Journal article
The Utility of Histological Examination of Tissue Removed during Elective Joint Replacement. A Preliminary Assessment
Journal of bone and joint surgery. American volume, Vol.80(3), pp.331-335
03/1998
DOI: 10.2106/00004623-199803000-00004
PMID: 9531199
Abstract
The utility of histological examination of tissue removed during elective joint replacement has not been determined. During a one-year period, tissue removed during 168 total joint replacements was submitted for histological examination. The clinical and histological diagnoses, the cost of the histological study, and the clinical course were determined for all joints. Degenerative joint disease, rheumatoid arthritis, and avascular necrosis accounted for 98 per cent of the histological diagnoses. There were sixteen discrepancies between the clinical and histological diagnoses. The histological diagnosis did not affect the treatment of fifteen of these joints. However, the treatment was altered for one joint that had a clinical diagnosis of degenerative joint disease and a histological diagnosis of osteomyelitis; on review, the initial histological diagnosis was determined to be incorrect. In 1996 dollars, the cost of histological examination for all 168 joints was $10,698.24. Although there would be considerable cost-savings on a population basis if histological examination were not performed, this savings must be weighed against the effect of a misdiagnosis on the management of a particular patient.
Details
- Title: Subtitle
- The Utility of Histological Examination of Tissue Removed during Elective Joint Replacement. A Preliminary Assessment
- Creators
- STEPHEN RAAB - †Department of Pathology and Laboratory Medicine, Allegheny University of Health Sciences, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, Pennsylvania 15212-4772. E-mail address: sraab@aherf.edu. ‡Department of Pathology, St. Maryʼs Hospital, 2635 North 7th Street, Grand Junction, Colorado 81502-1628. §Department of Pathology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 5216 RCP, Iowa City, Iowa 52242-1009. E-mail address: robert-a-robinson@uiowa.eduDANIEL SLAGELROBERT ROBINSON
- Resource Type
- Journal article
- Publication Details
- Journal of bone and joint surgery. American volume, Vol.80(3), pp.331-335
- DOI
- 10.2106/00004623-199803000-00004
- PMID
- 9531199
- NLM abbreviation
- J Bone Joint Surg Am
- ISSN
- 0021-9355
- eISSN
- 1535-1386
- Publisher
- Journal of Bone and Joint Surgery Incorporated
- Language
- English
- Date published
- 03/1998
- Academic Unit
- Oral Pathology, Radiology and Medicine; Pathology
- Record Identifier
- 9984047727702771
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