The Cost-effectiveness of Routine Follow-up After Primary Total Hip Arthroplasty

被引：22

作者：

Bolz, Katharina Maria Dorothea ^{[1
]}

Crawford, Ross W. ^{[1
,2
]}

Donnelly, Bill ^{[2
,3
]}

Whitehouse, Sarah L. ^{[1
,2
]}

Graves, Nicholas ^{[1
,4
]}

机构：

[1] Queensland Univ Technol, Inst Hlth & Biomed Innovat, Brisbane, Qld 4001, Australia

[2] Prince Charles Hosp, Orthoped Res Unit, Brisbane, Qld 4032, Australia

[3] Brisbane Orthopaed Specialist Serv, Brisbane, Qld, Australia

[4] Princess Alexandra Hosp, Ctr Healthcare Related Infect Surveillance & Prev, Brisbane, Qld 4102, Australia

来源：

JOURNAL OF ARTHROPLASTY | 2010年 / 25卷 / 02期

关键词：

total hip arthroplasty; follow-up; economic analysis; Markov model; cost-effectiveness; cohort simulation; ECONOMIC-EVALUATION; REPLACEMENT;

D O I：

10.1016/j.arth.2008.12.009

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：

Routine postsurgery assessment of primary total hip arthroplasty (THA) is recommended in many countries. Whether the benefits of this activity are justified by the costs is not known. We used a decision-analytic Markov model to compare the costs and health outcomes of 3 different follow-up strategies after primary THA. If there is no routine follow-up of patients for 7 years after primary THA, there would be cost savings between AU$6.5 and $11.9 million and gains of between 1.8 and 8.8 quality-adjusted life years. Policy makers should investigate less resource-intensive alternatives to common routine postsurgical assessment.

引用

页码：191 / 196

页数：6

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