Lavernia C J, Drakeford M K, Tsao A K, Gittelsohn A, Krackow K A, Hungerford D S
Department of Orthopaedics, University of Miami, School of Medicine, FL 33101, USA.
Clin Orthop Relat Res. 1995 Feb(311):136-41.
The cost of health care in the United States has been rising steadily during the past 10 years. Total joint arthroplasty, a commonly performed orthopaedic procedure, accounts for approximately $10 billion dollars per year. The objective of this study was to perform a clinician-oriented cost analysis of primary and revision hip and knee arthroplasty. Twenty-five consecutive cases each of total knee arthroplasty, total hip arthroplasty, revision total knee arthroplasty, and revision total hip arthroplasty were analyzed. The length of stay and number of minutes spent in the operating room were significantly higher for the patients with revision hip surgery than for the other groups. The total charges for the prosthesis in the 4 groups exceeded 40% of the total charges for the procedure. Primary hip and knee surgery had similar billed costs, and work for revision hip surgery has a significantly higher billed cost than physician's work. The implant selection process by an orthopaedic surgeon performing arthroplasty of the hip and knee needs to include economic aspects.
在过去10年中，美国医疗保健成本一直在稳步上升。全关节置换术是一种常见的骨科手术，每年花费约100亿美元。本研究的目的是对初次和翻修髋关节及膝关节置换术进行以临床医生为导向的成本分析。对连续25例全膝关节置换术、全髋关节置换术、翻修全膝关节置换术和翻修全髋关节置换术病例进行了分析。翻修髋关节手术患者的住院时间和手术时长显著高于其他组。4组假体的总费用超过了该手术总费用的40%。初次髋关节和膝关节手术的计费成本相似，而翻修髋关节手术的工作计费成本明显高于医生的工作成本。进行髋关节和膝关节置换术的骨科医生在选择植入物时需要考虑经济因素。
