Economic Impact of Infected Total Knee Arthroplasty
Open Access
- 1 January 2012
- journal article
- Published by Hindawi Limited in The Scientific World Journal
- Vol. 2012, 1-6
- https://doi.org/10.1100/2012/196515
Abstract
Background.An enormous economic impact can be observed for infected total knee arthroplasties (TKA). The aim of the present study was to evaluate whether a cost covering treatment of infected TKA is feasible in the German DRG System.Patients and Methods.Average total treatment costs were evaluated for infected TKA and compared with a matched pair of primary TKA. Data was generated using the health record and the hospitals’ health information system. Results were evaluated and compared regarding the total personnel and material costs with respect to the financial receipts.Results.A total of 28 patients diagnosed with an infected TKA were included. A significant increase in the average length of stay, use of medical supplies and third party medical examinations were found for the infected TKA. An average deficiency of 6,356€ per patient was observed for the infected TKA. An average profit of 927€ per patient was made performing primary TKA.Conclusions.A cost-effective treatment of infected TKA was not feasible with the receipts from the German DRG System. An adaption of the receipts has to be evaluated. Moreover, other measures have to be considered in order to achieve a comprehensive medical yet financial reasonable standard in the treatment of infected TKA and THA.Keywords
This publication has 17 references indexed in Scilit:
- Hospital Economics of Primary Total Knee Arthroplasty at a Teaching HospitalClinical Orthopaedics & Related Research, 2011
- Increasing financial burden of revision total knee arthroplastyKnee Surgery, Sports Traumatology, Arthroscopy, 2010
- Incidence of Prosthetic Joint Infections After Primary Knee ArthroplastyThe Journal of Arthroplasty, 2010
- Microbiology of the infected knee arthroplasty: Report from the Swedish Knee Arthroplasty Register on 426 surgically revised casesScandinavian Journal of Infectious Diseases, 2009
- Unfallchirurgie und Orthopädie im G-DRG-System 2007Der Unfallchirurg, 2007
- Cost Effectiveness of Revision Total Knee ArthroplastyClinical Orthopaedics and Related Research, 2006
- The Increasing Financial Burden of Knee Revision Surgery in the United StatesPublished by Ovid Technologies (Wolters Kluwer Health) ,2006
- The Origins, Development, and Passage of Medicare's Revolutionary Prospective Payment SystemJournal of the History of Medicine and Allied Sciences, 2006
- Modellverfahren der Landesverbände der gewerblichen BerufsgenossenschaftenTrauma und Berufskrankheit, 2005
- Cost of Treating an Infected Total Knee ReplacementPublished by Ovid Technologies (Wolters Kluwer Health) ,1996