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Recovery, without complications

Joint Replacement: By the Numbers

More than 1M patients receive a knee or hip replacement every year in the U.S. 1


average rate of 
readmission after 30 days2


of total joint replacements will be done in outpatient settings by 20303


reduced readmission rates with preoperative education and postoperative support

Outpatient joint readmissions

Under the Ambulatory Surgical Center Quality Reporting (ASCQR) Program, ASCs report quality of care data for standardized measures to receive their ASC annual payment rate.

Most joint procedures are paid with insurance bundles which include a 90-day post-operation period.
An unplanned hospital visit seven days after an orthopedic procedure in a surgery center can negatively affect insurance coverage.4

Understanding the risks following joint replacement

Proper patient selection criteria are key to improving quality and safety outcomes in an outpatient program. Several modifiable risk factors contribute to poor clinical outcomes following a total joint replacement.

Some key selection considerations:

  • Obesity
  • Diabetes
  • Staphylococcus aureus colonization
  • Smoking
  • History of deep vein thrombosis or pulmonary embolism
  • Venous thromboembolic disease
  • Cardiovascular disease
  • Neurocognitive, psychological and behavioral problems
  • Physical deconditioning and comorbidities affecting ambulation
  • Medications
  • Living conditions
  • Friends and family committed to helping with patient recovery

Complications that lead to readmission

  • Higher pain scores
  • Higher incidence of urinary tract infection
  • Higher rate of surgical site infections
  • Increased incision-related and cardiopulmonary complications
  • Cardiac events and stroke
  • Increased risk of falls
  • Patients tend to have a length of stay greater than 24 hours, which requires transfer to an acute or rehab facility

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1. The Journal of Arthroplasty, August 2019, articles/PMC5485224/
2. Hospital Compare. Data collected July 1, 2014 – June 30, 2017
3. Sg2 Intelligence, Procedure Sites of the Future 2019
4. Hospital Visits After Orthopedic Ambulatory Surgical Center Procedures, 2020-06-22, CMS

Be advised that information contained herein is intended to serve as a useful reference for informational purposes only and is not complete clinical information. This information is intended for use only by competent healthcare professionals exercising judgment in providing care. McKesson cannot be held responsible for the continued currency of or for any errors or omissions in the information.

The product information contained in this document, including the product images and additional product materials, was collected from various supplier sources. All product claims and specifications are those of the product suppliers and have not been independently verified by McKesson Medical-Surgical or its affiliates (“McKesson”). McKesson is not responsible for errors or omissions in the product information. The properties of a product may change or be inaccurate following the posting or printing of the product information in the document, either in the print or online version. Caution should be exercised when using or purchasing any products from McKesson’s online or print documents by closely examining the product packaging and the labeling prior to use. Due to product changes, information listed in this document is subject to change without notice. This information is placed solely for your convenience in ordering and McKesson disclaims all responsibility for its completeness and accuracy, whether or not the inaccuracy or incompleteness is due to fault or error by McKesson.

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