Metrika

  • citati u SCIndeksu: 0
  • citati u CrossRef-u:0
  • citati u Google Scholaru:[]
  • posete u poslednjih 30 dana:3
  • preuzimanja u poslednjih 30 dana:0

Sadržaj

članak: 1 od 30  
Back povratak na rezultate
Vojnosanitetski pregled
2018, vol. 75, br. 10, str. 989-997
Analiza troškova bolničkog lečenja obolelih od gonartroze implantacijom totalkondilarne endoproteze kolena
Pejčić Anaa ORCID, Radunović Aleksandarb, Vulović Majac ORCID
aUniverzitet u Kragujevcu, Medicinski fakultet
bVojnomedicinska akademija, Klinika za ortopedsku hirurgiju i traumatologiju, Beograd
cUniverzitet u Kragujevcu, Medicinski fakultet, Katedra za anatomiju i sudsku medicinu

e-adresa: aradunovic@yahoo.com
Sažetak
Uvod/Cilj. Totalna artroplastika kolena je elektivna i skupa procedura koja se u današnje vreme sprovodi sve češće kao posledica rastuće prevalencije gonartroze. Cilj ovog rada bio je analiza vrednosti i strukture bolničkih troškova lečenja obolelih od gonartroze implantacijom totalkondilarne endoproteze kolena. Metode. Ova studija je sprovedena kao opservaciona retrospektivna studija troškova zasnovana na pristupu 'od dna prema vrhu'. Istraživanu populaciju činilo je 97 bolesnika sa gonartrozom kojima je tokom 2014. godine urađena primarna unilateralna ili bilateralna implantacija totalkondilarne endoproteze kolena na Klinici za ortopedsku hirurgiju i traumatologiju Vojnomedicinske akademije u Beogradu. Bolnički troškovi su izračunati iz perspektive Republičkog fonda za zdravstveno osiguranje, na osnovu analize baze podataka nastale na osnovu anonimizirane fakturisane medicinske dokumentacije na otpustu. Rezultati. Prosečna starost ispitanika bila je 67,89 godina. Većini bolesnika (njih 60, tj. 61,9%) je izvršena unilateralna implantacija totalkondilarne endoproteze kolena. Bilateralna implantacija je izvedena kod 37 bolesnika (38,1%). Prosečan ukupni bolnički trošak po bolesniku za zajedno posmatrane unilateralnu i bilateralnu implantaciju iznosio je 2.709,1 € (opseg: 1.685,2-5.356,6 €). Prosečan ukupni bolnički trošak po bolesniku iznosio je 2.093,8 € za unilateralnu implantaciju, dok je za bilateralnu implantaciju iznosio 3.706,8 €. Dve kategorije sa najvećim troškovima bili su troškovi materijala korišćenog tokom operacije i troškovi same operacije. Troškovi endoproteze bili su pojedinačno najveći u odnosu na ostale podkategorije troškova. Zaključak. Rezultati ove studije ukazuju na to da su bolnički troškovi implantacije primarne totalkondilarne endoproteze kolena značajni i da najveće kategorije troškova čine upravo troškovi same operacije i materijala korišćenog tokom operacije, pri čemu su pojedinačno najveći troškovi endoproteze. Buduća istraživanja bi mogla biti usmerena na analizu faktora koji utiču na ove troškove, kako bi se razvile efikasne strategije za uštedu u budućnosti.
Reference

*** (2016) GBD 2015 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Dis. Lancet, 388(10053); 1659-724

*** (2016) GBD 2015 Mortality and Causes of Death Collaborators. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: A systematic analysis for the Global Burden of Disease Study 2. Lancet, 388(10053); 1459-544

*** (2015) Cross Blue Shield Blue: A Study of Cost Variations for Knee and Hip Replacement Surgeries in the U.S. The Health of America Report, Available from: https: //www. bcbs. com/about-us/... of... /study-cost-variations

Atrey, A., Heylen, S., Gosling, O., Porteous, M.J.L., Haddad, F.S. (2016) The manufacture of generic replicas of implants for arthroplasty of the hip and knee. Bone & Joint Journal, 98-B(7): 892-900

Boniforti, F. (2015) Assessing hospital cost of joint arthroplasty. Joints, 03(04): 186-190

Bosco, J.A., Alvarado, C.M., Slover, J.D., Iorio, R., Hutzler, L.H. (2014) Decreasing Total Joint Implant Costs and Physician Specific Cost Variation Through Negotiation. Journal of Arthroplasty, 29(4): 678-680

