We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Orthopedic Research and Patient Outcomes

Stanley Mendenhall, MA, MS
JAMA. 1990;264(6):694. doi:10.1001/jama.1990.03450060040018.
Text Size: A A A
Published online


To the Editor.—  Paul Cotton's1 perspective on the state of research in the orthopedic industry is both timely and relevant. One element not addressed in his article was the impact of implant technology on hospital cost. Our research indicates that 67% of patients who receive hip or knee implants are Medicare beneficiaries. Total hip, partial hip, and knee implants are all classified as DRG 209, Major Joint Implant, with a hospital payment of about $7000 for a rural hospital and about $8000 for an urban hospital. The payment is supposed to cover all hospital costs, including nursing, laboratory, operating room, and cost of the prosthesis. The cost of the prosthesis alone can be as much as $4000 for a complete knee system; a total hip prosthesis may cost nearly $4500.Dr Sledge and others rightly question whether newer technology affects patient outcomes; does an additional $2000 for a prosthesis


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.