Skip to main content

11.09.2019 | General Review • HIP - ARTHROPLASTY

Economic analyses of fast-track total hip and knee arthroplasty: a systematic review

verfasst von: Matthias Büttner, Anica M. Mayer, Britta Büchler, Ulrich Betz, Philipp Drees, Singer Susanne

Erschienen in: European Journal of Orthopaedic Surgery & Traumatology

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The number of total hip (THA) and knee arthroplasties (TKA) grows constantly which causes enormously rising costs for healthcare systems. The aim of this systematic literature review was to evaluate whether a cost reduction can be achieved by THA or TKA fast-track protocols, which is a multidisciplinary approach aiming at faster recovery.

Methods

A systematic literature research was undertaken for the timeframe from 2007/01/01 to 2019/03/04 in PubMed. Abstracts and title of the identified records were checked for eligible criteria and afterward the full text was assessed.

Results

Seven studies were included in the review. All studies showed a reduction in the total cost for fast-track THA and TKA. Most studies based their cost calculations on the amount of days the patients spend in the hospital.

Conclusion

Using a fast-track protocol can significantly reduce the overall costs of the treatment.
Literatur
1.
Zurück zum Zitat Turnbull ZA, Sastow D, Giambrone GP, Tedore T (2017) Anesthesia for the patient undergoing total knee replacement: current status and future prospects. Local Reg Anesth 10:1–7CrossRef Turnbull ZA, Sastow D, Giambrone GP, Tedore T (2017) Anesthesia for the patient undergoing total knee replacement: current status and future prospects. Local Reg Anesth 10:1–7CrossRef
2.
Zurück zum Zitat Vogel LA, Carotenuto G, Basti JJ, Levine WN (2011) Physical activity after total joint arthroplasty. Sports Health 3:441–450CrossRef Vogel LA, Carotenuto G, Basti JJ, Levine WN (2011) Physical activity after total joint arthroplasty. Sports Health 3:441–450CrossRef
3.
Zurück zum Zitat Kauppila A-M, Sintonen H, Aronen P, Ohtonen P, Kyllönen E, Arokoski JPA (2011) Economic evaluation of multidisciplinary rehabilitation after primary total knee arthroplasty based on a randomized controlled trial. Arthritis Care Res 63:335–341 Kauppila A-M, Sintonen H, Aronen P, Ohtonen P, Kyllönen E, Arokoski JPA (2011) Economic evaluation of multidisciplinary rehabilitation after primary total knee arthroplasty based on a randomized controlled trial. Arthritis Care Res 63:335–341
4.
Zurück zum Zitat Harris WH, Sledge CB (1990) Total hip and total knee replacement. N Engl J Med 323:725–731CrossRef Harris WH, Sledge CB (1990) Total hip and total knee replacement. N Engl J Med 323:725–731CrossRef
5.
Zurück zum Zitat Quack V, Ippendorf AV, Betsch M, Schenker H, Nebelung S, Rath B et al (2015) Multidisziplinäre Rehabilitation und multimodale Fast-Track-Rehabilitation in der Knieendoprothetik: schneller, besser, günstiger? Eine Umfrage und systematische Literaturrecherche. Die Rehabilit 54:245–251CrossRef Quack V, Ippendorf AV, Betsch M, Schenker H, Nebelung S, Rath B et al (2015) Multidisziplinäre Rehabilitation und multimodale Fast-Track-Rehabilitation in der Knieendoprothetik: schneller, besser, günstiger? Eine Umfrage und systematische Literaturrecherche. Die Rehabilit 54:245–251CrossRef
6.
Zurück zum Zitat Karlson EW, Mandl LA, Aweh GN, Sangha O, Liang MH, Grodstein F (2003) Total hip replacement due to osteoarthritis: the importance of age, obesity, and other modifiable risk factors. Am J Med 114:93–98CrossRef Karlson EW, Mandl LA, Aweh GN, Sangha O, Liang MH, Grodstein F (2003) Total hip replacement due to osteoarthritis: the importance of age, obesity, and other modifiable risk factors. Am J Med 114:93–98CrossRef
7.
