Where Will Pathologic Hip Fractures Go in a Value-based Hip Fracture Bundle?

J Am Acad Orthop Surg. 2020 Nov 15;28(22):e995-e1000. doi: 10.5435/JAAOS-D-19-00745.

Abstract

Introduction: There has been a burgeoning interest for implementing bundled payments for hip fractures being treated with hemiarthroplasty, percutaneous pinning, and/or open reduction and internal fixation. Concerns exist about how hip fracture bundles may impede access to care for patients who require more resources, such as those with pathologic/neoplastic fractures.

Methods: The 2011 to 2017 American College of Surgeons-National Surgical Quality Improvement Program database was queried to identify patients undergoing percutaneous pinning, hemiarthroplasty, plate/screw, and intramedullary nail for hip fractures. Multivariate regression analyses were used to identify notable differences in 30-day complications, readmissions, reoperations, mortality, length of stay, and nonhome discharges between native and pathologic/neoplastic hip fractures.

Results: A total of 67,548 patients were included-of which 378 (0.6%) had a pathologic/neoplastic hip fracture. Pathologic fractures (versus native hip fractures) had significantly higher odds of experiencing a prolonged length of stay >5 days (odds ratio [OR] 1.57), pulmonary embolism (OR 3.67), deep vein thrombosis (OR 2.03), 30-day readmissions (OR 1.43), and 30-day mortality (OR 2.66).

Discussion: Patients sustaining a pathologic/neoplastic hip fracture have a worse adverse event profile. Risk adjustment based on facture etiology will be necessary to ensure that providers taking care of pathologic/neoplastic fractures are appropriately reimbursed to minimize barriers to access of care for this vulnerable cohort.

MeSH terms

  • Aged
  • Bone Nails
  • Databases, Factual
  • Fee-for-Service Plans / economics*
  • Female
  • Fracture Fixation, Internal
  • Fractures, Spontaneous
  • Health Services Accessibility / economics
  • Hemiarthroplasty
  • Hip Fractures / economics*
  • Hip Fractures / etiology
  • Hip Fractures / mortality
  • Hip Fractures / surgery*
  • Humans
  • Insurance, Health, Reimbursement*
  • Length of Stay
  • Male
  • Open Fracture Reduction
  • Patient Care Bundles / economics*
  • Quality of Health Care / economics
  • Treatment Outcome