Current Trends and Common Themes in Publications Concerning Private Equity Investment Into Orthopaedic Surgery Practices: Key Takeaways
Introduction:. Private equity (PE) investment in health care has increased more than 250% between 2010 and 2020. This is mirrored by an increasing number of published materials in medical journals. The objective of our study was to identify and characterize trends and key themes seen within publicat...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2024-12-01
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| Series: | JBJS Open Access |
| Online Access: | http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.24.00165 |
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| author | Abtahi Tishad, BS Ryan Skelly, BS, MBA Griffin Stinson, BS MaryBeth Horodyski, EdD Rull James Toussaint, MD, FAOA |
| author_facet | Abtahi Tishad, BS Ryan Skelly, BS, MBA Griffin Stinson, BS MaryBeth Horodyski, EdD Rull James Toussaint, MD, FAOA |
| author_sort | Abtahi Tishad, BS |
| collection | DOAJ |
| description | Introduction:. Private equity (PE) investment in health care has increased more than 250% between 2010 and 2020. This is mirrored by an increasing number of published materials in medical journals. The objective of our study was to identify and characterize trends and key themes seen within publications discussing the topic of PE investment into orthopaedic surgery practices and bias within those publications.
Methods:. The inclusion criteria for our study required an article to be published between the years 2003 and June 2024 and to contain the phrase “orthopaedic surgery” or “orthopedics” in addition to “PE” or “PE investment.” Based on these parameters, 15 articles met the criteria for inclusion. Articles were then evaluated to assess various themes related to general views expressed regarding PE firms, reasons for PE attraction to orthopaedics, and most cited positives/negatives of PE investment and potential conflicts of interest with respect to underlying relationships/associations with PE firms at the time of publication.
Results:. Of the 15 publications meeting the inclusion criteria, 4 (26.7%) expressed positive views on the topic of PE ownership of orthopaedic practices, while 4 (26.7%) expressed a neutral view and 7 (46.7%) expressed a negative outlook. Four (26.7%) of the articles had authors who were either employed or had ownership in a practice that was purchased by a PE firm. Of these 4 articles, none disclosed this potential conflict of interest. Three of the 4 articles had either a positive or neutral view of PE. The most cited reason for PE attraction to orthopaedics was revenue from ancillary services. The most cited upside of PE transactions was the possibility of benefiting from economies of scale, while the most cited downside was the misalignment of incentives.
Conclusion:. The plurality of present studies views PE transactions negatively (46.7%). Our research unveiled 4 studies with undisclosed conflicts of interest (26.7%). In addition, orthopaedic surgeons should be wary of the numerous downsides of PE transactions, such as the misaligned incentives between themselves and PE firms.
Clinical relevance:. Independent orthopaedic practices should be critical of the literature when evaluating the merits of potential partnerships with PE firms. |
| format | Article |
| id | doaj-art-cc3d9528c7ed4f109d0268d823fe863a |
| institution | Kabale University |
| issn | 2472-7245 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | JBJS Open Access |
| spelling | doaj-art-cc3d9528c7ed4f109d0268d823fe863a2024-12-24T09:46:32ZengWolters KluwerJBJS Open Access2472-72452024-12-019410.2106/JBJS.OA.24.00165JBJSOA2400165Current Trends and Common Themes in Publications Concerning Private Equity Investment Into Orthopaedic Surgery Practices: Key TakeawaysAbtahi Tishad, BS0Ryan Skelly, BS, MBA1Griffin Stinson, BS2MaryBeth Horodyski, EdD3Rull James Toussaint, MD, FAOA41 College of Medicine, University of Florida, Gainesville, Florida1 College of Medicine, University of Florida, Gainesville, Florida1 College of Medicine, University of Florida, Gainesville, Florida2 Department of Orthopedic Surgery and Sports Medicine, University of Florida, Gainesville, Florida2 Department of Orthopedic Surgery and Sports Medicine, University of Florida, Gainesville, FloridaIntroduction:. Private equity (PE) investment in health care has increased more than 250% between 2010 and 2020. This is mirrored by an increasing number of published materials in medical journals. The objective of our study was to identify and characterize trends and key themes seen within publications discussing the topic of PE investment into orthopaedic surgery practices and bias within those publications. Methods:. The inclusion criteria for our study required an article to be published between the years 2003 and June 2024 and to contain the phrase “orthopaedic surgery” or “orthopedics” in addition to “PE” or “PE investment.” Based on these parameters, 15 articles met the criteria for inclusion. Articles were then evaluated to assess various themes related to general views expressed regarding PE firms, reasons for PE attraction to orthopaedics, and most cited positives/negatives of PE investment and potential conflicts of interest with respect to underlying relationships/associations with PE firms at the time of publication. Results:. Of the 15 publications meeting the inclusion criteria, 4 (26.7%) expressed positive views on the topic of PE ownership of orthopaedic practices, while 4 (26.7%) expressed a neutral view and 7 (46.7%) expressed a negative outlook. Four (26.7%) of the articles had authors who were either employed or had ownership in a practice that was purchased by a PE firm. Of these 4 articles, none disclosed this potential conflict of interest. Three of the 4 articles had either a positive or neutral view of PE. The most cited reason for PE attraction to orthopaedics was revenue from ancillary services. The most cited upside of PE transactions was the possibility of benefiting from economies of scale, while the most cited downside was the misalignment of incentives. Conclusion:. The plurality of present studies views PE transactions negatively (46.7%). Our research unveiled 4 studies with undisclosed conflicts of interest (26.7%). In addition, orthopaedic surgeons should be wary of the numerous downsides of PE transactions, such as the misaligned incentives between themselves and PE firms. Clinical relevance:. Independent orthopaedic practices should be critical of the literature when evaluating the merits of potential partnerships with PE firms.http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.24.00165 |
| spellingShingle | Abtahi Tishad, BS Ryan Skelly, BS, MBA Griffin Stinson, BS MaryBeth Horodyski, EdD Rull James Toussaint, MD, FAOA Current Trends and Common Themes in Publications Concerning Private Equity Investment Into Orthopaedic Surgery Practices: Key Takeaways JBJS Open Access |
| title | Current Trends and Common Themes in Publications Concerning Private Equity Investment Into Orthopaedic Surgery Practices: Key Takeaways |
| title_full | Current Trends and Common Themes in Publications Concerning Private Equity Investment Into Orthopaedic Surgery Practices: Key Takeaways |
| title_fullStr | Current Trends and Common Themes in Publications Concerning Private Equity Investment Into Orthopaedic Surgery Practices: Key Takeaways |
| title_full_unstemmed | Current Trends and Common Themes in Publications Concerning Private Equity Investment Into Orthopaedic Surgery Practices: Key Takeaways |
| title_short | Current Trends and Common Themes in Publications Concerning Private Equity Investment Into Orthopaedic Surgery Practices: Key Takeaways |
| title_sort | current trends and common themes in publications concerning private equity investment into orthopaedic surgery practices key takeaways |
| url | http://journals.lww.com/jbjsoa/fulltext/10.2106/JBJS.OA.24.00165 |
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