Zurück zum Zitat Galbraith AS, McGloughlin E, Cashman J (2018) Enhanced recovery protocols in total joint arthroplasty: a review of the literature and their implementation. Irish J Med Sci 187(1):97–109CrossRef Galbraith AS, McGloughlin E, Cashman J (2018) Enhanced recovery protocols in total joint arthroplasty: a review of the literature and their implementation. Irish J Med Sci 187(1):97–109CrossRef
8.
Zurück zum Zitat Bitton R (2009) The economic burden of osteoarthritis. Am J Manag Care 15:S230–S235PubMed Bitton R (2009) The economic burden of osteoarthritis. Am J Manag Care 15:S230–S235PubMed
9.
Zurück zum Zitat Lavernia CJ, Villa JM (2015) Rapid recovery programs in arthroplasty: the money side. J Arthroplast 30:533–534CrossRef Lavernia CJ, Villa JM (2015) Rapid recovery programs in arthroplasty: the money side. J Arthroplast 30:533–534CrossRef
10.
Zurück zum Zitat Paxton EW, Inacio M, Slipchenko T, Fithian DC (2008) The Kaiser Permanente national total joint replacement registry. Perm J 12:12–16CrossRef Paxton EW, Inacio M, Slipchenko T, Fithian DC (2008) The Kaiser Permanente national total joint replacement registry. Perm J 12:12–16CrossRef
11.
Zurück zum Zitat Kurtz S, Ong K, Lau E, Mowat F, Halpern M (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am Vol 89:780–785CrossRef Kurtz S, Ong K, Lau E, Mowat F, Halpern M (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am Vol 89:780–785CrossRef
12.
Zurück zum Zitat Bleß H-H, Kip M (2017) Weißbuch Gelenkersatz: Versorgungssituation endoprothetischer Hüft- und Knieoperationen in Deutschland. Springer, BerlinCrossRef Bleß H-H, Kip M (2017) Weißbuch Gelenkersatz: Versorgungssituation endoprothetischer Hüft- und Knieoperationen in Deutschland. Springer, BerlinCrossRef
13.
Zurück zum Zitat Jørgensen CC, Kehlet H (2013) Fall-related admissions after fast-track total hip and knee arthroplasty—cause of concern or consequence of success? Clin Interv Aging 8:1569–1577CrossRef Jørgensen CC, Kehlet H (2013) Fall-related admissions after fast-track total hip and knee arthroplasty—cause of concern or consequence of success? Clin Interv Aging 8:1569–1577CrossRef
14.
Zurück zum Zitat Pamilo KJ, Torkki P, Peltola M, Pesola M, Remes V, Paloneva J (2018) Reduced length of uninterrupted institutional stay after implementing a fast-track protocol for primary total hip replacement. Acta Orthop 89(1):10–16CrossRef Pamilo KJ, Torkki P, Peltola M, Pesola M, Remes V, Paloneva J (2018) Reduced length of uninterrupted institutional stay after implementing a fast-track protocol for primary total hip replacement. Acta Orthop 89(1):10–16CrossRef
15.
Zurück zum Zitat Sarin A, Litonius ES, Naidu R, Yost CS, Varma MG, Chen L-L (2016) Successful implementation of an enhanced recovery after surgery program shortens length of stay and improves postoperative pain, and bowel and bladder function after colorectal surgery. BMC Anesthesiol 16:55CrossRef Sarin A, Litonius ES, Naidu R, Yost CS, Varma MG, Chen L-L (2016) Successful implementation of an enhanced recovery after surgery program shortens length of stay and improves postoperative pain, and bowel and bladder function after colorectal surgery. BMC Anesthesiol 16:55CrossRef
16.
Zurück zum Zitat Kehlet H (2013) Fast-track hip and knee arthroplasty. Lancet 381:1600–1602CrossRef Kehlet H (2013) Fast-track hip and knee arthroplasty. Lancet 381:1600–1602CrossRef
17.
Zurück zum Zitat Nanavati AJ, Prabhakar S (2014) Fast-track surgery: toward comprehensive peri-operative care. Anesthesia Essays Res 8:127–133CrossRef Nanavati AJ, Prabhakar S (2014) Fast-track surgery: toward comprehensive peri-operative care. Anesthesia Essays Res 8:127–133CrossRef
18.
Zurück zum Zitat Glassou EN, Pedersen AB, Hansen TB (2014) Risk of re-admission, reoperation, and mortality within 90 days of total hip and knee arthroplasty in fast-track departments in Denmark from 2005 to 2011. Acta Orthop 85(5):493–500CrossRef Glassou EN, Pedersen AB, Hansen TB (2014) Risk of re-admission, reoperation, and mortality within 90 days of total hip and knee arthroplasty in fast-track departments in Denmark from 2005 to 2011. Acta Orthop 85(5):493–500CrossRef
