://openalex.org/I4210090017","display_name":"Sana Klinikum Lichtenberg","ror":"https://ror.org/0071tdq26","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210090017"]},{"id":"https://openalex.org/I4210103243","display_name":"Sana Kliniken AG","ror":"https://ror.org/01b4gqk18","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210103243"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Daniel Schrednitzki","raw_affiliation_strings":["Department of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany","Department of Orthopaedic, Trauma, Hand and Reconstructive Surgery, Sana Klinikum Lichtenberg, Berlin, Germany"],"raw_orcid":"https://orcid.org/0000-0003-2696-1769","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany","institution_ids":["https://openalex.org/I4210103243"]},{"raw_affiliation_string":"Department of Orthopaedic, Trauma, Hand and Reconstructive Surgery, Sana Klinikum Lichtenberg, Berlin, Germany","institution_ids":["https://openalex.org/I4210090017"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054734295","display_name":"Tim Rolvien","orcid":"https://orcid.org/0000-0003-1058-1307","observed_orcids":["https://orcid.org/0000-0003-1058-1307"]},"institutions":[{"id":"https://openalex.org/I4210108711","display_name":"University Medical Center Hamburg-Eppendorf","ror":"https://ror.org/01zgy1s35","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I159176309","https://openalex.org/I4210108711"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Tim Rolvien","raw_affiliation_strings":["Department of Trauma and Orthopaedic Surgery, Division of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. trolvien@uke.de"],"raw_orcid":"https://orcid.org/0000-0003-1058-1307","affiliations":[{"raw_affiliation_string":"Department of Trauma and Orthopaedic Surgery, Division of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. trolvien@uke.de","institution_ids":["https://openalex.org/I4210108711"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5013810112","display_name":"Andreas Matthias Halder","orcid":"https://orcid.org/0000-0001-8901-5898","observed_orcids":["https://orcid.org/0000-0001-8901-5898"]},"institutions":[{"id":"https://openalex.org/I4210103243","display_name":"Sana Kliniken AG","ror":"https://ror.org/01b4gqk18","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210103243"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Andreas M. Halder","raw_affiliation_strings":["Department of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany"],"raw_orcid":"https://orcid.org/0000-0001-8901-5898","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany","institution_ids":["https://openalex.org/I4210103243"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5022004773","https://openalex.org/A5054734295","https://openalex.org/A5078311102"],"corresponding_institution_ids":["https://openalex.org/I4210103243","https://openalex.org/I4210108711"],"apc_list":{"value":4590,"currency":"USD","value_usd":4590},"apc_paid":{"value":4590,"currency":"USD","value_usd":4590},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.45887318,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"146","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10562","display_name":"Total Knee Arthroplasty Outcomes","score":0.9164999723434448,"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":0.9164999723434448,"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":0.06400000303983688,"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/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":0.0017000000225380063,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hip-arthroplasty","display_name":"total hip arthroplasty","score":0.9940000176429749},{"id":"https://openalex.org/keywords/surgeon-volume","display_name":"surgeon volume","score":0.9860000014305115},{"id":"https://openalex.org/keywords/high-volume-surgeons","display_name":"high-volume surgeons","score":0.7689999938011169},{"id":"https://openalex.org/keywords/low-volume-surgeons","display_name":"low-volume surgeons","score":0.9300000071525574},{"id":"https://openalex.org/keywords/volume-threshold","display_name":"volume threshold","score":0.6150000095367432},{"id":"https://openalex.org/keywords/postoperative-mortality","display_name":"postoperative mortality","score":0.7820000052452087},{"id":"https://openalex.org/keywords/hospital-readmission","display_name":"hospital readmission","score":0.8330000042915344},{"id":"https://openalex.org/keywords/reoperation","display_name":"reoperation","score":0.6610000133514404},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.8159999847412109},{"id":"https://openalex.org/keywords/surgical-outcomes","display_name":"surgical outcomes","score":0.5519999861717224}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9646000266075134},{"id":"https://openalex.org/C68443243","wikidata":"https://www.wikidata.org/wiki/Q2786686","display_name":"Quartile","level":3,"score":0.6491000056266785},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.6014999747276306},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.5946999788284302},{"id":"https://openalex.org/C3019025420","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Total