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Total joint replacement: a cost-effective procedure for the 1990s

¹Department of Orthopaedics, Brown University School of Medicine, USA.

Medicine and Health, Rhode Island

|June 9, 1998

Summary

Total hip and knee replacement offer cost-effective relief for advanced arthritis. Current procedures remain beneficial and cost-effective, without significant savings from reduced hospital stays or implant choices.

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Area of Science:

Orthopedic Surgery
Health Economics

Background:

Total hip and knee replacement are established procedures.
Advanced arthritis significantly impacts joint function and quality of life.

Purpose of the Study:

To evaluate the cost-effectiveness of total joint arthroplasty for hip and knee arthritis.
To assess the impact of current healthcare system practices on the cost-efficiency of these procedures.

Main Methods:

Review of clinical studies and modern outcome measures.
Comparative analysis of surgical versus non-surgical treatments for advanced arthritis.
Evaluation of cost-saving strategies in joint replacement surgery.

Main Results:

Total hip and knee replacement demonstrate favorable cost-effectiveness compared to non-surgical options.
Reduced hospitalization lengths and limited implant selection yield minimal cost savings.
Current arthroplasty procedures are cost-effective for major weight-bearing joint arthritis.

Conclusions:

Total joint arthroplasty remains a cost-effective treatment for advanced hip and knee arthritis.
System-wide cooperation is essential for efficient delivery of joint replacement services.
Significant cost reductions are unlikely through drastic measures like shortened hospital stays or restricted implant choices.

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