Where outpatient joint replacements are headed: Key thoughts from Dr. Keith Berend of Joint Implant Surgeons
ASCs performing outpatient joint replacements constantly incorporate new techniques and technologies to spur growth and potential success in the future. Keith R. Berend, MD, of New Albany, Ohio-based Joint Implant Surgeons spoke about the current state of outpatient joint replacement at ASCs.
Last November, Northwest Orthopaedic Specialists made the move to add outpatient joint replacement procedures to their services for healthy patients who fit their strict criteria. The group reports it has done 19 outpatient procedures since Nov. 2, 2016, and all have been successful in terms of recovery, reduced or eliminated pain and satisfaction on the part of the patient.
Since performing its first partial knee replacement in February 2015, Youngstown, Ohio-based The Orthopaedic Surgery Center has fine-tuned and built upon its TJR program.
In the past, some authors loosely used the term “out-patient total joint arthroplasty” to encompass discharge within 23 hours of surgery.13 However, we believe that, when patients stay overnight, this should be called short-stay surgery or expedited recovery and that the term outpatient surgery should be reserved for patients discharged home the same day as surgery.
Patients discharged the same day after undergoing total joint arthroplasty have shown to be private pay patients with excellent comorbidity profiles and stable discharge environments, according to a speaker here.
Outpatient total joint replacements are gaining steam; physicians across the country are preforming outpatient total joints in hospitals as well as ASCs. Medicare is also considering removing total joint replacements from the inpatient only list. Surgeons discuss outpatient total joint replacements in their practices and where the procedure is headed in the future.