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Cost comparison between bilateral simultaneous, staged, and unilateral total joint arthroplasty
J D Reuben1, S J Meyers, D D Cox
1Department of Orthopaedic Surgery, University of Texas Medical School at Houston, USA.
The Journal of Arthroplasty
|April 4, 1998
Summary
Performing bilateral simultaneous sequential joint arthroplasty is more cost-effective than staged or unilateral procedures. This approach offers significant savings for total knee and total hip replacement patients.
Area of Science:
- Orthopedic Surgery
- Health Economics
Background:
- Total hip and knee arthroplasties are common surgical procedures.
- Comparing the inpatient costs of different surgical approaches is crucial for healthcare efficiency.
Purpose of the Study:
- To compare the inpatient costs of bilateral simultaneous sequential, staged, and unilateral total hip and knee arthroplasties.
- To determine the cost-effectiveness of bilateral simultaneous sequential joint arthroplasty.
Main Methods:
- Utilized a hospital-based computer system to analyze inpatient costs.
- Compared costs across bilateral simultaneous sequential, staged, and unilateral total hip and knee arthroplasties.
Main Results:
- Bilateral simultaneous sequential total knee arthroplasty was 36% less costly than two unilateral procedures.
- Bilateral simultaneous sequential total hip arthroplasty saved 25% compared to two unilateral procedures.
- Significant correlation found between hospital length of stay, morbidity, and total costs.
Conclusions:
- Bilateral simultaneous sequential joint arthroplasty is a more cost-effective approach for total hip and knee replacements.
- This method can lead to substantial cost savings per patient, exceeding $10,000 for knee and $8,000 for hip replacements.