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

2.50
Hdl Handle:
http://hdl.handle.net/2336/35732
Title:
Early discharge and home intervention reduces unit costs after total hip replacement: results of a cost analysis in a randomized study
Authors:
Sigurdsson, Eyjolfur; Siggeirsdottir, Kristin; Jonsson, Halldor; Gudnason, Vilmundur; Matthiasson, Thorolfur; Jonsson, Brynjolfur Y
Citation:
Int J Health Care Finance Econ 2008, 8(3):181-92
Issue Date:
1-Sep-2008
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.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.springerlink.com/content/wmj1766vq6331488

Full metadata record

DC FieldValue Language
dc.contributor.authorSigurdsson, Eyjolfur-
dc.contributor.authorSiggeirsdottir, Kristin-
dc.contributor.authorJonsson, Halldor-
dc.contributor.authorGudnason, Vilmundur-
dc.contributor.authorMatthiasson, Thorolfur-
dc.contributor.authorJonsson, Brynjolfur Y-
dc.date.accessioned2008-08-18T09:27:47Z-
dc.date.available2008-08-18T09:27:47Z-
dc.date.issued2008-09-01-
dc.date.submitted2008-08-18-
dc.identifier.citationInt J Health Care Finance Econ 2008, 8(3):181-92en
dc.identifier.issn1389-6563-
dc.identifier.pmid18566886-
dc.identifier.doi10.1007/s10754-008-9036-0-
dc.identifier.urihttp://hdl.handle.net/2336/35732-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractTotal 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.en
dc.language.isoenen
dc.publisherKluwer Academic Publishersen
dc.relation.urlhttp://www.springerlink.com/content/wmj1766vq6331488en
dc.subject.meshArthroplasty, Replacement, Hipen
dc.subject.meshPhysical Therapy Modalitiesen
dc.subject.meshCost-Benefit Analysisen
dc.subject.meshPatient Dischargeen
dc.titleEarly discharge and home intervention reduces unit costs after total hip replacement: results of a cost analysis in a randomized studyen
dc.typeArticleen
dc.contributor.departmentFaculty of Economics and Business Administration, University of Iceland, Gimli v/Saemundargotu, 101, Reykjavik, Iceland, eyjolfurs@gmail.com.en
dc.identifier.journalInternational journal of health care finance and economicsen

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