How Many Cases Should my Surgeon Perform?
With almost any surgical procedure, better outcomes can be expected when the surgeon has more training and more experience. On the flip side of the coin: one of the more hidden and serious problems in health care is surgeons performing surgeries for which they are not properly trained.
In reference to joint replacement, there is a lot of literature concerning the minimal volume of operations that separate surgeons with lower from those with higher complications.
In a report from Brigham and Women's Hospital (Harvard), for first
time (primary) hip replacement, the surgeons who performed more than fifty a
year had lower complications.
The same group at Harvard reported
on knee replacement volume. Knee replacements done by surgeons who performed
more than fifty procedures a year had lower complications an adverse outcomes.
In another report, patients had higher satisfaction in hip replacement if the surgeon performed more than thirty procedures a year
In a report from the VA in Boston, surgeons who performed more than four shoulder replacements a year had lower complications than those who did less than four.
How many joint replacement surgeries do the physicians at Panorama perform each year?
It's important to note that the joint replacement physicians at Panorama are Fellowship trained in Joint Replacement and this means they received an EXTRA year of specialized training in Joint Replacement surgeries. For the patient, that means, more skill and better service.
Below is a range of the number of surgeries each Joint Replacement surgeon at Panorama performs each year.