Early discharge and home intervention reduces unit costs after total hip replacement: results of a cost analysis in a randomized study
(2008) In International Journal of Health Care Finance and Economics 8(3). p.181-192- Abstract
- Total hip replacement (THR) is a common and costly procedure. The number of THR is expected to increase over the coming years. Two pathways of postoperative treatment were compared in a randomized study. Fifty patients from two hospitals were randomized into a study group (SG) of 27 patients receiving preoperative and postoperative education programs, as well as home visits from an outpatient team. A control group (CG) of 23 patients received "conventional" rehabilitation augmented by a stay at a rehabilitation center if needed. All costs for the two groups both in hospitals and after discharge were collected and analyzed. On average total costs for the SG were $8,550 and $11,952 for the CG, a 28% cost reduction. Total inpatient costs were... (More)
- Total hip replacement (THR) is a common and costly procedure. The number of THR is expected to increase over the coming years. Two pathways of postoperative treatment were compared in a randomized study. Fifty patients from two hospitals were randomized into a study group (SG) of 27 patients receiving preoperative and postoperative education programs, as well as home visits from an outpatient team. A control group (CG) of 23 patients received "conventional" rehabilitation augmented by a stay at a rehabilitation center if needed. All costs for the two groups both in hospitals and after discharge were collected and analyzed. On average total costs for the SG were $8,550 and $11,952 for the CG, a 28% cost reduction. Total inpatient costs were $5,225 for the SG and $6,515 for the CG. In a regression analysis the group difference is statistically significant. Adjusting for changes in the Oxford Hip Score gives effective costs (C/E). The ratio of the SGs C/E to the CGs is 0.60. That is a cost-effectiveness gain of 40%. A shorter hospital stay augmented with better preoperative education and home treatment appears to be more effective and costs less than the traditional in hospital pathway of treatment. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1286714
- author
- Sigurdsson, Eyjolfur ; Siggeirsdottir, Kristin ; Jonsson, Halldor, Jr. ; Gudnason, Vilmundur ; Matthiasson, Thorolfur and Jonsson, Brynjolfur LU
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cost-effectiveness analysis, total hip replacement, home intervention
- in
- International Journal of Health Care Finance and Economics
- volume
- 8
- issue
- 3
- pages
- 181 - 192
- publisher
- Springer
- external identifiers
-
- wos:000259611500003
- scopus:48449101308
- ISSN
- 1573-6962
- DOI
- 10.1007/s10754-008-9036-0
- language
- English
- LU publication?
- yes
- id
- cbbedceb-64df-42aa-ac9f-03ad37c55447 (old id 1286714)
- date added to LUP
- 2016-04-01 12:02:49
- date last changed
- 2022-02-03 08:52:34
@article{cbbedceb-64df-42aa-ac9f-03ad37c55447,
abstract = {{Total hip replacement (THR) is a common and costly procedure. The number of THR is expected to increase over the coming years. Two pathways of postoperative treatment were compared in a randomized study. Fifty patients from two hospitals were randomized into a study group (SG) of 27 patients receiving preoperative and postoperative education programs, as well as home visits from an outpatient team. A control group (CG) of 23 patients received "conventional" rehabilitation augmented by a stay at a rehabilitation center if needed. All costs for the two groups both in hospitals and after discharge were collected and analyzed. On average total costs for the SG were $8,550 and $11,952 for the CG, a 28% cost reduction. Total inpatient costs were $5,225 for the SG and $6,515 for the CG. In a regression analysis the group difference is statistically significant. Adjusting for changes in the Oxford Hip Score gives effective costs (C/E). The ratio of the SGs C/E to the CGs is 0.60. That is a cost-effectiveness gain of 40%. A shorter hospital stay augmented with better preoperative education and home treatment appears to be more effective and costs less than the traditional in hospital pathway of treatment.}},
author = {{Sigurdsson, Eyjolfur and Siggeirsdottir, Kristin and Jonsson, Halldor, Jr. and Gudnason, Vilmundur and Matthiasson, Thorolfur and Jonsson, Brynjolfur}},
issn = {{1573-6962}},
keywords = {{cost-effectiveness analysis; total hip replacement; home intervention}},
language = {{eng}},
number = {{3}},
pages = {{181--192}},
publisher = {{Springer}},
series = {{International Journal of Health Care Finance and Economics}},
title = {{Early discharge and home intervention reduces unit costs after total hip replacement: results of a cost analysis in a randomized study}},
url = {{http://dx.doi.org/10.1007/s10754-008-9036-0}},
doi = {{10.1007/s10754-008-9036-0}},
volume = {{8}},
year = {{2008}},
}