Collins Kristopher D, Chen Kevin K, Ziegler Jacob D, Schwarzkopf Ran, Bosco Joseph A, Iorio Richard
Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York.
J Arthroplasty. 2017 Sep;32(9S):S141-S143. doi: 10.1016/j.arth.2017.02.082. Epub 2017 Mar 9.
A large component of the cost of revision total hip arthroplasty (THA) is the cost of the implants. We examined the pricing of revision THA implants to determine the possible savings of different pricing models.
From our institutional database, all revision THAs done from 9/1/2013 to 8/31/2014 were identified. The cost of the implants was analyzed as a percentage of the total cost of the hospitalization and compared to direct to hospital and fixed implant pricing models.
Of 153 revision THAs analyzed, the cost of implants amounted to 36% of the total hospital cost. The direct to hospital cost and fixed implant pricing models would reduce the cost of an all-component revision to $4395 (saving $8962 per case) and $5000 (saving $8357 per case).
Both fixed implant pricing and the direct to hospital pricing models would result in a decrease in revision implant costs.
翻修全髋关节置换术（THA）成本的很大一部分是植入物的成本。我们研究了翻修THA植入物的定价，以确定不同定价模式可能节省的费用。
从我们的机构数据库中，识别出2013年9月1日至2014年8月31日期间进行的所有翻修THA。将植入物的成本作为住院总费用的百分比进行分析，并与直接向医院定价和固定植入物定价模式进行比较。
在分析的153例翻修THA中，植入物成本占医院总成本的36%。直接向医院定价模式和固定植入物定价模式将使全组件翻修的成本分别降至4395美元（每例节省8962美元）和5000美元（每例节省8357美元）。
固定植入物定价模式和直接向医院定价模式都将导致翻修植入物成本的降低。