Brauer, C.A. (2005) Cost-Utility Analyses in Orthopaedic Surgery. Journal of Bone and Joint Surgery (American), 87(6): 1253

Carr, A.J., Robertsson, O., Graves, S., Price, A.J., Arden, N.K., Judge, A., Beard, D.J. (2012) Knee replacement. Lancet, 379(9823): 1331-1340

Ceyhan, E., Gursoy, S., Akkaya, M., Ugurlu, M., Koksal, I., Bozkurt, M. (2016) Toward the Turkish National Registry System: A Prevalence Study of Total Knee Arthroplasty in Turkey. Journal of Arthroplasty, 31(9): 1878-1884

Crawford, D.C., Li, C.S., Sprague, S., Bhandari, M. (2015) Clinical and cost implications of inpatient versus outpatient orthopedic surgeries: a systematic review of the published literature. Orthopedic Reviews, 7(4):

Dakin, H., Gray, A., Fitzpatrick, R., MacLennan, G., Murray, D. (2012) Rationing of total knee replacement: a cost-effectiveness analysis on a large trial data set. BMJ Open, 2(1): e000332

Dawn, S.K., Pal, S. (2011) Medical Tourism in India: Issues, Opportunities and Designing Strategies for Growth and Development. Int J Multidiscip Res, 1(3); 185-202

DiGioia, A.M., Greenhouse, P.K., Giarrusso, M.L., Kress, J.M. (2016) Determining the True Cost to Deliver Total Hip and Knee Arthroplasty Over the Full Cycle of Care: Preparing for Bundling and Reference-Based Pricing. Journal of Arthroplasty, 31(1): 1-6

Fisher, E.S., Bell, J.S., Tomek, I.M., Esty, A.R., Godman, D.C. (2010) Trends and regional variation in hip, knee, and shoulder replacement. u: Dartmouth Atlas Surgery Report, Hanover, NH: The Dartmouth Institute for Health Policy and Clinical Practice

Fransen, M., Bridgett, L., March, L., Hoy, D., Penserga, E., Brooks, P. (2011) The epidemiology of osteoarthritis in Asia. International Journal of Rheumatic Diseases, 14(2): 113-121

GBD 2015 SDG Collaborators. (2016) Measuring the health-related Sustainable Development Goals in 188 countries: A baseline analysis from the Global Burden of Disease Study 2015. Lancet, 388(10053); 1813-850

Gutacker, N., Siciliani, L., Cookson, R. (2016) Waiting time prioritisation: Evidence from England. Social Science & Medicine, 159: 140-151

Haung, C.Y., Wang, S.P., Chiang, C.W. (2010) Cost feasibility of a prechecking medical tourism system for U. S. patients undertaking joint replacement surgery in Taiwan. Chang Gung Med J, 33(6); 684-92

Healy, W.L., Iorio, R., Ko, J., Appleby, D., Lemos, D.W. (2002) Impact of cost reduction programs on short-term patient outcome and hospital cost of total knee arthroplasty. Journal of Bone and Joint Surgery-American Volume, 84(3): 348-353

Healy, W.L., Iorio, R., Lemos, M.J., Patch, D.A., Pfeifer, B.A., Smiley, P.M., Wilk, R.M. (2000) Single Price/Case Price Purchasing in Orthopaedic Surgery: Experience at the Lahey Clinic*. Journal of Bone and Joint Surgery-American Volume, 82(5): 607-612

Healy, W.L., Rana, A.J., Iorio, R. (2011) Hospital Economics of Primary Total Knee Arthroplasty at a Teaching Hospital. Clinical Orthopaedics and Related Research®, 469(1): 87-94

Herrera-Espiñeira, C., Escobar, A., Navarro-Espigares, J.L., Jde, C.D., García-Pérez, L., Godoy-Montijano, A. (2013) Total knee and hip prosthesis: Variables associated with costs. Cir Cir, 81(3); 207-13, Spanish

Ho, D.M., Huo, M.H. (2007) Are Critical Pathways and Implant Standardization Programs Effective in Reducing Costs in Total Knee Replacement Operations?. Journal of the American College of Surgeons, 205(1): 97-100

