Bone and Joint Institute

Title

In-Hospital Cost Analysis of Total Hip Arthroplasty: Does Surgical Approach Matter?

Document Type

Article

Publication Date

1-1-2016

Journal

Journal of Arthroplasty

Volume

31

Issue

1

First Page

53

Last Page

58

URL with Digital Object Identifier

10.1016/j.arth.2015.08.034

Abstract

© 2016 Elsevier Inc. The purposes of this study were to determine the impact of surgical approach on costs of total hip arthroplasty (THA) from a hospital perspective and to provide an updated cost estimation of THA. A prospective, microcosting analysis was performed on 118 patients undergoing a THA through an anterior, lateral, or posterior approach. We determined that overall costs (intraoperative costs and hospital stay) were significantly less for the anterior ($7300.22; 95% confidence interval [CI], 7064.49-7535.95) vs lateral ($7853.10; 95% CI, 7577.29-8128.91; P = .031) and anterior vs posterior approach ($8287.46; 95% CI, 7906.42-8668.51; P < .001). A reduction in hospital length of stay when THA was performed through an anterior approach contributed significantly to an overall reduction in costs from a hospital perspective.

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