Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA.
J Arthroplasty. 2010 Jun;25(4):558-62. doi: 10.1016/j.arth.2009.03.005. Epub 2009 May 15.
Many strategies have been reported for decreasing the cost of orthopedic procedures, but prosthetic waste has not been investigated. The purpose of this study was to characterize the cost of intraoperative waste of hip and knee implants. A regional prospective assessment was performed, evaluating the reasons for component waste, the cost of the wasted implants, and where the cost was absorbed (hospital or manufacturer). Implant waste occurred in 79 (2%) of 3443 procedures, with the surgeon and operating room staff bearing primary responsibility in 73% of occurrences. The annualized cost was $109 295.35, with 67% absorbed by hospitals. When extrapolated to the whole of the United States, the annual cost to hospitals would be $36,019,000 and is estimated to rise to $112,033,000 by 2030, representing a potential target for educational programs and other cost containment measures.
许多策略已被报道用于降低骨科手术的成本，但假体浪费尚未被研究。本研究的目的是描述髋关节和膝关节植入物术中浪费的成本。进行了一项区域性前瞻性评估，评估了组件浪费的原因、浪费的植入物的成本以及成本由谁承担（医院还是制造商）。在 3443 例手术中，有 79 例（2%）发生了植入物浪费，其中 73%的情况是由外科医生和手术室工作人员承担主要责任。年化成本为 109295.35 美元，其中 67%由医院承担。如果将其外推到整个美国，医院的年度成本将为 3601.9 万美元，预计到 2030 年将上升至 1.12033 亿美元，这代表了教育计划和其他成本控制措施的潜在目标。