19.
Zurück zum Zitat Larsen K, Sørensen OG, Hansen TB, Thomsen PB, Søballe K (2008) Accelerated perioperative care and rehabilitation intervention for hip and knee replacement is effective: a randomized clinical trial involving 87 patients with 3 months of follow-up. Acta Orthop 79:149–159CrossRef Larsen K, Sørensen OG, Hansen TB, Thomsen PB, Søballe K (2008) Accelerated perioperative care and rehabilitation intervention for hip and knee replacement is effective: a randomized clinical trial involving 87 patients with 3 months of follow-up. Acta Orthop 79:149–159CrossRef
20.
21.
Zurück zum Zitat Klapwijk LCM, Mathijssen NMC, van Egmond JC, Verbeek BM, Vehmeijer SBW (2017) The first 6 weeks of recovery after primary total hip arthroplasty with fast track. Acta Orthop 88:140–144CrossRef Klapwijk LCM, Mathijssen NMC, van Egmond JC, Verbeek BM, Vehmeijer SBW (2017) The first 6 weeks of recovery after primary total hip arthroplasty with fast track. Acta Orthop 88:140–144CrossRef
22.
Zurück zum Zitat Pamilo KJ, Torkki P, Peltola M, Pesola M, Remes V, Paloneva J (2018) Fast-tracking for total knee replacement reduces use of institutional care without compromising quality. Acta Orthopaedica 89(2):184–189CrossRef Pamilo KJ, Torkki P, Peltola M, Pesola M, Remes V, Paloneva J (2018) Fast-tracking for total knee replacement reduces use of institutional care without compromising quality. Acta Orthopaedica 89(2):184–189CrossRef
23.
Zurück zum Zitat Seeber GH, Wijnen A, Lazovic D, Bulstra SK, Dietz G, van Lingen CP et al (2017) Effectiveness of rehabilitation after a total hip arthroplasty: a protocol for an observational study for the comparison of usual care in the Netherlands versus Germany. BMJ Open 7:e016020CrossRef Seeber GH, Wijnen A, Lazovic D, Bulstra SK, Dietz G, van Lingen CP et al (2017) Effectiveness of rehabilitation after a total hip arthroplasty: a protocol for an observational study for the comparison of usual care in the Netherlands versus Germany. BMJ Open 7:e016020CrossRef
24.
Zurück zum Zitat Moher D, Liberati A, Tetzlaff J, Altman DG, Group P (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097CrossRef Moher D, Liberati A, Tetzlaff J, Altman DG, Group P (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(7):e1000097CrossRef
25.
Zurück zum Zitat Higgins JPT, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD et al (2011) The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 343:d5928 (clinical research ed) CrossRef Higgins JPT, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD et al (2011) The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 343:d5928 (clinical research ed) CrossRef
26.
Zurück zum Zitat Andreasen SE, Holm HB, Jørgensen M, Gromov K, Kjærsgaard-Andersen P, Husted H (2017) Time-driven activity-based cost of fast-track total hip and knee arthroplasty. J Arthroplast 32:1747–1755CrossRef Andreasen SE, Holm HB, Jørgensen M, Gromov K, Kjærsgaard-Andersen P, Husted H (2017) Time-driven activity-based cost of fast-track total hip and knee arthroplasty. J Arthroplast 32:1747–1755CrossRef
27.
Zurück zum Zitat Khan SK, Malviya A, Muller SD, Carluke I, Partington PF, Emmerson KP et al (2014) Reduced short-term complications and mortality following enhanced recovery primary hip and knee arthroplasty: results from 6,000 consecutive procedures. Acta Orthop 85:26–31CrossRef Khan SK, Malviya A, Muller SD, Carluke I, Partington PF, Emmerson KP et al (2014) Reduced short-term complications and mortality following enhanced recovery primary hip and knee arthroplasty: results from 6,000 consecutive procedures. Acta Orthop 85:26–31CrossRef
28.
