Costs of elective total hip arthroplasty during the first year. Cemented versus noncemented.
The cost-effectiveness of the Mallory Head (Biomet, Warsaw, IN) cemented versus noncemented total hip arthroplasty was determined as part of a randomized trial. Costs were assessed during the first postoperative year. In-hospital resource use was determined using a chart review of 60 randomly selected patients. Costs were determined using a fully allocated costing model. Outpatient resource use was determined using patient diaries, and appropriate costs were allocated for outpatient visits, admissions to hospital, and patient-borne costs. There was no difference in costs between the cemented and noncemented prostheses. The average cost of the initial hospitalization was $9,990 (1988 Canadian dollars), and outpatient costs during the first year were $1,137 (total cost during the first year was $11,127). The cost per quality adjusted life year was $27,139 during the first year and $8,031 during the first 3 years.
Laupacis
A
A
Division of General Medicine, University of Ottawa, Ontario, Canada.
Bourne
R
R
Rorabeck
C
C
Feeny
D
D
Wong
C
C
Tugwell
P
P
Leslie
K
K
Bullas
R
R
D000553:Ambulatory Care / Q000191:economics; D002484:Cementation / Q000191:economics*; D003362:Cost-Benefit Analysis; D005260:Female; D017048:Health Care Costs; D006622:Hip Prosthesis / Q000191:economics*; D017721:Hospital Costs; D006801:Humans; D008297:Male; D008875:Middle Aged