The Economic Impact of Minimally Invasive Total Hip Arthroplasty
Abstract We compared hospital length of stay (LOS) and costs between (1) minimally invasive total hip surgery (MIS) combined with an active hip pathway (AHP) and (2) long incision total hip surgery (LIS) with a passive hip pathway (PHP). A prospective consecutive cohort of 214 MIS/AHP patients was c...
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| Veröffentlicht in: | The Journal of arthroplasty 2011-09, Vol.26 (6), p.883-885 |
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| container_title | The Journal of arthroplasty |
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| creator | Duwelius, Paul J., MD Moller, Hans S., MD Burkhart, Robert L., PA Waller, Frederick, MD Wu, YingXing, MD Grunkemeier, Gary L., PhD |
| description | Abstract We compared hospital length of stay (LOS) and costs between (1) minimally invasive total hip surgery (MIS) combined with an active hip pathway (AHP) and (2) long incision total hip surgery (LIS) with a passive hip pathway (PHP). A prospective consecutive cohort of 214 MIS/AHP patients was compared to a concurrent cohort of 265 LIS/PHP patients. The MIS/AHP cohort had significantly decreased LOS (1.5 days vs. 3.8 days, P < .001) and hospital costs ($12.8 thousand vs. $16.7 thousand, P < .001). The complication rates were similar for MIS/AHP and LIS/PHP. We conclude that, compared to LIS/PHP, MIS/AHP significantly shortened LOS by an average of 2.3 days, and significantly reduced hospital costs by an average of $3.9 thousand per patient. |
| doi_str_mv | 10.1016/j.arth.2010.09.011 |
| format | Article |
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A prospective consecutive cohort of 214 MIS/AHP patients was compared to a concurrent cohort of 265 LIS/PHP patients. The MIS/AHP cohort had significantly decreased LOS (1.5 days vs. 3.8 days, P < .001) and hospital costs ($12.8 thousand vs. $16.7 thousand, P < .001). The complication rates were similar for MIS/AHP and LIS/PHP. We conclude that, compared to LIS/PHP, MIS/AHP significantly shortened LOS by an average of 2.3 days, and significantly reduced hospital costs by an average of $3.9 thousand per patient.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2010.09.011</identifier><identifier>PMID: 21051190</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>active hip pathway ; Adult ; Aged ; Arthroplasty, Replacement, Hip - adverse effects ; Arthroplasty, Replacement, Hip - economics ; Cohort Studies ; costs ; Hospital Costs - statistics & numerical data ; Humans ; Incidence ; length of stay ; Length of Stay - economics ; long incision total hip surgery ; Middle Aged ; Minimally Invasive Surgical Procedures - adverse effects ; Minimally Invasive Surgical Procedures - economics ; minimally invasive total hip arthroplasty ; Orthopedics ; Periprosthetic Fractures - epidemiology ; Prospective Studies ; Retrospective Studies ; Treatment Outcome ; Venous Thrombosis - epidemiology</subject><ispartof>The Journal of arthroplasty, 2011-09, Vol.26 (6), p.883-885</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c410t-b6461fbc713073a3611bf9b92c04278c88eb83ba481e733f06de8ce2e5cfdd3e3</citedby><cites>FETCH-LOGICAL-c410t-b6461fbc713073a3611bf9b92c04278c88eb83ba481e733f06de8ce2e5cfdd3e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540310005565$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21051190$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Duwelius, Paul J., MD</creatorcontrib><creatorcontrib>Moller, Hans S., MD</creatorcontrib><creatorcontrib>Burkhart, Robert L., PA</creatorcontrib><creatorcontrib>Waller, Frederick, MD</creatorcontrib><creatorcontrib>Wu, YingXing, MD</creatorcontrib><creatorcontrib>Grunkemeier, Gary L., PhD</creatorcontrib><title>The Economic Impact of Minimally Invasive Total Hip Arthroplasty</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract We compared hospital length of stay (LOS) and costs between (1) minimally invasive total hip surgery (MIS) combined with an active hip pathway (AHP) and (2) long incision total hip surgery (LIS) with a passive hip pathway (PHP). A prospective consecutive cohort of 214 MIS/AHP patients was compared to a concurrent cohort of 265 LIS/PHP patients. The MIS/AHP cohort had significantly decreased LOS (1.5 days vs. 3.8 days, P < .001) and hospital costs ($12.8 thousand vs. $16.7 thousand, P < .001). The complication rates were similar for MIS/AHP and LIS/PHP. We conclude that, compared to LIS/PHP, MIS/AHP significantly shortened LOS by an average of 2.3 days, and significantly reduced hospital costs by an average of $3.9 thousand per patient.