{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T05:06:49Z","timestamp":1779167209137,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HSS Journal\u00ae: The Musculoskeletal Journal of Hospital for Special Surgery"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Efficiency and improved outcomes drive consolidation of total knee arthroplasty (TKA) services to higher-volume centers. Consequently, some patients may travel farther for arthroplasty care, potentially creating a new access barrier.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purposes:<\/jats:title>\n                    <jats:p>We investigated whether driving time to a reconstruction center was associated with progression to TKA among patients with newly diagnosed knee osteoarthritis (OA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a retrospective review of data gathered from the electronic medical record of an academic health system serving a large geographic catchment for patients over 50\u2009years old and newly diagnosed with knee OA between January 2021 and September 2022. One year TKA progression, setting of diagnosis, patient home ZIP code, and other information were recorded. The association between driving time and TKA progression was assessed using the Wilcoxon rank-sum test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 4106 patients were identified, resembling an expected OA population, with 61% women and 54% ages 50 to 64\u2009years. Median driving time was 31\u2009minutes, with 8% driving longer than 2\u2009hours. In all, 299 patients (7.3%) progressed to TKA within 1\u2009year. Median driving time was similar for OA patients who progressed to TKA (31\u2009minutes; interquartile range [IQR], 19-78) versus OA patients who did not (31\u2009minutes; IQR, 16-62). Notably, diagnosis in an orthopedic clinic was associated with increased odds of progression to TKA in patients with longer driving times, with no other subgroup associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Increased driving time was not associated with increased rates of 1\u2009year progression to TKA in newly diagnosed OA patients. At least based on these results for patients able to receive a diagnosis of OA, driving time did not appear to pose a barrier to surgical management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III: prognostic study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15563316251397993","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T05:52:34Z","timestamp":1766123554000},"page":"263-269","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Travel Time to a Reconstruction Center Is Not Associated With Progression to Arthroplasty Following Knee Osteoarthritis Diagnosis: A Retrospective, Single-Institution Analysis"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2631-162X","authenticated-orcid":false,"given":"Samuel D.","family":"Mounce","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaitlyn A.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cale A.","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Mass General Brigham Sports Medicine, Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonard T.","family":"Buller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen T.","family":"Duncan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4024-7679","authenticated-orcid":false,"given":"David C.","family":"Landy","sequence":"additional","affiliation":[{"name":"OrthoVirginia and Liberty University, Lynchburg, VA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"crossref","unstructured":"Hervey SL Purves HR Guller U Toth AP Vail TP Pietrobon R. Provider volume of total knee arthroplasties and patient outcomes in the HCUP-Nationwide Inpatient Sample. J Bone Joint Surg Am. 2003;85(9):1775-1783. https:\/\/doi.org\/10.2106\/00004623-200309000-00017","DOI":"10.2106\/00004623-200309000-00017"},{"key":"e_1_3_2_3_2","doi-asserted-by":"crossref","unstructured":"Katz JN Losina E Barrett J et al Association between hospital and surgeon procedure volume and outcomes of total hip replacement in the United States medicare population. J Bone Joint Surg Am. 2001;83(11):1622-1629. https:\/\/doi.org\/10.2106\/00004623-200111000-00002","DOI":"10.2106\/00004623-200111000-00002"},{"key":"e_1_3_2_4_2","doi-asserted-by":"crossref","unstructured":"Peacock S Wolfstadt J Peer M Gleicher Y. Rapid implementation of an outpatient arthroplasty care pathway: a COVID-19-driven quality improvement initiative. BMJ Open Qual. 2022;11(1):e001698. https:\/\/doi.org\/10.1136\/bmjoq-2021-001698","DOI":"10.1136\/bmjoq-2021-001698"},{"key":"e_1_3_2_5_2","doi-asserted-by":"crossref","unstructured":"Santoro AJ Post ZD Thalody HS Czymek MM Ong AC Ponzio DY. A role for outpatient total joint arthroplasty during the COVID-19 pandemic. Orthopedics. 2023;46(5):303-309. https:\/\/doi.org\/10.3928\/01477447-20230310-06","DOI":"10.3928\/01477447-20230310-06"},{"key":"e_1_3_2_6_2","doi-asserted-by":"crossref","unstructured":"DeCook CA. Outpatient joint arthroplasty: transitioning to the ambulatory surgery center. J Arthroplasty. 