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Revision Surgery in Total Joint Replacement Is Cost-Intensive
Joint Authors
Grifka, Joachim
Benditz, Achim
Weber, Markus
Völlner, Florian
Worlicek, Michael
Craiovan, Benjamin
Renkawitz, Tobias
Greimel, Felix
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-25
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Revisions after total joint replacement increase constantly.
In the current study, we analyzed clinical outcome, complication rates, and cost-effectiveness of revision arthroplasty.
In a retrospective analysis of 162 revision hip and knee arthroplasties from our institutional joint registry responder rate, patient-reported outcome measures (EQ-5D, WOMAC), complication rates, and patient-individual charges in relation to reimbursement were compared with a matched control group of primary total joint replacements.
Positive responder rate one year postoperatively was lower for revision arthroplasties with 72.9% than for primary arthroplasties with 90.1% (OR=0.30, 95%CI=0.18–0.59, p=0.001).
Correspondingly, improvement in patient-reported outcome measures one year after surgery was lower in revision than in primary joint arthroplasty with EQ-5D 0.19±0.25 to 0.30±0.24 (p<0.001) and WOMAC 24.3±30.3 to 41.2±21.3 (p<0.001).
Infection rate was higher in revision (6.8%) compared to primary replacements (0%, p=0.001).
Mean charges in revision arthroplasty were 76.0% higher than in matched primary joint replacements (7110.8±2249.4$ to 4041.1±975.7$, p<0.001), whereas reimbursement was only 23.6% higher (9243.3±2258.4$ in revision and 7477.9±703.1$ in primary arthroplasty, p<0.001).
Revision arthroplasty is associated with lower outcome and higher infection rate compared to primary replacements.
The high financial expense of revision arthroplasty is only partly covered by a higher reimbursement.
American Psychological Association (APA)
Weber, Markus& Renkawitz, Tobias& Völlner, Florian& Craiovan, Benjamin& Greimel, Felix& Worlicek, Michael…[et al.]. 2018. Revision Surgery in Total Joint Replacement Is Cost-Intensive. BioMed Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1129426
Modern Language Association (MLA)
Weber, Markus…[et al.]. Revision Surgery in Total Joint Replacement Is Cost-Intensive. BioMed Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1129426
American Medical Association (AMA)
Weber, Markus& Renkawitz, Tobias& Völlner, Florian& Craiovan, Benjamin& Greimel, Felix& Worlicek, Michael…[et al.]. Revision Surgery in Total Joint Replacement Is Cost-Intensive. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1129426
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129426