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Early discharge and home intervention reduces unit costs after total hip replacement: results of a cost analysis in a randomized study

Sigurdsson, Eyjolfur; Siggeirsdottir, Kristin; Jonsson, Halldor, Jr.; Gudnason, Vilmundur; Matthiasson, Thorolfur and Jonsson, Brynjolfur LU (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)
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author
organization
publishing date
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
2009-01-29 15:25:27
date last changed
2017-07-09 03:38:17
@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},
  keyword      = {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},
  volume       = {8},
  year         = {2008},
}