Early discharge and home intervention reduces unit costs after total hip replacement: results of a cost analysis in a randomized study
| dc.contributor.author | Sigurdsson, Eyjolfur | |
| dc.contributor.author | Siggeirsdottir, Kristin | |
| dc.contributor.author | Jonsson, Halldor | |
| dc.contributor.author | Gudnason, Vilmundur | |
| dc.contributor.author | Matthiasson, Thorolfur | |
| dc.contributor.author | Jonsson, Brynjolfur Y | |
| dc.date.accessioned | 2008-08-18T09:27:47Z | |
| dc.date.available | 2008-08-18T09:27:47Z | |
| dc.date.issued | 2008-09-01 | |
| dc.date.submitted | 2008-08-18 | |
| dc.identifier.citation | Int J Health Care Finance Econ 2008, 8(3):181-92 | en |
| dc.identifier.issn | 1389-6563 | |
| dc.identifier.pmid | 18566886 | |
| dc.identifier.doi | 10.1007/s10754-008-9036-0 | |
| dc.identifier.uri | http://hdl.handle.net/2336/35732 | |
| dc.description | To access publisher full text version of this article. Please click on the hyperlink in Additional Links field | en |
| dc.description.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. | |
| dc.language.iso | en | en |
| dc.publisher | Kluwer Academic Publishers | en |
| dc.relation.url | http://www.springerlink.com/content/wmj1766vq6331488 | en |
| dc.subject.mesh | Arthroplasty, Replacement, Hip | en |
| dc.subject.mesh | Physical Therapy Modalities | en |
| dc.subject.mesh | Cost-Benefit Analysis | en |
| dc.subject.mesh | Patient Discharge | en |
| dc.title | Early discharge and home intervention reduces unit costs after total hip replacement: results of a cost analysis in a randomized study | en |
| dc.type | Article | en |
| dc.contributor.department | Faculty of Economics and Business Administration, University of Iceland, Gimli v/Saemundargotu, 101, Reykjavik, Iceland, eyjolfurs@gmail.com. | en |
| dc.identifier.journal | International journal of health care finance and economics | en |
| html.description.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. |