Revision and Primary Hip and Knee Arthroplasty: A Cost Analysis
Revision and Primary Hip and Knee Arthroplasty: A Cost Analysis
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翻修和初次髋关节和膝关节置换术：成本分析
DOI：
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发表时间：
1995
影响因子：
4.2
通讯作者：
D. Hungerford
中科院分区：
文献类型：
--
作者：
C. Lavernia;M. K. Drakeford;A. Tsao;A. Gittelsohn;K. Krackow;D. Hungerford
在过去的10年里，美国的医疗保健费用一直在稳步上升。全关节置换术是一种常见的骨科手术，每年约花费100亿美元。本研究的目的是对初次和翻修髋关节和膝关节置换术进行以临床医生为导向的成本分析。分析了全膝关节置换术、全髋关节置换术、全膝关节置换翻修术和全髋关节置换翻修术各25例连续病例。髋关节翻修手术患者在手术室的住院时间和分钟数显著高于其他组。4组中假体的总费用超过手术总费用的40%。初次髋关节和膝关节手术的收费成本相似，髋关节翻修手术的收费成本明显高于医生的工作。进行髋关节和膝关节置换术的骨科医生在选择植入物时需要考虑经济因素。
The cost of health care in the United States has been rising steadily during the past 10 years. Total joint arthroplasty, a commonly performed orthopaedic procedure, accounts for approximately $10 billion dollars per year. The objective of this study was to perform a clinician-oriented cost analysis of primary and revision hip and knee arthroplasty. Twenty-five consecutive cases each of total knee arthroplasty, total hip arthroplasty, revision total knee arthroplasty, and revision total hip arthroplasty were analyzed. The length of stay and number of minutes spent in the operating room were significantly higher for the patients with revision hip surgery than for the other groups. The total charges for the prosthesis in the 4 groups exceeded 40% of the total charges for the procedure. Primary hip and knee surgery had similar billed costs, and work for revision hip surgery has a significantly higher billed cost than physician's work. The implant selection process by an orthopaedic surgeon performing arthroplasty of the hip and knee needs to include economic aspects.