Cost effectiveness of revision total knee arthroplasty

被引:58
作者
Burns, Alexander W. R. [1 ]
Bourne, Robert B. [1 ]
Chesworth, Bert M. [1 ]
MacDonald, Steven J. [1 ]
Rorabeck, Cecil H. [1 ]
机构
[1] Univ Western Ontario, London Hlth Sci Ctr, London, ON N6A 5A5, Canada
关键词
D O I
10.1097/01.blo.0000214420.14088.76
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Total knee arthroplasty now exceeds total hip arthroplasty as the most commonly performed joint replacement. Projections suggest the need for revision knee arthroplasty in the future will produce an immense economic burden. The excellent cost effectiveness of primary knee arthroplasty has been well established. This article explores the cost effectiveness of revision knee arthroplasty, and makes a comparison of costs between different international health care systems. While revision knee arthroplasty is more costly, technically difficult, and complicated than primary knee arthroplasty, it is still a cost effective means of improving function, pain relief, and quality of life. The role of national arthroplasty registries will be important in guiding decision making toward reducing the requirements for revision surgery.
引用
收藏
页码:29 / 33
页数:5
相关论文
共 23 条
[1]
*AM AC ORTH SURG, DATA 2003 AN NAT CTR
[2]
In hospital cost of total hip arthroplasty in Canada and the United States [J].
Antoniou, J ;
Martineau, PA ;
Filion, KB ;
Haider, S ;
Zukor, DJ ;
Huk, OL ;
Pilote, L ;
Eisenberg, MJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (11) :2435-2439
[3]
BELLAMY N, 1988, J RHEUMATOL, V15, P1833
[4]
Impact of declining reimbursement and rising hospital costs on the feasibility of total hip arthroplasty [J].
Boardman, DL ;
Lieberman, JR ;
Thomas, BJ .
JOURNAL OF ARTHROPLASTY, 1997, 12 (05) :526-534
[5]
*CAN JOINT REPL RE, 2004, TOT HIP TOT KNEE REP, P43
[6]
Health-related quality of life in total hip and total knee arthroplasty - A qualitative and systematic review of the literature [J].
Ethgen, O ;
Bruyere, O ;
Richy, F ;
Dardennes, C ;
Reginster, JY .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (05) :963-974
[7]
Single Price/Case Price Purchasing in orthopaedic surgery: Experience at the Lahey Clinic [J].
Healy, WL ;
Iorio, R ;
Lemos, MJ ;
Patch, DA ;
Pfeifer, BA ;
Smiley, PM ;
Wilk, RM .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2000, 82A (05) :607-612
[8]
THE HOSPITAL COST AND THE COST OF THE IMPLANT FOR TOTAL KNEE ARTHROPLASTY - A COMPARISON BETWEEN 1983 AND 1991 FOR ONE HOSPITAL [J].
HEALY, WL ;
FINN, D .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1994, 76A (06) :801-806
[9]
Association between hospital and surgeon procedure volume and the outcomes of total knee replacement [J].
Katz, JN ;
Barrett, J ;
Mahomed, NN ;
Baron, JA ;
Wright, J ;
Losina, E .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (09) :1909-1916
[10]
Minimally invasive total knee replacement through a mini-midvastus incision - An outcome study [J].
Laskin, RS ;
Beksac, B ;
Phongjunakorn, A ;
Pittors, K ;
Davis, J ;
Shim, JC ;
Pavlov, H ;
Petersen, M .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2004, (428) :74-81