2019;34(7S):S48-S50. https:\/\/doi.org\/10.1016\/j.arth.2019.01.006","DOI":"10.1016\/j.arth.2019.01.006"},{"key":"e_1_3_2_7_2","doi-asserted-by":"crossref","unstructured":"Machta RM Reschovsky J Jones DJ Furukawa MF Rich EC. Can vertically integrated health systems provide greater value: the case of hospitals under the comprehensive care for joint replacement model?. Health Serv Res. 2020; 55: 541-547. https:\/\/doi.org\/10.1111\/1475-6773.13313","DOI":"10.1111\/1475-6773.13313"},{"key":"e_1_3_2_8_2","doi-asserted-by":"crossref","unstructured":"Pappas MA Spindler KP Hu B Higuera-Rueda CA Rothberg MB. Volume and outcomes of joint arthroplasty. J Arthroplasty. 2022;37(11):2128-2133. https:\/\/doi.org\/10.1016\/j.arth.2022.05.011","DOI":"10.1016\/j.arth.2022.05.011"},{"key":"e_1_3_2_9_2","doi-asserted-by":"crossref","unstructured":"Smith ME Shubeck SP Nuliyalu U Dimick JB Nathan H. Local referral of high-risk patients to high-quality hospitals: surgical outcomes cost savings and travel burdens. Ann Surg. 2020;271(6):1065-1071. https:\/\/doi.org\/10.1097\/SLA.0000000000003208","DOI":"10.1097\/SLA.0000000000003208"},{"key":"e_1_3_2_10_2","doi-asserted-by":"crossref","unstructured":"Henretty KN He F. Trends in orthopedic surgeon practice consolidation from 2008 to 2019. J Arthroplasty. 2022;37(3):409-413. https:\/\/doi.org\/10.1016\/j.arth.2021.11.015","DOI":"10.1016\/j.arth.2021.11.015"},{"key":"e_1_3_2_11_2","doi-asserted-by":"crossref","unstructured":"Nikpay SS Richards MR Penson D. Hospital-physician consolidation accelerated in the past decade in cardiology oncology. Health Aff. 2018;37(7):1123-1127. https:\/\/doi.org\/10.1377\/hlthaff.2017.1520","DOI":"10.1377\/hlthaff.2017.1520"},{"key":"e_1_3_2_12_2","doi-asserted-by":"crossref","unstructured":"Payne SL Nguyen L Afshari A Drolet BC. The flexible care pathway: an alternative paradigm for post-operative care. J Med Syst. 2022;46(6):35. https:\/\/doi.org\/10.1007\/s10916-022-01824-0","DOI":"10.1007\/s10916-022-01824-0"},{"key":"e_1_3_2_13_2","doi-asserted-by":"crossref","unstructured":"Thatcher MD Thatcher MW Smith MC McCarron M Reed J. Opportunity costs of attending surgical clinic appointments and experiences with telemedicine for follow-up care. SAGE Open Med. 2021;9:20503121211045247. https:\/\/doi.org\/10.1177\/20503121211045247","DOI":"10.1177\/20503121211045247"},{"key":"e_1_3_2_14_2","doi-asserted-by":"crossref","unstructured":"Ramirez G Myers TG Thirukumaran CP Ricciardi BF. Does hypothetical centralization of revision THA and TKA exacerbate existing geographic or demographic disparities in access to care by increased patient travel distances or times? A large-database study. Clin Orthop Relat Res. 2022;480(6):1033-1045. https:\/\/doi.org\/10.1097\/CORR.0000000000002072","DOI":"10.1097\/CORR.0000000000002072"},{"key":"e_1_3_2_15_2","doi-asserted-by":"crossref","unstructured":"Deans CF Hulsman LA Ziemba-Davis M Meneghini RM Buller LT. Medicaid patients travel disproportionately farther for revision total joint arthroplasty. J Arthroplasty. 2024;39(1):32-37. https:\/\/doi.org\/10.1016\/j.arth.2023.08.001","DOI":"10.1016\/j.arth.2023.08.001"},{"key":"e_1_3_2_16_2","doi-asserted-by":"crossref","unstructured":"Mehta N Lavoie-Gagne OZ Diaz CC et al Travel distance does not affect outcomes after total shoulder arthroplasty. JSES Int. 2022;6(6):903-909. https:\/\/doi.org\/10.1016\/j.jseint.2022.08.001","DOI":"10.1016\/j.jseint.2022.08.001"},{"key":"e_1_3_2_17_2","doi-asserted-by":"crossref","unstructured":"Hinman A Chang R Royse KE Navarro R Paxton E Okike K. Utilization of total joint arthroplasty by rural-urban designation in patients with osteoarthritis in a universal coverage system. J Arthroplasty. 2023;38(12):2541-2548. https:\/\/doi.org\/10.1016\/j.arth.2023.08.030","DOI":"10.1016\/j.arth.2023.08.030"},{"key":"e_1_3_2_18_2","doi-asserted-by":"crossref","unstructured":"Orringer M Roberts H Ngan A Ward D. Influence of demographic and socioeconomic factors on hospital distance for total knee arthroplasty. Arthroplast Today. 2023;21:101131. https:\/\/doi.org\/10.1016\/j.artd.2023.101131","DOI":"10.1016\/j.artd.2023.101131"},{"key":"e_1_3_2_19_2","doi-asserted-by":"crossref","unstructured":"Ward MM Dasgupta A. Regional variation in rates of total knee arthroplasty among Medicare beneficiaries. JAMA Netw Open. 2020;3(4):e203717. https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.3717","DOI":"10.1001\/jamanetworkopen.2020.3717"},{"key":"e_1_3_2_20_2","doi-asserted-by":"crossref","unstructured":"Maradit Kremers H Salduz A Schleck CD Larson DR Berry DJ Lewallen DG. Referral bias in primary total knee arthroplasty: retrospective analysis of 22 614 surgeries in a tertiary referral center. J Arthroplasty. 2017;32(2):390-394. https:\/\/doi.org\/10.1016\/j.arth.2016.08.014","DOI":"10.1016\/j.arth.2016.08.014"}],"container-title":["HSS Journal\u00ae: The Musculoskeletal Journal of Hospital for Special Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15563316251397993","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15563316251397993","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15563316251397993","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T04:10:47Z","timestamp":1779163847000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15563316251397993"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,18]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/15563316251397993"],"URL":"https:\/\/doi.org\/10.1177\/15563316251397993","relation":{},"ISSN":["1556-3316","1556-3324"],"issn-type":[{"value":"1556-3316","type":"print"},{"value":"1556-3324","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,18]]}}}