Hussain, T., Bell, B., Brandt, C., Nuzzo, J., Erdos, J.J. (2010) Using VistA Electronic Medical Record Data Extracts to Calculate the Waiting Time for Total Knee Arthroplasty. Journal of Arthroplasty, 25(2): 213-215

Insall, J., Scott, W.N., Ranawat, C.S. (1979) The total condylar knee prosthesis. A report of two hundred and twenty cases. Journal of Bone & Joint Surgery, 61(2): 173-180

Institute of Public Healrth of Serbia 'Dr Milan Jovanović Batut' (2015) Report on improving the quality of work in health institutions of the Republic of Serbia in 2014. Belgrade: Institute of Public Healrth of Serbia 'Dr Milan Jovanović Batut'

Jain, N.B. (2012) Joint Replacement Costs in the Era of Healthcare Reform. Journal of Bone and Joint Surgery-American Volume, 94(18): e140-1-2

Jakovljevic, M., Laaser, U. (2015) Population aging from 1950 to 2010 in seventeen transitional countries in the wider region of South Eastern Europe. SEEJPH, 2014-42; doi: 10.12908/SEEJPH

1

Jakovljevic, M. (2015) The aging of Europe. The unexplored potential. Farmeconomia. Health economics and therapeutic pathways, 16(4): 89

15

Jakovljevic, M.B. (2013) Resource allocation strategies in Southeastern European health policy. European Journal of Health Economics, 14(2): 153-159

7

Jakovljević, M., Jovanović, M., Lazić, Z., Jakovljević, V., Đukić, A., Velicković, R., Antunović, M. (2011) Current efforts and proposals to reduce healthcare costs in Serbia. Serbian Journal of Experimental and Clinical Research, vol. 12, br. 4, str. 161-163

1

Johnson, V.L., Hunter, D.J. (2014) The epidemiology of osteoarthritis. Best Practice & Research Clinical Rheumatology, 28(1): 5-15

Khan, M. (2010) Medical tourism: Outsourcing of healthcare. u: International CHRIE Conference-Refereed Track., Available from: http://scholarworks.umass.edu/refereed/CHRIE_2010/Friday/2 3. [accessed 2016 October 15]

Kim, S., Losina, E., Solomon, D.H., Wright, J., Katz, J.N. (2003) Effectiveness of clinical pathways for total knee and total hip arthroplastyLiterature review. Journal of Arthroplasty, 18(1): 69-74

Kocić, M., Stanković, A., Zlatanović, D., Ćirić, T., Karalajić, S., Dimitrijević, I., Milenković, M. (2015) Functional improvement up to six months after total knee arthroplasty: Measured by knee range of motion and self-reported questionnaire. Acta medica Medianae, vol. 54, br. 4, str. 52-58

5

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. Journal of bone and joint surgery. American volume, 89(4): 780-5

Liao, C., Chan, H., Chao, E., Yang, C., Lu, T. (2015) Comparison of total hip and knee joint replacement in patients with rheumatoid arthritis and osteoarthritis: a nationwide, population-based study. Singapore Medical Journal, 56(01): 58-64

Lin, A., Chao, E., Yang, C., Wen, H., Ma, H., Lu, T. (2014) Costs of staged versus simultaneous bilateral total knee arthroplasty: a population-based study of the Taiwanese National Health Insurance Database. Journal of Orthopaedic Surgery and Research, 9(1): 59

1

Litwic, A., Edwards, M.H., Dennison, E.M., Cooper, C. (2013) Epidemiology and burden of osteoarthritis. British Medical Bulletin, 105(1): 185-199

Lizaur-Utrilla, A., Martinez-Mendez, D., Miralles-Muñoz, F.A., Marco-Gomez, L., Lopez-Prats, F.A. (2016) Negative impact of waiting time for primary total knee arthroplasty on satisfaction and patient-reported outcome. International Orthopaedics, 40(11): 2303-2307

1

Loeser, R.F., Collins, J.A., Diekman, B.O. (2016) Ageing and the pathogenesis of osteoarthritis. Nature Reviews Rheumatology, 12(7): 412-420

Losina, E., Walensky, R.P., Kessler, C.L., Emrani, P.S., Reichmann, W.M., Wright, E.A., Holt, H.L., Solomon, D.H., Yelin, E., Paltiel, A., Katz, J.N. (2009) Cost-effectiveness of Total Knee Arthroplasty in the United States. Archives of Internal Medicine, 169(12): 1113

