Factors Influencing Patients' Choice of Surgeon After ACL Surgery
Author Information
Author(s): Halperin Scott J., Dhodapkar Meera M., McLaughlin William M., Santos Estevao, Medvecky Michael J., Grauer Jonathan N.
Primary Institution: Yale School of Medicine
Hypothesis
What factors are associated with patients returning to the same surgeon for subsequent ACL surgery?
Conclusion
Over half of the patients who required a subsequent ACL reconstruction changed surgeons, influenced by adverse events and time to surgery.
Supporting Evidence
- 4.4% of ACL reconstruction patients required a subsequent surgery.
- 47.1% returned to the same surgeon for the second surgery.
- Changing surgeons was associated with 90-day adverse events after the first surgery.
- Longer time to second surgery increased the likelihood of changing surgeons.
Takeaway
Many people who need another knee surgery choose a different doctor, especially if they had problems with their first surgery or waited a long time for the next one.
Methodology
Data was abstracted from the PearlDiver database for patients who underwent ACL reconstruction and had a subsequent surgery within 3 years.
Potential Biases
Potential biases due to the retrospective nature and lack of detailed patient-specific factors.
Limitations
The study is retrospective and relies on the accuracy of administrative data.
Participant Demographics
Patients who underwent ACL reconstruction, with a mix of ages and insurance plans.
Statistical Information
P-Value
0.0026
Confidence Interval
1.06 (0.96–1.16)
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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