Canadian journal of surgery. Journal canadien de chirurgie
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Comparative Study
Are complication rates for elective primary total hip arthroplasty in Ontario related to surgeon and hospital volumes? A preliminary investigation.
To test the hypothesis that complication rates for elective total hip replacement operations are related to surgeon and hospital volumes. ⋯ There is no evidence to support regionalization of elective hip replacement surgery in Ontario based on adverse clinical outcomes. Surgeons who perform a large number of total hip replacements are discharging patients earlier than less experienced surgeons, without any-demonstrable increase in complications leading to hospital readmission. The explanation for this observation remains unknown and will require further study.