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Early discharge and...
Early discharge and home intervention reduces unit costs after total hip replacement: results of a cost analysis in a randomized study
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Sigurdsson, Eyjolfur (author)
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Siggeirsdottir, Kristin (author)
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Jonsson, Halldor, Jr. (author)
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Gudnason, Vilmundur (author)
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Matthiasson, Thorolfur (author)
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- Jonsson, Brynjolfur (author)
- Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups
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(creator_code:org_t)
- 2008-06-21
- 2008
- English.
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In: International Journal of Health Care Finance and Economics. - : Springer Science and Business Media LLC. - 1573-6962 .- 1389-6563. ; 8:3, s. 181-192
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Total hip replacement (THR) is a common and costly procedure. The number of THR is expected to increase over the coming years. Two pathways of postoperative treatment were compared in a randomized study. Fifty patients from two hospitals were randomized into a study group (SG) of 27 patients receiving preoperative and postoperative education programs, as well as home visits from an outpatient team. A control group (CG) of 23 patients received "conventional" rehabilitation augmented by a stay at a rehabilitation center if needed. All costs for the two groups both in hospitals and after discharge were collected and analyzed. On average total costs for the SG were $8,550 and $11,952 for the CG, a 28% cost reduction. Total inpatient costs were $5,225 for the SG and $6,515 for the CG. In a regression analysis the group difference is statistically significant. Adjusting for changes in the Oxford Hip Score gives effective costs (C/E). The ratio of the SGs C/E to the CGs is 0.60. That is a cost-effectiveness gain of 40%. A shorter hospital stay augmented with better preoperative education and home treatment appears to be more effective and costs less than the traditional in hospital pathway of treatment.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Keyword
- cost-effectiveness analysis
- total hip replacement
- home intervention
Publication and Content Type
- art (subject category)
- ref (subject category)
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