Maheshwari, A., Argawal, M., Naziri, Q., Pivec, R., Mont, M., Rasquinha, V. (2014) Can Cementing Technique Reduce the Cost of a Primary Total Knee Arthroplasty?. Journal of Knee Surgery, 28(03): 183-190

Maradit, K.H., Visscher, S.L., Moriarty, J.P., Reinalda, M.S., Kremers, W.K., Naessens, J.M., Lewallen, D.G. (2013) Determinants of Direct Medical Costs in Primary and Revision Total Knee Arthroplasty. Clinical Orthopaedics and Related Research®, 471(1): 206-214

Maravic, M., Landais, P. (2006) Usefulness of a national hospital database to evaluate the burden of primary joint replacement for coxarthrosis and gonarthrosis in patients aged over 40 years. Osteoarthritis and Cartilage, 14(6): 612-615

March, L., Smith, E.U.R., Hoy, D.G., Cross, M.J., Sanchez-Riera, L., Blyth, F., Buchbinder, R., Vos, T., Woolf, A.D. (2014) Burden of disability due to musculoskeletal (MSK) disorders. Best Practice & Research Clinical Rheumatology, 28(3): 353-366

Marshall, D.A., Wasylak, T., Khong, H., Parker, R.D., Faris, P.D., Frank, C. (2012) Measuring the Value of Total Hip and Knee Arthroplasty: Considering Costs Over the Continuum of Care. Clinical Orthopaedics and Related Research®, 470(4): 1065-1072

Mather, R.C., Hug, K.T., Orlando, L.A., Watters, T.S., Koenig, L., Nunley, R.M., Bolognesi, M.P. (2014) Economic evaluation of access to musculoskeletal care: the case of waiting for total knee arthroplasty. BMC Musculoskeletal Disorders, 15(1):

Meyers, S.J., Reuben, J.D., Cox, D.D., Watson, M. (1996) Inpatient cost of primary total joint arthroplasty. Journal of Arthroplasty, 11(3): 281-285

2

National Bank of Serbia Exchange rate lists for a specific period. Available from: https: //www. nbs. rs/export/sites/default/internet/english/sk ripts/kl_period. html

Okike, K., o'Toole Robert, V., Pollak, A.N., Bishop, J.A., McAndrew, C.M., Mehta, S., Cross, W.W., Garrigues, G.E., Harris, M.B., Lebrun, C.T. (2014) Survey Finds Few Orthopedic Surgeons Know The Costs Of The Devices They Implant. Health Affairs, 33(1): 103-109

Pabinger, C., Lothaller, H., Geissler, A. (2015) Utilization rates of knee-arthroplasty in OECD countries. Osteoarthritis and Cartilage, 23(10): 1664-1673

Peel, T.N., Cheng, A.C., Liew, D., Buising, K.L., Lisik, J., Carroll, K.A., Choong, P.F.M., Dowsey, M.M. (2015) Direct Hospital Cost Determinants Following Hip and Knee Arthroplasty. Arthritis Care & Research, 67(6): 782-790

Piazolo, M., Zanca, N. (2011) Medical tourism: A case study for the USA and India, Germany and Hungary. Acta Polytechnica, 8: 27-38

Piscitelli, P., Iolascon, G., di Tanna, G., Bizzi, E., Chitano, G., Argentiero, A., Neglia, C., Giolli, L., Distante, A., Gimigliano, R., Brandi, M.L., Migliore, A. (2012) Socioeconomic burden of total joint arthroplasty for symptomatic hip and knee osteoarthritis in the Italian population: A 5-year analysis based on hospitalization records. Arthritis Care & Research, 64(9): 1320-1327

Republic Health Insurance Fund (2016) Report on conducted controls in healthcare institutions for 01. 01. 30. 06. Period. Available from: http://www.rfzo.rs/index.php/arhiva-vesti/906- izvrsene-kontrole-do-300616. [accessed 2017 February 1]. (Serbian)

Republic Health Insurance Fund (2017) Decision on the change of financial plan of the Republic Health Insurance Fund for the year 2016. http://www.rfzo.rs/download/fin_plan/odluka%20%20izmenama%20FP%20RFZO%20za%202016.%20godinu.pdf. [accessed 2017 February 1]. (Serbian)

1

Reuben, J.D., Meyers, S.J., Cox, D.D., Elliott, M., Watson, M., Shim, S.D. (1998) Cost comparison between bilateral simultaneous, staged, and unilateral total joint arthroplasty. J Arthroplasty, 13(2): 172-9

