Barrack R L, Hoffman G J, Tejeiro W V, Carpenter L J
Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, LA 70112, USA.
J Arthroplasty. 1995 Jun;10(3):281-6. doi: 10.1016/s0883-5403(05)80175-5.
One hundred twenty stratified nonselected cases of primary and revision total joint arthroplasties performed between 1990 and 1992 in which complete financial and clinical data were available were reviewed. All cases were performed at a single university hospital. Compared with primary total joint arthroplasty, revision surgery involved significantly more operative time, greater blood loss, increased length of stay, and a much higher complication rate. The actual physician reimbursement was not significantly more than for primary procedures. Physician reimbursement constituted 18% of the total fees collected compared with 24% for the actual prosthesis cost. Surgeons performing revision surgery devote significantly more time and are at a higher liability than when performing primary total joint arthroplasty.
回顾了1990年至1992年间在一所大学医院进行的120例分层非选择性初次和翻修全关节置换病例，这些病例均有完整的财务和临床数据。与初次全关节置换相比，翻修手术的手术时间明显更长、失血量更大、住院时间更长，并发症发生率也高得多。实际医生报销费用并不比初次手术显著更高。医生报销费用占收取的总费用的18%，而实际假体成本占24%。进行翻修手术的外科医生比进行初次全关节置换时投入的时间明显更多，且承担的责任也更大。
