A cost analysis of orthopedic foot surgery

NewsBot · Oct 17, 2015

Members do not see these Ads. Sign Up.
A cost analysis of orthopedic foot surgery: can outpatient continuous regional analgesia provide the same standard of care for postoperative pain control at home without shifting costs?
Saporito A et al
Eur J Health Econ. 2015 Oct 14

BACKGROUND AND OBJECTIVES:
Same-day surgery is common for foot surgery. Continuous regional anesthesia for outpatients has been shown effective but the economic impact on the perioperative process-related healthcare costs remains unclear.
METHODS:
One hundred twenty consecutive patients were included in this assessor-blinded, prospective cohort study and allocated according to inclusion criteria in the day-care or in the in-patient group. Standardized continuous popliteal sciatic nerve block was performed in both groups for 48 h using an elastomeric pump delivering ropivacaine 0.2 % at a rate of 5 ml/h with an additional 5 ml bolus every 60 min. Outpatients were discharged the day of surgery and followed with standardized telephone interviews. The total direct health costs of both groups were compared. Moreover, the difference in treatment costs and the difference in terms of quality of care and effectiveness between the groups were compared.
RESULTS:
Total management costs were significantly reduced in the day-care group. There was no difference between the groups regarding pain at rest and with motion, persistent pain after catheter removal and the incidence of PONV. Persistent motor block and catheter inflammation/infection were comparable in both groups. There was neither a difference in the number of unscheduled ambulatory visits nor in the number of readmissions.
CONCLUSIONS:
Day-care continuous regional analgesia leads to an overall positive impact on costs by decreasing the incidence of unplanned ambulatory visits and unscheduled readmissions, without compromising on the quality of analgesia, patients' satisfaction, and safety.
Click to expand...

NewsBot · Jun 21, 2018

Cost-Utility Analyses in US Orthopaedic Foot and Ankle Surgery: A Systematic Review
Aditya V. Karhade, BE, John Y. Kwon, MD, Aditya V. Karhade, BE, ...
Foot & Ankle Specialist June 20, 2018

Background. While investigations have been performed examining the quality of US-based cost-utility analyses for other orthopaedic subspecialties and have provided important insights, a similar analysis has not been performed examining the foot and ankle literature. Methods. A systematic review of foot and ankle studies was conducted to identify cost-utility analyses published between 2000 and 2017. Of 687 studies screened by abstract, 4 cost-utility studies were identified and scored by the Quality of Health Economic Studies instrument. Results. Of these 4 studies, 3 examined end-stage arthritis and 1 examined unstable ankle fractures. Cost-effective interventions identified by these studies included the performance of total ankle arthroplasty over ankle arthrodesis or nonoperative treatment for end-stage arthritis and suture button fixation over syndesmotic screws for unstable supination–external rotation ankle fractures. The mean Quality of Health Economic Studies scores for these studies was 87.5. Conclusion. Despite the increasing focus on value-based care delivery in the United States, there are few foot and ankle cost-utility analyses. Nonetheless, the quality of existing analyses is high. Certain interventions have been identified as cost-effective as highlighted above and the findings of this review can be used to help design future analyses in order to best demonstrate the cost-effectiveness of foot and ankle interventions.
Click to expand...

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Low-Cost Clinical Gait Analysis System

In-shoe pressure systems - cost analysis

The factory supplies directly and provides cost-effective professional shoe OEM (ODM) and developmen

Economic cost of running injury

The Design and Validation of a Low-cost Foot Measurement System

coricosteriod injections

Effectiveness of Foot Orthoses Versus Corticosteroid Injection for Plantar Heel Pain

Share This Page