Journal article
Waiting for hip arthroplasty: economics costs and health outcomes
The Journal of Arthroplasty, Vol.20(8), pp.990-997
2005
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Source: InCites
Abstract
<p>This prospective cohort study of 153 patients aimed to determine the economic and health costs of waiting for total hip arthroplasty (THA). Health-related quality of life, using self-completed WOMAC and EQ-5D questionnaires, was assessed monthly from enrolment preoperatively to 6 months postsurgery. Monthly cost diaries were used to record costs. The mean waiting time was 5.1 months and mean total cost of waiting for surgery was NZ$4305 (US$2876) per person (pp) (NZ$1 = US$0.668). Waiting more than 6 months was associated with a higher total mean cost (NZ$4278/US$2858 pp) than waiting less than 6 months (NZ$2828/US$1889 pp; <em>P</em> < .01). Improvements from preoperative to postoperative WOMAC and EQ-5D scores were identified (<em>P</em> ≤ .01). Waiting longer led to poorer physical function preoperatively (<em>P</em> ≤ .01). Those with poor initial health status showed greater improvement in WOMAC (<em>P</em> = .0001) and EQ-5D (<em>P</em> = .003) measures by 6 months after surgery. Longer waits for total hip arthroplasty incur greater economic costs and deterioration in physical function while waiting.</p>
Details
- Title
- Waiting for hip arthroplasty: economics costs and health outcomes
- Creators
- Jann Fielden - Wellington School of Medicine and Health SciencesJ M Cumming - Victoria University of WellingtonJ G Horne - Wellington School of Medicine and Health SciencesP A Devane - Wellington School of Medicine and Health SciencesA Slack - Victoria University of WellingtonL M Gallagher - Victoria University of Wellington
- Publication Details
- The Journal of Arthroplasty, Vol.20(8), pp.990-997
- Identifiers
- 3855; 991012821043602368
- Academic Unit
- Faculty of Health; School of Health and Human Sciences; Nursing
- Resource Type
- Journal article