The literature article entitled ¿patient-optimizing enhanced recovery pathways for total knee and hip arthroplasty in medicare patients: implication for transition to ambulatory surgery centers¿ written by alaine van horne, et al, published in arthroplasty today 5 (2019) 497-509 25 september 2019, https://doi.Org/10.1016/j.Artd.2019.08.008, was reviewed.The purpose of the study was to assess outcomes and feasibility of same-day discharge using a presurgical patient-optimizing, opioid-sparing eras pathway in medicare-insured patients undergoing tka/tha without home healthcare services.The pathway focused on expanding eligible patient population, improving patient satisfaction, reducing postsurgical complications and cost and minimizing the duration of postsurgical opioid use.Surgical technique was not discussed; no mention of patellar resurfacing or cement manufacturer.601 patients were gathered from a retrospective chart review who were medicare-insured patients who underwent primary inpatient tka or tha between june 1, 2015 and november 16, 2017.Patients were followed up with at 30 and 60 days.Tka adverse events: dvt/pe, return to surgery (no reason specified), uti, pneumonia, unplanned readmissions (due to pneumonia, myocardial infarction, ulcer/gastrointestinal complication, dvt), other and fracture.Tha adverse events: dvt/pe, return to surgery (no specified reason), deep wound infection, cerebrovascular accident, myocardial infarction, uti, pneumonia, unplanned readmissions (due to pneumonia, myocardial infarction, other, fracture and dislocation.
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Depuy synthes is submitting this report pursuant to the provisions of 21 cfr, part 803.This report may be based on information which depuy synthes has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, depuy synthes or its employees that the report constitutes an admission that the device, depuy synthes, or its employees caused or contributed to the potential event described in this report.Product complaint (b)(4).Investigation summary :no device associated with this report was received for examination.This complaint was opened to document complaints derived through a journal article review.Follow-ups were done to try and obtain additional information from the author of the journal article.No further information was received.If information is obtained that was not available for the initial medwatch, a follow-up medwatch, a follow-up medwatch will be filed as appropriate.
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