TY - JOUR
T1 - Økonomiske konsekvenser ved accelererede knaealloplastikforløb
AU - Andersen, Signe Høngaard
AU - Husted, Henrik
AU - Kehlet, Henrik
AU - Andersen, Signe Høngaard
AU - Husted, Henrik
AU - Kehlet, Henrik
N1 - Keywords: Aged; Arthroplasty, Replacement, Knee; Cost Savings; Critical Pathways; Denmark; Early Ambulation; Humans; Length of Stay; Middle Aged; Patient Readmission; Physical Therapy Modalities; Primary Health Care; Retrospective Studies
PY - 2009
Y1 - 2009
N2 - INTRODUCTION: The aim of this study was to compare economic costs, readmissions and the use of services in the primary health care sector associated with total knee-arthroplasty (TKA) between a department with accelerated care pathways and two departments with more conventional pathways. MATERIAL AND METHODS: The cost data were collected retrospectively for 2006 for one department with accelerated pathways in TKA with a separate arthroplastic section, one department with more conventional pathways where the TKA patients were admitted together with acute patients and one department with conventional pathways with only elective orthopaedic surgery. We compared readmissions and the use of secondary services in the primary health sector within three months after discharge. RESULTS: Patient characteristics were comparable in the three departments, but the length of stay was significantly different (4.4 days; 7.2 days and 6.5 days). Savings of DKK 6,248 and DKK 5,229 per patient, respectively, were generated from the accelerated pathway compared with the two more conventional pathways. There was no difference regarding readmissions or use of services from the patients' general practitioner, but fewer visits at a private physiotherapist were used by patients in the accelerated pathway than by patients in the two more conventional pathways. CONCLUSION: The study shows that accelerated pathways are cost-saving compared with more conventional pathways.
Udgivelsesdato: 2009-Nov
AB - INTRODUCTION: The aim of this study was to compare economic costs, readmissions and the use of services in the primary health care sector associated with total knee-arthroplasty (TKA) between a department with accelerated care pathways and two departments with more conventional pathways. MATERIAL AND METHODS: The cost data were collected retrospectively for 2006 for one department with accelerated pathways in TKA with a separate arthroplastic section, one department with more conventional pathways where the TKA patients were admitted together with acute patients and one department with conventional pathways with only elective orthopaedic surgery. We compared readmissions and the use of secondary services in the primary health sector within three months after discharge. RESULTS: Patient characteristics were comparable in the three departments, but the length of stay was significantly different (4.4 days; 7.2 days and 6.5 days). Savings of DKK 6,248 and DKK 5,229 per patient, respectively, were generated from the accelerated pathway compared with the two more conventional pathways. There was no difference regarding readmissions or use of services from the patients' general practitioner, but fewer visits at a private physiotherapist were used by patients in the accelerated pathway than by patients in the two more conventional pathways. CONCLUSION: The study shows that accelerated pathways are cost-saving compared with more conventional pathways.
Udgivelsesdato: 2009-Nov
M3 - Tidsskriftartikel
SN - 0041-5782
VL - 171
SP - 3276
EP - 3280
JO - Ugeskrift for Laeger
JF - Ugeskrift for Laeger
IS - 45
ER -