• J Arthroplasty · Apr 1998

    Impact of a clinical pathway and implant standardization on total hip arthroplasty: a clinical and economic study of short-term patient outcome.

    • W L Healy, M E Ayers, R Iorio, D A Patch, D Appleby, and B A Pfeifer.
    • Department of Orthopaedic Surgery, Lahey Hitchcock Medical Center, Burlington, MA 01805, USA.
    • J Arthroplasty. 1998 Apr 1; 13 (3): 266-76.

    AbstractThis study evaluates the impact of a clinical pathway (CP) and a hip implant standardization program (HISP) on the quality and cost of total hip arthroplasty (THA). Two hundred six unilateral THA operations for osteoarthritis were evaluated: 89 operations were performed in 1991 without a CP or HISP (4-year follow-up period); 117 operations were performed in 1993 with a CP and HISP (2-year follow-up period). All patients had good clinical results and excellent outcomes with short-term follow-up evaluation. No differences were seen between groups in terms of patient ratings of outcome and satisfaction or in terms of complication rates in the hospital. Implementation of a CP and HISP did not adversely affect the short-term outcome of THA but did reduce hospital length of stay and hospital cost for THA.

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