Economics of revision total hip arthroplasty.
Economics of revision total hip arthroplasty.
复制标题
全髋关节置换术的经济学。
DOI：
--
复制
发表时间：
1995
影响因子：
4.2
通讯作者：
R. Barrack
中科院分区：
文献类型：
--
作者：
R. Barrack
进行了一项研究，以确定初次全髋关节置换术与翻修全髋关节置换术的相对工作量和风险。这些数据与医院和外科医生的报销进行了比较。检查的参数包括手术时间、住院时间、失血量、骨移植物的使用和需要进一步治疗的并发症的发生率。翻修全髋关节置换术需要更多的工作和风险的一部分，外科医生和显着更多的医院资源。估计的住院费用高于诊断相关的组补偿原发病例和显着更多的翻修病例。外科医生的实际补偿低于假体成本，翻修手术的补偿并不明显高于初次手术。
A study was undertaken to determine the relative work input and risk involved in doing primary total hip arthroplasty compared with revision total hip arthroplasty. These data were compared with the reimbursement to the hospital and to the surgeon. Parameters examined included operative time, length of hospital stay, blood loss, use of bone graft, and incidence of complications requiring further treatment. Revision total hip arthroplasty required significantly more work and risk on the part of the surgeon and significantly more hospital resources. The estimated hospital cost was more than the diagnosis-related group reimbursement for primary cases and dramatically more for revision cases. Actual surgeon reimbursement was less than prosthetic cost and was not significantly higher for revision than primary cases.