scholarly journals The impact of preoperative patient characteristics on the cost-effectiveness of total hip replacement: a cohort study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Matthias Vogl ◽  
Rainer Wilkesmann ◽  
Christian Lausmann ◽  
Werner Plötz
Keyword(s):  
Cohort Study ◽  
Cost Effectiveness ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Characteristics ◽  
Total Hip ◽  
The Cost ◽  
The Impact ◽  
Preoperative Patient

Cost-effectiveness of telerehabilitation versus traditional care after total hip replacement: A trial-based economic evaluation

2019 ◽  
pp. 1357633X1986979 ◽  
Author(s):  
Mark Nelson ◽  
Trevor Russell ◽  
Kay Crossley ◽  
Michael Bourke ◽  
Steven McPhail
Keyword(s):  
Cost Effectiveness ◽  
Health Service ◽  
Hospital Discharge ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Randomised Trial ◽  
Total Hip ◽  
Time Burden ◽  
Traditional Care ◽  
The Cost

Introduction: Physical rehabilitation for total hip replacement patients following hospital discharge is beneficial; however, accessing rehabilitation is often challenging. Telerehabilitation helps negate access issues and is efficacious in total knee and hip replacement patients. This study aims to compare the cost-effectiveness of a telerehabilitation programme delivered remotely into patients’ homes versus traditional care for total hip replacement patients following hospital discharge. Methods: A cost-effectiveness (cost-utility) analysis was conducted from the perspective of a health service alongside a two-arm randomised controlled trial comparing telerehabilitation ( n=35) with in-person care ( n=35) following hospital discharge after total hip replacement. The primary analysis used an Incremental Cost-Effectiveness Ratio to compare the cost per Quality Adjusted Life Year (QALY) accrued in the telerehabilitation group versus in-person control using costs and effects data from the randomised trial. A secondary analysis was conducted whereby the time accrued by patients attending rehabilitation sessions (including travel time) was considered the “cost” (i.e. a time burden), rather than cost from the health service perspective. Results: Estimated mean differences in healthcare costs and QALYs gained were detected but were not significant. The estimated mean (95%CI) difference in cost of telerehabilitation versus in-person was –$28.90 (–$96.37 to $40.45), favouring the telerehabilitation group. The estimated mean (95%CI) difference in QALYs gained from telerehabilitation versus in-person was –0.0025 (–0.0227 to 0.0217). The estimated mean (95%CI) difference in time burden favoured less time burden for the telerehabilitation group (–4.21 (–4.69 to –3.74) hours). Discussion: Telerehabilitation in the total hip replacement population incurred similar costs and yielded similar effects to traditional in-person care. Telerehabilitation significantly reduced the time burden for patients and carers. These findings are valuable for healthcare providers seeking to implement accessible patient-centred rehabilitation services.

A Comparison of the Cost Effectiveness of One-Stage Versus Two-Stage Bilateral Total Hip Replacement

Orthopedics ◽  
1998 ◽  
Vol 21 (12) ◽  
pp. 1249-1252 ◽  
Author(s):  
Mark Lorenze ◽  
Michael H Huo ◽  
Laurine E Zatorski ◽  
Kristaps J Keggi
Keyword(s):  
Cost Effectiveness ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Stage Versus ◽  
Two Stage ◽  
Total Hip ◽  
One Stage ◽  
The Cost

Modeling the Cost-Effectiveness for Cement-Less and Hybrid Prosthesis in Total Hip Replacement in Emilia Romagna, Italy

2011 ◽  
Vol 169 (2) ◽  
pp. 227-233 ◽  
Author(s):  
Gian Luca Di Tanna ◽  
Salvatore Ferro ◽  
Filippo Cipriani ◽  
Barbara Bordini ◽  
Susanna Stea ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Total Hip ◽  
Hybrid Prosthesis ◽  
The Cost

Matched cohort study of topical tranexamic acid in cementless primary total hip replacement

2018 ◽  
Vol 28 (7) ◽  
pp. 1335-1339 ◽  
Author(s):  
Javier Sanz-Reig ◽  
Jesus Mas Martinez ◽  
Carmen Verdu Román ◽  
Manuel Morales Santias ◽  
Enrique Martínez Gimenez ◽  
...  
Keyword(s):  
Cohort Study ◽  
Tranexamic Acid ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Matched Cohort ◽  
Total Hip ◽  
Matched Cohort Study ◽  
Topical Tranexamic Acid

scholarly journals Ten year results of the collum femoris preserving total hip replacement: a prospective cohort study of seventy five patients

2013 ◽  
Vol 38 (5) ◽  
pp. 917-922 ◽  
Author(s):  
Jonathan Hutt ◽  
Ziad Harb ◽  
Ian Gill ◽  
Fadhil Kashif ◽  
John Miller ◽  
...  
Keyword(s):  
Cohort Study ◽  
Total Hip Replacement ◽  
Prospective Cohort Study ◽  
Hip Replacement ◽  
Prospective Cohort ◽  
Total Hip

scholarly journals 130 Impact of Balance Training in Virtual Reality on Body Balance in Patients after Total HIP Replacement

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv28-iv33
Author(s):  
Anna Hadamus ◽  
Dariusz Białoszewski ◽  
Aleksandra Justyna Kowalska ◽  
Edyta Urbaniak ◽  
Rafał Boratyński ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Control Group ◽  
Forward Movement ◽  
Body Balance ◽  
Total Hip ◽  
Vr Training ◽  
The Impact ◽  
Experimental Group

Abstract Introduction Virtual Reality (VR) training is becoming an increasingly popular form of exercise aiding in re-education of body balance. Many reports have demonstrated its effectiveness, greater patient involvement in exercise and better outcomes compared to traditional rehabilitation [1]. The aim of this study was to assess the impact of the additional training in VR on body balance in patients after total hip replacement. Material and Methods 56 patients randomly assigned to an experimental group (30 people) and a control group (26 people) was included in the study. All patients had undergone THR within 2 to 12 weeks before the beginning of the study. The control group underwent standard post-operative rehabilitation, while a VR training programme was used in the experimental group as an additional rehabilitation tool. Balance was assessed with the VBC system and the AMTi AccuSway plate. The results were considered significant for p <0.05. Results CoP displacement in the frontal plane was reduced in both groups in tests with eyes closed (p<0.05). Other parameters in standing tests remain the same. The maximum forward deflection test has shown a significant increase in the range of forward movement in the experimental group (p <0.05). In the control group, the duration of the forward movement phase was reduced, but the range remained the same. The rhythmic sway test showed an increase in the average speed of movements in the experimental group (p <0.05). There were no changes in the control group. Conclusions 1. Postural stability training in VR primarily involves dynamic aspects of the maintenance of balance. 2. Improvement in functional tests may indicate a better clinical outcome of rehabilitation in patients who have additionally trained in VR. 3. The improvement obtained in static tests most probably results from improvement in muscle strength and static stability resulting from the rehabilitation.

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