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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Enabling Cape Verde to Perform Total Hip Replacement: Cost-Benefit Study.
Andreia Mercier Nunes1, Helena Canhão2, Tito Lívio Rodrigues3
1Orthopaedics and Trauma Department. Hospital de São Francisco Xavier. Centro Hospitalar de Lisboa Ocidental. Lisboa. Portugal.
Acta Medica Portuguesa
|January 27, 2019
Summary
Performing total hip replacement in Cape Verde could yield significant financial benefits. This analysis suggests enabling local hip surgeries offers a positive return on investment and improves healthcare quality.
Area of Science:
- Health Economics
- Orthopedic Surgery
- Public Health Policy
Background:
- Cape Verde, a middle-income nation, currently relies on Portugal for hip replacement surgeries.
- Existing health agreements facilitate patient evacuation for specialized orthopedic care.
Purpose of the Study:
- To conduct a cost-benefit analysis of enabling Cape Verde to perform total hip replacement domestically.
- To evaluate the financial implications and healthcare improvements of local surgical capacity.
Main Methods:
- Retrospective analysis of hip fracture and arthritis cases requiring total hip replacement.
- Assessment of direct treatment costs and hypothetical costs for in-country procedures.
- Cost-benefit analysis comparing current evacuation model with potential local surgery.
Main Results:
- Between 2011 and 2016, 126 patients (135 hips) were identified as candidates for total hip replacement.
- Performing these procedures in Cape Verde could have generated a total benefit of €80,644.08.
- The projected benefit per patient for in-country total hip replacement was €597.36.
Conclusions:
- Enabling Cape Verde to perform total hip replacement autonomously presents a positive financial return.
- Local surgery would reduce healthcare expenses and the socio-psychological impact of patient evacuation.
- Developing this capacity would enhance the quality and autonomy of Cape Verde's healthcare system.
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