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
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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.