Midlands Orthopaedics and Neurosurgery, 1910 Blanding Street, Columbia, SC, 29201, USA.
Musculoskelet Surg. 2021 Apr;105(1):111-116. doi: 10.1007/s12306-020-00637-z. Epub 2020 Jan 29.
Recent advancements in arthroplasty surgical techniques and perioperative protocols have reduced the duration of hospitalization and length of recovery, allowing surgeons to perform joint replacement as an outpatient procedure. This study aims to evaluate the cost-effectiveness and safety of outpatient hip resurfacing. Two experienced surgeons performed 485 resurfacing surgeries. We retrospectively compared clinical outcomes and patient satisfaction with published outpatient total hip results. Furthermore, we compared average insurance reimbursement with that of local inpatient hip replacement. No major complications occurred within 6 weeks. Of the 39 patients with previous inpatient experience, 37 (95%) believed their outpatient experience was superior. The average reimbursement for hip arthroplasty at local hospitals was $50,000, while the average payment for outpatient resurfacing at our surgery center was $26,000. We conclude that outpatient hip resurfacing can be accomplished safely, with high patient satisfaction, and at a tremendous financial savings to the insurer/patient. LEVEL OF EVIDENCE: III.
最近，关节置换手术技术和围手术期方案的进步缩短了住院时间和康复时间，使外科医生能够将关节置换作为门诊手术进行。本研究旨在评估门诊髋关节表面置换术的成本效益和安全性。两位经验丰富的外科医生进行了 485 例髋关节表面置换术。我们回顾性地比较了临床结果和患者满意度与已发表的门诊全髋关节置换术的结果。此外，我们还比较了平均保险报销与当地住院髋关节置换的报销。在 6 周内没有发生重大并发症。在有既往住院经历的 39 名患者中，37 名（95%）患者认为他们的门诊治疗体验更好。当地医院髋关节置换术的平均报销额为 50000 美元，而我们手术中心门诊髋关节表面置换术的平均报销额为 26000 美元。我们得出结论，门诊髋关节表面置换术可以安全进行，患者满意度高，对保险公司/患者来说也能节省大量费用。证据等级：III。