</description><subject>active hip pathway</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthroplasty, Replacement, Hip - adverse effects</subject><subject>Arthroplasty, Replacement, Hip - economics</subject><subject>Cohort Studies</subject><subject>costs</subject><subject>Hospital Costs - statistics & numerical data</subject><subject>Humans</subject><subject>Incidence</subject><subject>length of stay</subject><subject>Length of Stay - economics</subject><subject>long incision total hip surgery</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - adverse effects</subject><subject>Minimally Invasive Surgical Procedures - economics</subject><subject>minimally invasive total hip arthroplasty</subject><subject>Orthopedics</subject><subject>Periprosthetic Fractures - epidemiology</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Venous Thrombosis - epidemiology</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhi0EokvhBTig3DhlmYntrCMhRFWVdqUiDixny3EmqhcnDnZ2pX37OtrCoQdOlkbf_1vzDWPvEdYIWH_ar02cH9YV5AE0a0B8wVYoeVUqAfVLtgKleCkF8Av2JqU9ZEJK8ZpdVAgSsYEV-7p7oOLGhjEMzhbbYTJ2LkJffHejG4z3p2I7Hk1yRyp2YTa-uHNTcZW_jWHyJs2nt-xVb3yid0_vJfv17WZ3fVfe_7jdXl_dl1YgzGVbixr71m6Qw4YbXiO2fdM2lQVRbZRVilrFWyMU0obzHuqOlKWKpO27jhO_ZB_PvVMMfw6UZj24ZMl7M1I4JK2UUEJyxTNZnUkbQ0qRej3FvEs8aQS9iNN7vYjTizgNjc5acujDU_2hHaj7F_lrKgOfzwDlJY-Ook7W0Wipc5HsrLvg_t__5Vnc-qzYGv-bTpT24RDHrE-jTpUG_XM53XI5BAApa8kfAfc3kv0</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Duwelius, Paul J., MD</creator><creator>Moller, Hans S., MD</creator><creator>Burkhart, Robert L., PA</creator><creator>Waller, Frederick, MD</creator><creator>Wu, YingXing, MD</creator><creator>Grunkemeier, Gary L., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>The Economic Impact of Minimally Invasive Total Hip Arthroplasty</title><author>Duwelius, Paul J., MD ; Moller, Hans S., MD ; Burkhart, Robert L., PA ; Waller, Frederick, MD ; Wu, YingXing, MD ; Grunkemeier, Gary L., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c410t-b6461fbc713073a3611bf9b92c04278c88eb83ba481e733f06de8ce2e5cfdd3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>active hip pathway</topic><topic>Adult</topic><topic>Aged</topic><topic>Arthroplasty, Replacement, Hip - adverse effects</topic><topic>Arthroplasty, Replacement, Hip - economics</topic><topic>Cohort Studies</topic><topic>costs</topic><topic>Hospital Costs - statistics & numerical data</topic><topic>Humans</topic><topic>Incidence</topic><topic>length of stay</topic><topic>Length of Stay - economics</topic><topic>long incision total hip surgery</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - adverse effects</topic><topic>Minimally Invasive Surgical Procedures - economics</topic><topic>minimally invasive total hip arthroplasty</topic><topic>Orthopedics</topic><topic>Periprosthetic Fractures - epidemiology</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Venous Thrombosis - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Duwelius, Paul J., MD</creatorcontrib><creatorcontrib>Moller, Hans S., MD</creatorcontrib><creatorcontrib>Burkhart, Robert L., PA</creatorcontrib><creatorcontrib>Waller, Frederick, MD</creatorcontrib><creatorcontrib>Wu, YingXing, MD</creatorcontrib><creatorcontrib>Grunkemeier, Gary L., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Duwelius, Paul J., MD</au><au>Moller, Hans S., MD</au><au>Burkhart, Robert L., PA</au><au>Waller, Frederick, MD</au><au>Wu, YingXing, MD</au><au>Grunkemeier, Gary L., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Economic Impact of Minimally Invasive Total Hip Arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>26</volume><issue>6</issue><spage>883</spage><epage>885</epage><pages>883-885</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract We compared hospital length of stay (LOS) and costs between (1) minimally invasive total hip surgery (MIS) combined with an active hip pathway (AHP) and (2) long incision total hip surgery (LIS) with a passive hip pathway (PHP). A prospective consecutive cohort of 214 MIS/AHP patients was compared to a concurrent cohort of 265 LIS/PHP patients. The MIS/AHP cohort had significantly decreased LOS (1.5 days vs. 3.8 days, P < .001) and hospital costs ($12.8 thousand vs. $16.7 thousand, P < .001). The complication rates were similar for MIS/AHP and LIS/PHP. We conclude that, compared to LIS/PHP, MIS/AHP significantly shortened LOS by an average of 2.3 days, and significantly reduced hospital costs by an average of $3.9 thousand per patient.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21051190</pmid><doi>10.1016/j.arth.2010.09.011</doi><tpages>3</tpages></addata></record> |
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| subjects | active hip pathway Adult Aged Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Hip - economics Cohort Studies costs Hospital Costs - statistics & numerical data Humans Incidence length of stay Length of Stay - economics long incision total hip surgery Middle Aged Minimally Invasive Surgical Procedures - adverse effects Minimally Invasive Surgical Procedures - economics minimally invasive total hip arthroplasty Orthopedics Periprosthetic Fractures - epidemiology Prospective Studies Retrospective Studies Treatment Outcome Venous Thrombosis - epidemiology |
| title | The Economic Impact of Minimally Invasive Total Hip Arthroplasty |
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