scholarly journals PMS8 HEALTH ECONOMICS MODEL FORTOTAL HIP ARTHROPLASTY: COST SAVINGS ACHIEVED BY NEWER TECHNOLOGY

2008 ◽  
Vol 11 (3) ◽  
pp. A256-A257
Author(s):  
S Peoples ◽  
J Rizzo ◽  
HJ Kotlarz
Keyword(s):  
Health Economics ◽  
Hip Arthroplasty ◽  
Cost Savings ◽  
Economics Model

A conservative approach to dislocation following total hip arthroplasty: a review of 8606 hips

2020 ◽  
pp. 112070002095906
Author(s):  
Luke Ogonda ◽  
Roslyn S Cassidy ◽  
David E Beverland
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Surgery ◽  
Posterior Approach ◽  
Cost Savings ◽  
Conservative Approach ◽  
Significant Cost ◽  
Total Hip ◽  
Primary Surgery ◽  
Acetabular Side

Patients and methods: We present the data on 8606 total hip arthroplasty (THA) procedures carried out in 7818 patients through a posterior approach between 1998 and 2017. Results: 218 hips (2.5%) suffered at least 1 dislocation with dislocation rates declining from 6.2% from 1998 to 2002 to 1.5% from 2003 to 2017. Overall, 92 hips (1.06%) required revision surgery but of these, only 5 (0.06%) had a full revision of both components with the remaining 87 requiring intervention only on the acetabular side. None have had a pseudo-arthrosis; none were left dislocated and all remain stable to date. Conclusions: In patients who have a second dislocation within 3 months of their primary surgery we recommend a spica or long leg cylinder cast to reduce the need for revision surgery. We propose an algorithm to manage instability with less aggressive operative treatment in this often-elderly patient population with the potential for less physiological insult and significant cost savings.

scholarly journals Sport after total hip arthroplasty: undoubted progress but still some unknowns

2020 ◽  
Vol 102-B (6) ◽  
pp. 661-663 ◽  
Author(s):  
R. M. Dominic Meek ◽  
Ronan Treacy ◽  
Andrew Manktelow ◽  
John A. Timperley ◽  
Fares S. Haddad
Keyword(s):  
Total Hip Arthroplasty ◽  
Health Economics ◽  
Hip Arthroplasty ◽  
Implant Fixation ◽  
Total Hip ◽  
Sporting Activity ◽  
New Challenges

In this review, we discuss the evidence for patients returning to sport after hip arthroplasty. This includes the choices regarding level of sporting activity and revision or complications, the type of implant, fixation and techniques of implantation, and how these choices relate to health economics. It is apparent that despite its success over six decades, hip arthroplasty has now evolved to accommodate and support ever-increasing patient demands and may therefore face new challenges. Cite this article: Bone Joint J 2020;102-B(6):661–663.

Surgical Approaches in Total Hip Arthroplasty Cost Per Case Analysis: A Retrospective, Matched, Micro-costing Analysis in a Socialised Healthcare System

2019 ◽  
Vol 30 (4) ◽  
pp. 391-397 ◽  
Author(s):  
Rajrishi Sharma ◽  
Irafan Abdulla ◽  
Lewis Fairgrieve-Park ◽  
Saboura Mahdavi ◽  
Brian Burkart ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hospital Stay ◽  
Hip Arthroplasty ◽  
Financial Services ◽  
Cost Savings ◽  
Length Of Hospital Stay ◽  
Surgical Approaches ◽  
Total Hip ◽  
End Stage ◽  
Costing Analysis