Ribiero, M.V. (2015) The cost variations in total the cost variations in total hip and knee implant surgeries across and within two Portuguese Hospitals. Porto: University of Porto, thesis

Robinson, J.C., Pozen, A., Tseng, S., Bozic, K.J. (2012) Variability in Costs Associated with Total Hip and Knee Replacement Implants. Journal of Bone and Joint Surgery-American Volume, 94(18): 1693-1698

Sculco, T.P. (2010) The Economics of New Age Arthroplasty: Can We Afford It?. Orthopedics

Stojkovic, M., Milovanovic, O. (2015) Health Spending Follows Pace of Population Aging: Challenges Lying Ahead of the Largest Western Balkan Market. Frontiers in Public Health, 3: 58

Stranges, E., Russo, C.A., Friedman, B. (2004-2007) Procedures with the Most Rapidly Increasing Hospital Costs: Statistical Brief 82

Stundner, O., Kirksey, M., Chiu, Y.L., Mazumdar, M., Poultsides, L., Gerner, P., Memtsoudis, S.G. (2013) Demographics and Perioperative Outcome in Patients with Depression and Anxiety Undergoing Total Joint Arthroplasty: A Population-Based Study. Psychosomatics, 54(2): 149-157

Suter, L.G., Paltiel, A., Rome, B.N., Solomon, D.H., Thornhill, T.S., Abrams, S.K., Katz, J.N., Losina, E. (2013) Placing a Price on Medical Device Innovation: The Example of Total Knee Arthroplasty. PLoS ONE, 8(5): e62709

Vekeman, F., LaMori, J.C., Laliberté, F., Nutescu, E., Duh, M.S., Bookhart, B.K., Schein, J., Dea, K., Olson, W.H., Lefebvre, P. (2012) In-hospital risk of venous thromboembolism and bleeding and associated costs for patients undergoing total hip or knee arthroplasty. Journal of Medical Economics, 15(4): 644-653

Walter, F.L., Bass, N., Bock, G., Markel, D.C. (2007) Success of clinical pathways for total joint arthroplasty in a community hospital. Clin Orthop Relat Res, 457: 133-7

Wang, K. (2015) Comparison of total knee replacement costs between 2005 and 2010. Osteoarthritis and Cartilage, 23: A202

Weiss, A.J., Elixhauser, A., Andrews, R.M. (2011) Characteristics of Operating Room Procedures in U. S. Hospitals. Statistical Brief, 170

World Health Organization (2003) The burden of muskulosceletal conditions at the start of the new millennium. Geneva: World Health Organization, Available from: whqlibdoc. who. int/trs/WHO_TRS_919. pdf [accessed 2016 October]. 23

Younger, A.S.E., MacLean, S., Daniels, T.R., Penner, M.J., Wing, K.J., Dunbar, M., Glazebrook, M. (2015) Initial Hospital-Related Cost Comparison of Total Ankle Replacement and Ankle Fusion With Hip and Knee Joint Replacement. Foot & Ankle International, 36(3): 253-257

1

Zhang, Y., Jordan, J.M. (2010) Epidemiology of Osteoarthritis. Clinics in Geriatric Medicine, 26(3): 355-369

Zywiel, M.G., Ulrich, S.D., Suda, A.J., Duncan, J.L., McGrath, M.S., Mont, M.A. (2010) Incidence and Cost of Intraoperative Waste of Hip and Knee Arthroplasty Implants. Journal of Arthroplasty, 25(4): 558-562
   

O članku

jezik rada: engleski
vrsta rada: izvorni naučni članak
DOI: 10.2298/VSP161105033P
objavljen u SCIndeksu: 25.10.2018.
metod recenzije: dvostruko anoniman
Creative Commons License 4.0

Povezani članci

Hosp Pharm Int Multi J (2016)
Trendovi prometa lekova 'siročića' u Srbiji - analiza 8 godina tržišta lekova 'siročića' u Srbiji
Pejčić Ana V., i dr.

Hosp Pharm Int Multi J (2017)
Uticaj kontekstualnih faktora i kontinuirane medicinske edukacije na zdravstvene ishode u Republici Srbiji
Vuković Mira H.

Srps arh celokup lekarstvo (2017)
Starenje stanovništva i rast izdvajanja za zdravstvenu zaštitu
Jakovljević Mihajlo

prikaži sve [28]