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Invited Commentary
October 2015

Evaluating Perioperative Outcomes and Efficiency Following Total Joint Arthroplasty in the United States and Canada

Author Affiliations
  • 1Department of Orthopedic Surgery, Center for Surgery and Public Health, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
JAMA Surg. 2015;150(10):998. doi:10.1001/jamasurg.2015.1261

In their study published in this issue of JAMA Surgery, Hart and colleagues1 sought to use National Surgical Quality Improvement Program (NSQIP) data to compare performance between hospitals in the United States and Canada. Although the authors hypothesized that arthroplasty procedures performed in both countries would demonstrate similar efficiency and complication rates, partisans of a single-payer system might have postulated that Canadian health care would perform better on both measures.

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