Background: Total hip arthroplasty (THA) offers an effective method of pain relief and restoration of function for patients with end-stage arthritis. The anterior approach (AA) claims to benefit patients with decreased pain, increased mobilisation and decreasing length of hospital stay (LOS). In a socialised healthcare platform we questioned whether the AA, compared to posterior (PA) and lateral (LA) approaches, can decrease the cost burden. Methods: Using a retrospective matched cohort study, we matched 69 AA patients to 69 LA and 69 PA patients for age ( p = 0.99), gender ( p = 0.99) and number of pre-surgical risk factors ( p = 0.99). First, we used the Resource Intensity Weights (RIW) using the Health Services agreed on method of calculating cost. Secondly, micro-costing analysis was performed using the financial services data for each patient’s hospital stay. Results: Using the RIW based cost analysis and 2-day reduction (95% CI 1.8–2.4) in LOS, the AA offers an estimated savings per case of $4099 ( p < 0.001) compared to the LA and PA. Using micro-costing analysis, we found a total saving of $1858.00 per case (95% CI 1391–2324) when comparing the AA to the PA and LA. There was a statistically significant cost savings using every category: Net Direct Salary ($901.00, p < 0.001), Net Drug ($8.00, p = 0.003), Patient Supply ($454.00, p = 0.001), Patient Drug ($15.00, p = 0.008), Indirect Cost ($385.00, p < 0.001), Patient Care Administration ($106.00, p < 0.001). Furthermore, the AA saved 142 minutes of in-hospital rehabilitation time. Conclusion: The AA THA provides statistically significant reductions in cost compared to PA and LA while releasing rehabilitation resources.

scholarly journals Understanding Iliotibial Band-Sparing Total Hip Arthroplasty: Alternatives to Traditional THA Approaches

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Russell Nevins ◽  
Kevin M Sagers
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Surgical Techniques ◽  
Cost Savings ◽  
Long Term Results ◽  
Iliotibial Band ◽  
Total Hip ◽  
Advantages And Disadvantages ◽  
Improved Outcomes

Excellent long term results in total hip arthroplasty (THA are achievable through a variety of surgical techniques. However, the push for cost savings and higher patient expectations has shifted the focus to improving short term outcomes such as length of stay and in-hospital narcotic requirements. While approximately 87% of surgeons worldwide continue to prefer traditional posterolateral (PL) or lateral approaches for arthroplasty,1alternative approaches that spare the iliotibial band have emerged over the last several years in hopes of improved outcomes. This review explores the iliotibial band-sparing approaches, their advantages and disadvantages, and provides an overview of their published results.

Identifying a Surgical Threshold for Recurrent Rhinosinusitis: A Productivity Based Health Economics Model

2011 ◽  
Vol 145 (2_suppl) ◽  
pp. P123-P123
Author(s):  
Randy Leung ◽  
Bruce Tan ◽  
David Conley ◽  
Rakesh K. Chandra ◽  
Robert Kern
Keyword(s):  
Health Economics ◽  
Economics Model

Application of an image management system in microscopy

1992 ◽  
Vol 50 (2) ◽  
pp. 1052-1053
Author(s):  
Richard S. Chemock
Keyword(s):  
Data Storage ◽  
Cost Savings ◽  
Image Data ◽  
Analytical Techniques ◽  
Operational Mode ◽  
Fine Grained ◽  
Image Recording ◽  
Primary Output ◽  
Capacity Data ◽  
Image Management System

One of the most common tasks in a typical analysis lab is the recording of images. Many analytical techniques (TEM, SEM, and metallography for example) produce images as their primary output. Until recently, the most common method of recording images was by using film. Current PS/2R systems offer very large capacity data storage devices and high resolution displays, making it practical to work with analytical images on PS/2s, thereby sidestepping the traditional film and darkroom steps. This change in operational mode offers many benefits: cost savings, throughput, archiving and searching capabilities as well as direct incorporation of the image data into reports.The conventional way to record images involves film, either sheet film (with its associated wet chemistry) for TEM or PolaroidR film for SEM and light microscopy. Although film is inconvenient, it does have the highest quality of all available image recording techniques. The fine grained film used for TEM has a resolution that would exceed a 4096x4096x16 bit digital image.

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