Would Allowing Privately Funded Health Care Reduce the Public Waiting Time? Theory and Empirical Evidence from Canadian Joint Replacement Surgery Data

In Finland, a project designed to modernize processes and reduce the waiting list for joint replacement surgery has recently been completed. The new surgery arrangements for artificial joint patients were monitored for a period of 1 year. The new arrangements involved relocating the anaesthesia phase outside the operating theatre. The reorganization of the patient care process for joint replacement surgery succeeded in achieving a 50% increase in operations. While conventional operations can often be pushed up a notch with state-of-the-art technology, for example, this article supports the argument that process thinking can be exploited effectively to support new ways of work and improve productivity in health care. Paying enough attention to this at the planning stage can be vital to the success of new IT system implementation.

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Evaluation of Anesthetic Techniques in Outpatient Total Joint Replacement Surgery in an Integrated Health Care Delivery System

Case Medical Research ◽

10.31525/ct1-nct04203732 ◽

2019 ◽

Author(s):

Keyword(s):

Health Care ◽

Delivery System ◽

Health Care Delivery ◽

Joint Replacement ◽

Total Joint Replacement ◽

Care Delivery ◽

Health Care Delivery System ◽

Anesthetic Techniques ◽

Joint Replacement Surgery ◽

Replacement Surgery

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Joint Replacement Surgery Booklet

Internal Medicine News ◽

10.1016/s1097-8690(07)71505-6 ◽

2008 ◽

Vol 41 (1) ◽

pp. 17

Keyword(s):

Joint Replacement ◽

Joint Replacement Surgery ◽

Replacement Surgery

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COVID-19 (SARS-CoV-2) lymphocyte responses are associated with inflammatory biomarkers in total joint replacement surgery candidates pre-operatively

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-021-02563-7 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Marco S. Caicedo ◽

Vianey Flores ◽

Alicia Padilla ◽

Samelko Lauryn ◽

Joshua J. Jacobs ◽

...

Keyword(s):

Joint Replacement ◽

Total Joint Replacement ◽

Cross Reactivity ◽

Inflammatory Biomarkers ◽

Nucleocapsid Proteins ◽

Joint Replacement Surgery ◽

Replacement Surgery ◽

Operative Planning ◽

Lymphocyte Responses ◽

Reactive Lymphocytes

Abstract Background Recent studies indicate that, in addition to antibody production, lymphocyte responses to SARS-CoV-2 may play an important role in protective immunity to COVID-19 and a percentage of the general population may exhibit lymphocyte memory due to unknown/asymptomatic exposure to SARS-CoV-2 or cross-reactivity to other more common coronaviruses pre-vaccination. Total joint replacement (TJR) candidates returning to elective surgeries (median age 68 years) may exhibit similar lymphocyte and/or antibody protection to COVID-19 prior to vaccination Methods In this retrospective study, we analyzed antibody titters, lymphocyte memory, and inflammatory biomarkers specific for the Spike and Nucleocapsid proteins of the SARS-CoV-2 virus in a cohort of n=73 returning TJR candidates (knees and/or hips) pre-operatively. Results Peripheral blood serum of TJR candidate patients exhibited a positivity rate of 18.4% and 4% for IgG antibodies specific for SARS-CoV-2 nucleocapsid and spike proteins, respectively. 13.5% of TJR candidates exhibited positive lymphocyte reactivity (SI > 2) to the SARS-CoV-2 nucleocapsid protein and 38% to the spike protein. SARS-CoV-2 reactive lymphocytes exhibited a higher production of inflammatory biomarkers (i.e., IL-1β, IL-6, TNFα, and IL-1RA) compared to non-reactive lymphocytes. Conclusions A percentage of TJR candidates returning for elective surgeries exhibit pre-vaccination positive SARS-CoV-2 antibodies and T cell memory responses with associated pro-inflammatory biomarkers. This is an important parameter for understanding immunity, risk profiles, and may aid pre-operative planning. Trial registration Retrospectively registered.

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