A comparison of the cost effectiveness of one-stage versus two-stage bilateral total hip replacement

Mark Lorenze, Michael H. Huo, Laurine E. Zatorski, Kristaps J. Keggi

Research output: Contribution to journalArticle

49 Citations (Scopus)

Abstract

Forty patients underwent 80 bilateral primary total hip replacements (THRs) under the same anesthesia (one-stage). Forty other patients who underwent unilateral primary THRs during the same time interval were selected to match the first 40 patients with regard to age, sex, diagnosis, weight, medical comorbidity, type of prosthesis used, and perioperative management protocol. An assumption was made in that each unilateral case represented the first side of bilateral THRs performed during two separate hospitalizations (two-stage). Analysis of the total hospital charges submitted to the insurance companies was made between the groups. On average, there was a 24% reduction (P<.05) for each case if bilateral THRs were done in one stage. This was primarily due to a significant decrease (P<.05) in the length of hospital stay in the one-stage group. There was no difference between the two groups in the operative time, estimated blood loss, or perioperative complications.

Original languageEnglish (US)
Pages (from-to)1249-1252
Number of pages4
JournalOrthopedics
Volume21
Issue number12
StatePublished - Dec 1998

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Hip Replacement Arthroplasties
Cost-Benefit Analysis
Length of Stay
Hospital Charges
Operative Time
Insurance
Prostheses and Implants
Comorbidity
Hospitalization
Anesthesia
Weights and Measures

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

A comparison of the cost effectiveness of one-stage versus two-stage bilateral total hip replacement. / Lorenze, Mark; Huo, Michael H.; Zatorski, Laurine E.; Keggi, Kristaps J.

In: Orthopedics, Vol. 21, No. 12, 12.1998, p. 1249-1252.

Research output: Contribution to journalArticle

Lorenze, M, Huo, MH, Zatorski, LE & Keggi, KJ 1998, 'A comparison of the cost effectiveness of one-stage versus two-stage bilateral total hip replacement', Orthopedics, vol. 21, no. 12, pp. 1249-1252.
Lorenze, Mark ; Huo, Michael H. ; Zatorski, Laurine E. ; Keggi, Kristaps J. / A comparison of the cost effectiveness of one-stage versus two-stage bilateral total hip replacement. In: Orthopedics. 1998 ; Vol. 21, No. 12. pp. 1249-1252.
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