Journal Article

The total cost of hip-joint replacement; a model for purchasers

P. B. Pynsent, S. R. Carter and C. J. K. Bulstrode

in Journal of Public Health

Published on behalf of Faculty of Public Health of the Royal Colleges of Physicians of the United Kingdom

Volume 18, issue 2, pages 157-168
Published in print June 1996 | ISSN: 1741-3842
e-ISSN: 1741-3850 | DOI:
The total cost of hip-joint replacement; a model for purchasers

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A computer-based model is used to investigate the total cost of primary total hip-joint replacement The model takes into account the probability of prosthesis failure, death and re-revision. The results emphasize the importance of age at insertion, demonstrating that the expected life-span of the patient has a major influence on the total cost for a given prosthesis. The discussion considers the idea of a ‘lifetime care package’ to encapsulate the concept of quality when considering the purchasing of total hip replacements. If it is assumed that a primary replacement episode costs £3500 and revision surgery costs twice as much, then the additional premium on the best implant currently available would be £630. The premium payable on the same patient using the worst design would be £3080. This difference reflects the importance of quality in total hip replacement surgery.

Keywords: joint replacement; quality; cost; survival

Journal Article.  0 words. 

Subjects: Public Health and Epidemiology

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