Zurück zum Zitat Larsen K, Hansen TB, Thomsen PB, Christiansen T, Søballe K (2009) Cost-effectiveness of accelerated perioperative care and rehabilitation after total hip and knee arthroplasty. J Bone Joint Surg Am vol 91:761–772CrossRef Larsen K, Hansen TB, Thomsen PB, Christiansen T, Søballe K (2009) Cost-effectiveness of accelerated perioperative care and rehabilitation after total hip and knee arthroplasty. J Bone Joint Surg Am vol 91:761–772CrossRef
29.
Zurück zum Zitat Wilches C, Sulbarána JD, Fernándeza JE, Gisberta JM, Bausili JM, Pelfort X (2017) Fast-track recovery technique applied to primary total hip and knee replacement surgery. Analysis of costs and complications. Rev Esp Cir Ortop Traumatol 61:111–116PubMed Wilches C, Sulbarána JD, Fernándeza JE, Gisberta JM, Bausili JM, Pelfort X (2017) Fast-track recovery technique applied to primary total hip and knee replacement surgery. Analysis of costs and complications. Rev Esp Cir Ortop Traumatol 61:111–116PubMed
30.
Zurück zum Zitat Lieb E, Hanstein T, Schuerings M, Trampuz A, Perka C (2015) Eine Verkürzung der Behandlungsdauer von periprothetischen Infektionen durch ein Fast-Track-Konzept ist ökonomisch unmöglich. Z Orthop Unfallchir 153:618–623CrossRef Lieb E, Hanstein T, Schuerings M, Trampuz A, Perka C (2015) Eine Verkürzung der Behandlungsdauer von periprothetischen Infektionen durch ein Fast-Track-Konzept ist ökonomisch unmöglich. Z Orthop Unfallchir 153:618–623CrossRef
31.
Zurück zum Zitat Köksal İ, Tahta M, Şimşek ME, Doğan M, Bozkurt M (2015) Efficacy of rapid recovery protocol for total knee arthroplasty: a retrospective study. Acta Orthop Traumatol Turcica 49:382–386 Köksal İ, Tahta M, Şimşek ME, Doğan M, Bozkurt M (2015) Efficacy of rapid recovery protocol for total knee arthroplasty: a retrospective study. Acta Orthop Traumatol Turcica 49:382–386
32.
Zurück zum Zitat Akhavan S, Ward L, Bozic KJ (2016) Time-driven activity-based costing more accurately reflects costs in arthroplasty surgery. Clin Orthop Relat Res 474:8–15CrossRef Akhavan S, Ward L, Bozic KJ (2016) Time-driven activity-based costing more accurately reflects costs in arthroplasty surgery. Clin Orthop Relat Res 474:8–15CrossRef
33.
Zurück zum Zitat Chen A, Sabharwal S, Akhtar K, Makaram N, Gupte CM (2015) Time-driven activity based costing of total knee replacement surgery at a London teaching hospital. Knee 22:640–645CrossRef Chen A, Sabharwal S, Akhtar K, Makaram N, Gupte CM (2015) Time-driven activity based costing of total knee replacement surgery at a London teaching hospital. Knee 22:640–645CrossRef
34.
Zurück zum Zitat Kirksey M, Chiu YL, Ma Y, Della Valle AG, Poultsides L, Gerner P et al (2012) Trends in in-hospital major morbidity and mortality after total joint arthroplasty: United States 1998–2008. Anesth Analg 115:321–327CrossRef Kirksey M, Chiu YL, Ma Y, Della Valle AG, Poultsides L, Gerner P et al (2012) Trends in in-hospital major morbidity and mortality after total joint arthroplasty: United States 1998–2008. Anesth Analg 115:321–327CrossRef
35.
Zurück zum Zitat Yanik JM, Bedard NA, Hanley JM, Otero JE, Callaghan JJ, Marsh JL (2018) Rapid recovery total joint arthroplasty is safe, efficient, and cost-effective in the veterans administration setting. J Arthroplast 33:3138–3142CrossRef Yanik JM, Bedard NA, Hanley JM, Otero JE, Callaghan JJ, Marsh JL (2018) Rapid recovery total joint arthroplasty is safe, efficient, and cost-effective in the veterans administration setting. J Arthroplast 33:3138–3142CrossRef
Metadaten
Titel
Economic analyses of fast-track total hip and knee arthroplasty: a systematic review
verfasst von
Matthias Büttner
Anica M. Mayer
Britta Büchler
Ulrich Betz
Philipp Drees
Singer Susanne
Publikationsdatum
11.09.2019
Verlag
Springer Paris
Erschienen in
European Journal of Orthopaedic Surgery & Traumatology
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-019-02540-1

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.