The Effect of Severity of Illness on Total Joint Arthroplasty Costs Across New York State Hospitals: An Analysis of 172,738 Cases

被引：13

作者：

Adrados, Murillo ^{[1
]}

Lajam, Claudette ^{[1
]}

Hutzler, Lorraine ^{[1
]}

Slover, James ^{[1
]}

Bosco, Joseph ^{[1
]}

机构：

[1] NYU, Hosp Joint Dis, New York, NY 10003 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 01期

关键词：

cost analysis; severity of disease; total knee arthroplasty; total hip arthroplasty; joint arthroplasty; RECOVERY; DISEASE;

D O I：

10.1016/j.arth.2014.08.013

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：

100224 [整形外科学];

摘要：

We explored the average cost of 94,197 total knee and 78,541 total hip arthroplasties (TKA and THA) using the New York State Hospital Inpatient Cost Transparency database to evaluate the effect of beneficiary health status on hospital reported cost for the two operations. Using the 3M APR-DRC, severity of illness index as a measure of patient's health status, we found a significant increase in cost for both TKA and THA for patients with higher severity of illness index. This study confirms the greater cost and variability of TKA and THA for patients with increased severity of illness and illustrates the inherent unpredictability in cost forecasting and budgeting for these same patients. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：12 / 14

页数：3

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[3]

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[4]

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