Original articleDetermining the necessity for routine pathologic examinations in uncomplicated total hip and total knee arthroplasties
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Cited by (33)
Routine Pathologic Examination of Femoral Head Specimens from Total Hip Arthroplasty May Not Be Indicated or Cost-effective: A Systematic Review
2022, Arthroplasty TodayCitation Excerpt :Lin et al. arrived at essentially infinite cost per QALY by not finding any gain in QALY (QALY = 0) with routine pathology [4,6]. Of the articles that commented on the need for routine pathologic examination of femoral heads retrieved during THA, 58% (7 of 12 articles) advised against this practice as it was not found to change patient management [4,5,8,10,12,13,15]. It is our opinion that the remaining 5 articles that favored routine pathologic examination did so after mischaracterizing many pathologic diagnoses that did not impact patients’ clinical course as discordant [6,7,9,11,17].
Selective pathological examination following hip arthroplasty: A retrospective cohort study
2022, Orthopaedics and Traumatology: Surgery and ResearchDiscrepant histological diagnoses: A cause of early low FJS-12 score and if untreated, unhappy Total Knee Arthroplasty patient
2021, Journal of Clinical Orthopaedics and TraumaCitation Excerpt :The arguments made in support of this practice are eliminating the HP examination cost benefiting the patient. Generally, there is a lack of disagreement between the clinical and pathological diagnosis, and minor discrepancy in the diagnosis usually does not change the patient management.12–17 This point of view advocated by these research papers assumes that eliminating the HP examination in no way compromises the quality of care delivered to the individual patient.
No benefits or funds were received in support of this study.