EUROHIP: Health Technology Assessment of Hip Arthroplasty in by Karsten E. Dreinhöfer, Paul Dieppe, Klaus-Peter Günther,

By Karsten E. Dreinhöfer, Paul Dieppe, Klaus-Peter Günther, Wolfhart Puhl

Most built nations are suffering to finance top notch overall healthiness deal with every body of their group, resulting in renewed emphasis on applicable and equitable provision of future health care, putting interventions which are either excessive in quantity and price below the microscope. This booklet offers readers with an realizing of the major concerns that dictate the availability of overall hip alternative, essentially the most reasonably-priced approaches on hand inside of healthiness care. A spotlight of the ebook is its multinational and multidisciplinary process proposing views from public overall healthiness, person sufferers and medical professionals, economists and future health care dealers and managers.

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Extra resources for EUROHIP: Health Technology Assessment of Hip Arthroplasty in Europe

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In the meantime, 80% of the hospital costs are generated in the first 48 h [36]. Boardman et al. [37] demonstrated that a further reduction of length of stay did not translate into significant decrease of hospital costs since the volume of service rendered was not reduced by the shorter hospitalisation. Recent attempts to control or further reduce the hospital cost of joint replacement operations are focussed on controlling the unit costs of personnel and hospital supplies and at controlling the cost of the implant [12].

Concerning the influence of process-related details on postoperative results, the literature is not conclusive. The HTA-reports give no recommendations concerning these influences. In countries that run implant registries (Sweden, Norway and Finland), feedback of results to the operating centres seems to improve process quality (cementing technique, antibiotic prophylactics). The systematic reviews do not yield results that are readily transferable into clinical practice. A comparative review on antimicrobial prophylactics states that the efficacy of the new generation cephalosporins is not superior to that of the older generation [12].

6 days. Costs incurred in the operating room accounted for more than 50% of the total costs. Antoniou et al. 2 days. The overhead costs accounted for 38% of the total. 2 days and an overhead of 31%. In an earlier study from Canada, Laupacis et al. [13] calculated the average cost of the initial hospitalisation for 60 THA in 1988 as US $7,452, while the outpatient costs during the first year were US$848 (total cost during the first year US$8,300). There seems to be an increase in cost for THA over the years.

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