hip arthroplasty","level":2,"score":0.5766000151634216},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.46810001134872437},{"id":"https://openalex.org/C122048520","wikidata":"https://www.wikidata.org/wiki/Q2913954","display_name":"Percentile","level":2,"score":0.46560001373291016},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4350999891757965},{"id":"https://openalex.org/C58471807","wikidata":"https://www.wikidata.org/wiki/Q327120","display_name":"Receiver operating characteristic","level":2,"score":0.4226999878883362},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.38440001010894775},{"id":"https://openalex.org/C3020453552","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Total hip replacement","level":2,"score":0.3709000051021576},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.36739999055862427},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.367000013589859},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.3167000114917755},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.2840000092983246},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.2815999984741211},{"id":"https://openalex.org/C3020736514","wikidata":"https://www.wikidata.org/wiki/Q32333487","display_name":"Hip arthroplasty","level":3,"score":0.2752000093460083},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.2694999873638153},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.2581999897956848},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.257099986076355},{"id":"https://openalex.org/C43893838","wikidata":"https://www.wikidata.org/wiki/Q840545","display_name":"Sports medicine","level":2,"score":0.25270000100135803}],"mesh":[{"descriptor_ui":"D002983","descriptor_name":"Clinical Competence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010359","descriptor_name":"Patient Readmission","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019644","descriptor_name":"Arthroplasty, Replacement, Hip","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":true},{"descriptor_ui":"D019644","descriptor_name":"Arthroplasty, Replacement, Hip","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D066231","descriptor_name":"Surgeons","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1007/s00402-026-06434-w","doi":"https://doi.org/10.1007/s00402-026-06434-w","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00402-026-06434-w","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00402-026-06434-w.pdf","source":{"id":"https://openalex.org/S118785805","display_name":"Archives of Orthopaedic and Trauma Surgery","issn_l":"0936-8051","issn":["0936-8051","1434-3916"],"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-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Orthopaedic and Trauma Surgery","raw_type":"journal-article"},{"id":"pmid:42622668","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42622668","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":"Archives of orthopaedic and trauma surgery","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13493433","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13493433/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Arch Orthop Trauma Surg","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1007/s00402-026-06434-w","doi":"https://doi.org/10.1007/s00402-026-06434-w","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00402-026-06434-w","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00402-026-06434-w.pdf","source":{"id":"https://openalex.org/S118785805","display_name":"Archives of Orthopaedic and Trauma Surgery","issn_l":"0936-8051","issn":["0936-8051","1434-3916"],"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-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Orthopaedic and Trauma Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7203733729.pdf","grobid_xml":"https://content.openalex.org/works/W7203733729.grobid-xml"},"referenced_works_count":78,"referenced_works":["https://openalex.org/W1482037042","https://openalex.org/W1693334754","https://openalex.org/W1921770897","https://openalex.org/W1980823564","https://openalex.org/W1985139100","https://openalex.org/W1996369600","https://openalex.org/W2024959035","https://openalex.org/W2026884451","https://openalex.org/W2040968787","https://openalex.org/W2047224193","https://openalex.org/W2050035833","https://openalex.org/W2070357474","https://openalex.org/W2080748052","https://openalex.org/W2088003475","https://openalex.org/W2111580383","https://openalex.org/W2111806197","https://openalex.org/W2125435699","https://openalex.org/W2129341979","https://openalex.org/W2163695876","https://openalex.org/W2165758951","https://openalex.org/W2166624171","https://openalex.org/W2278623088","https://openalex.org/W2346199720","https://openalex.org/W2500676315","https://openalex.org/W2545714766","https://openalex.org/W2560438049","https://openalex.org/W2670590610","https://openalex.org/W2760606502","https://openalex.org/W2765805832","https://openalex.org/W2779289665","https://openalex.org/W2789664021","https://openalex.org/W2791935492","https://openalex.org/W2792389977","https://openalex.org/W2793513223","https://openalex.org/W2810569099","https