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The cost-effectiveness of routine follow-up after primary total hip arthroplasty
Katharina Maria Dorothea Bolz1, Ross W Crawford, Bill Donnelly
1Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.
Abstract:
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.