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Primary total hip replacement versus hip resurfacing - hospital considerations
William G Ward1, Christina J Carter, Marisa Barone
1Department of Orthopaedic Surgery, Wake Forest University Health Sciences, Winston Salem, North Carolina 27157, USA. wgward@wfubmc.edu
Bulletin of the NYU Hospital for Joint Diseases
|November 1, 2011
Summary
Hip resurfacing offers a favorable revenue stream due to younger patient demographics and shorter hospital stays compared to conventional total hip arthroplasty. However, resurfacing requires specific resources for patient rehabilitation.
Area of Science:
- Orthopedic Surgery
- Health Economics
- Hospital Administration
Background:
- Hospital staffing and revenue are influenced by surgical procedures and patient selection.
- Hip arthroplasty device choice impacts hospital resources and financial outcomes.
Purpose of the Study:
- To analyze the influence of hip arthroplasty device selection (conventional total hip arthroplasty vs. resurfacing) on hospital staffing and revenue.
- To identify demographic and clinical factors associated with different hip arthroplasty procedures.
Main Methods:
- Review of primary hip arthroplasties from 2008-2010 at a single institution.
- Utilized hospital business office and medical records data for analysis.
- Compared demographics, diagnoses, insurance, length of stay, and revenue between conventional total hip arthroplasty and hip resurfacing patients.
Main Results:
- Hip resurfacing patients were younger (mean 50 vs. 61 years), more often male (75% vs. 45%), and had higher rates of osteoarthritis diagnosis (83% vs. 67%).
- Resurfacing patients had shorter hospital stays (2.3 vs. 4.1 days) and generated a more favorable per-patient revenue stream.
- A decline in hip resurfacing procedures was observed between 2009 and 2010, particularly in females.
Conclusions:
- Hip resurfacing presents distinct patient demographics and financial advantages for hospitals.
- Institutions must allocate resources for efficient rehabilitation of hip resurfacing patients.
- The choice between conventional total hip arthroplasty and hip resurfacing necessitates careful consideration of patient selection, resource allocation, and financial implications.
