Functional Outcome Risk Score for Total Ankle Arthroplasty:

Foot & Ankle Orthopaedics

ElizabethMcDonald¹ 

关键词: pay-for-performance;    risk score;    total ankle arthroplasty;    functional outcomes;    bundled payments;    MACRA;   

DOI  :  10.1177/2473011418S00086

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:AnkleIntroduction/Purpose:Postoperative functional outcomes are important measures as the orthopaedic community responds to pay-for-performance and bundled payments. Considering the 1000-fold growth of total ankle arthroplasty (TAA) procedures in the Medicare population in the past two decades, this procedure will likely undergo increasing scrutiny of quality under Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015(MACRA). While BMI, coronal plane deformity, age, and rheumatoid arthritis influence outcomes and rate of complications after TAA, there has been no single identifiable factor that predicts poor functional outcomes. The aim of this study is to identify independent patient factors that are associated with lower functional outcomes at two years after TAA and compound these predictive factors into an easily calculable score to preoperatively stratify patients undergoing modern TAA.Methods:134 consecutive patients (136 ankles) with a mean age of 64 years (ra...

【 授权许可】

CC BY