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The Journal of Bone and Joint Surgery (American) 83:1619-1621 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Editorial

Volume versus Outcomes in Orthopaedic Surgery: A Proper Perspective is Paramount

Charles R. Clark, MD, Deputy Editor for Adult Reconstruction and James D. Heckman, MD, Editor-in-Chief

The first 150 words of the full text of this article appear below.

Volume versus outcomes. How should the orthopaedic surgeon and the medical community at large react? This issue of The Journal contains an important article by Katz et al. dealing with the association between hospital and surgeon volume and outcomes of total hip surgery in the United States Medicare population1. It appears logical to assume that the more experience that a surgeon has with a particular procedure, the better the result and that a so-called learning curve may be associated with many surgical procedures. One can hardly argue with the goal of improving our care of patients by providing the best possible outcome. This is particularly true of high-volume procedures such as total hip replacements, which are performed at the rate of more than 200,000 per year2. The majority of both primary and revision total hip arthroplasties in patients in the Medicare population are performed by surgeons who carry out . . . [Full Text of this Article]


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