://openalex.org/W2884577264","https://openalex.org/W2896847655","https://openalex.org/W2911456503","https://openalex.org/W2924322406","https://openalex.org/W2925127169","https://openalex.org/W2933228367","https://openalex.org/W2942422972","https://openalex.org/W2967249545","https://openalex.org/W2974325118","https://openalex.org/W2975884367","https://openalex.org/W2983246140","https://openalex.org/W2996815701","https://openalex.org/W3008579919","https://openalex.org/W3039423105","https://openalex.org/W3080120037","https://openalex.org/W3086066451","https://openalex.org/W4210336301","https://openalex.org/W4211041126","https://openalex.org/W4212938228","https://openalex.org/W4214828773","https://openalex.org/W4241576969","https://openalex.org/W4280514314","https://openalex.org/W4280639443","https://openalex.org/W4297999701","https://openalex.org/W4310444008","https://openalex.org/W4311090906","https://openalex.org/W4363645533","https://openalex.org/W4366417225","https://openalex.org/W4366992486","https://openalex.org/W4376637106","https://openalex.org/W4378781603","https://openalex.org/W4380085921","https://openalex.org/W4384765020","https://openalex.org/W4386872282","https://openalex.org/W4392767215","https://openalex.org/W4400402915","https://openalex.org/W4402392057","https://openalex.org/W4404092180","https://openalex.org/W4411738011","https://openalex.org/W4411795614","https://openalex.org/W4412785190","https://openalex.org/W4413542072","https://openalex.org/W4414453694"],"related_works":["https://openalex.org/W2805491407","https://openalex.org/W2670590610","https://openalex.org/W4310444008","https://openalex.org/W4212938228","https://openalex.org/W4411738011","https://openalex.org/W2996815701","https://openalex.org/W2166624171","https://openalex.org/W4399614163","https://openalex.org/W7163905266","https://openalex.org/W4211041126"],"abstract_inverted_index":{"PURPOSE:":[0],"To":[1],"synthesize,":[2],"critically":[3],"appraise":[4],"and":[5,23,39,45,54,67,82,167,186,208,245,268],"systematically":[6],"review":[7,34],"studies":[8,57,111,221],"comparing":[9],"outcomes":[10,276],"after":[11],"primary":[12,278],"total":[13],"hip":[14],"arthroplasty":[15],"(THA)":[16],"performed":[17],"by":[18],"low-":[19,66],"vs.":[20,121],"high-volume":[21,68],"surgeons,":[22],"to":[24,118,274],"propose":[25],"evidence-based":[26],"threshold":[27],"definitions":[28,227],"for":[29,65,189],"these":[30,248],"categories.":[31],"METHODS:":[32],"This":[33],"followed":[35],"the":[36,226,261],"PRISMA":[37],"guidelines":[38],"was":[40,89,107],"registered":[41],"in":[42,73,84,109,225],"PROSPERO.":[43],"Medline":[44],"Embase":[46],"were":[47,58,77,80,97,123,180,250],"searched":[48],"on":[49,100],"March":[50],"24,":[51],"2025.":[52],"Prospective":[53],"retrospective":[55],"clinical":[56],"included":[59,220],"if":[60],"they":[61],"reported":[62],"THA":[63],"thresholds":[64],"surgeons.":[69],"Articles":[70],"not":[71,252,259],"written":[72],"English":[74],"or":[75,143],"German":[76],"excluded.":[78],"Outcomes":[79],"pooled":[81],"presented":[83],"forest":[85],"plots.":[86],"Methodological":[87,105],"quality":[88,106],"assessed.":[90],"RESULTS:":[91],"Of":[92],"872":[93],"identified":[94],"articles,":[95],"18":[96],"included,":[98],"reporting":[99],"796,061":[101],"patients":[102],"undergoing":[103],"THA.":[104,279],"high":[108],"all":[110],"(>6":[112],"of":[113,228],"7":[114],"points).":[115],"Thresholds":[116],"used":[117],"define":[119],"high-":[120,185],"low-volume":[122,187],"determined":[124],"using":[125],"arbitrary":[126],"values":[127],"(n":[128,132,136,140,148],"=":[129,133,137,141,149,162,165,172,175,194,197,203,206,213,216],"11),":[130],"tertiles":[131],"1),":[134],"quartiles":[135],"3),":[138],"percentiles":[139],"2),":[142],"receiver":[144],"operating":[145],"characteristic":[146],"curves":[147],"1).":[150],"High-volume":[151],"surgeons":[152,188,239],"had":[153],"significantly":[154],"lower":[155],"1-month":[156],"readmission":[157,210],"rates":[158,170,192,201,211],"[odds":[159],"ratio":[160],"(OR)":[161],"1.6;":[163],"p":[164,174,196,205,215],"0.033]":[166],"3-month":[168,190,209],"mortality":[169],"(OR":[171,193,202,212],"1.8;":[173,204],"0.008).":[176],"In":[177],"contrast,":[178],"there":[179,232],"no":[181],"significant":[182],"differences":[183,249],"between":[184],"revision":[191,200],"2.0;":[195],"0.228),":[198,207],"12-month":[199],"1.3;":[214],"0.337).":[217],"CONCLUSIONS:":[218],"The":[219],"demonstrated":[222],"considerable":[223],"variability":[224],"surgeon":[229,256],"volume.":[230],"However,":[231],"remains":[233],"a":[234],"trend":[235],"suggesting":[236],"that":[237],"higher-volume":[238],"experience":[240],"fewer":[241],"revisions,":[242],"complications,":[243],"readmissions,":[244],"mortality;":[246],"although":[247],"largely":[251],"statistically":[253],"significant.":[254],"Nonetheless,":[255],"volume":[257],"may":[258,271],"be":[260],"only":[262],"factor":[263],"influencing":[264],"outcomes,":[265],"as":[266],"hospital":[267],"patient":[269],"characteristics":[270],"influence":[272],"short-":[273],"long-term":[275],"following":[277]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-08-20T00:00:00"}