Costs of staged versus simultaneous bilateral total knee arthroplasty: A population-based study of the Taiwanese National Health Insurance Database

Aaron Chih Chang Lin, En Chao, Che Ming Yang, Hsyien Chia Wen, Hsiao Li Ma, Tzu Chuan Lu

研究成果: 雜誌貢獻文章

13 引文 (Scopus)

摘要

Background: Bilateral total knee arthroplasty (TKA) is required for many patients. There are few studies comparing the overall costs of staged and simultaneous bilateral TKA.Methods: The Taiwan National Health Insurance Research Database (NHIRD) was searched, and the total medical costs of 452 patients who received simultaneous bilateral TKAs were compared with those of 690 who received staged bilateral TKAs.Results: All categories of medical costs were lower in the simultaneous TKA group, with the exception of therapeutic procedure fees which were higher in the simultaneous bilateral TKA group. The 10-year prosthesis survival rates for simultaneous and staged bilateral TKA were 90.9% and 87.5% (p > 0.05), respectively.Conclusions: These results indicate that simultaneous bilateral TKA is more cost effective than staged bilateral TKA. Prosthesis survival is not affected by the choice for staged or simultaneous bilateral TKA.

原文英語
文章編號59
期刊Journal of Orthopaedic Surgery and Research
9
發行號1
DOIs
出版狀態已發佈 - 七月 15 2014

指紋

Knee Replacement Arthroplasties
National Health Programs
Databases
Costs and Cost Analysis
Population
Prosthesis Failure
Fees and Charges
Taiwan
Survival Rate

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

引用此文

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title = "Costs of staged versus simultaneous bilateral total knee arthroplasty: A population-based study of the Taiwanese National Health Insurance Database",
abstract = "Background: Bilateral total knee arthroplasty (TKA) is required for many patients. There are few studies comparing the overall costs of staged and simultaneous bilateral TKA.Methods: The Taiwan National Health Insurance Research Database (NHIRD) was searched, and the total medical costs of 452 patients who received simultaneous bilateral TKAs were compared with those of 690 who received staged bilateral TKAs.Results: All categories of medical costs were lower in the simultaneous TKA group, with the exception of therapeutic procedure fees which were higher in the simultaneous bilateral TKA group. The 10-year prosthesis survival rates for simultaneous and staged bilateral TKA were 90.9{\%} and 87.5{\%} (p > 0.05), respectively.Conclusions: These results indicate that simultaneous bilateral TKA is more cost effective than staged bilateral TKA. Prosthesis survival is not affected by the choice for staged or simultaneous bilateral TKA.",
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T1 - Costs of staged versus simultaneous bilateral total knee arthroplasty

T2 - A population-based study of the Taiwanese National Health Insurance Database

AU - Lin, Aaron Chih Chang

AU - Chao, En

AU - Yang, Che Ming

AU - Wen, Hsyien Chia

AU - Ma, Hsiao Li

AU - Lu, Tzu Chuan

PY - 2014/7/15

Y1 - 2014/7/15

N2 - Background: Bilateral total knee arthroplasty (TKA) is required for many patients. There are few studies comparing the overall costs of staged and simultaneous bilateral TKA.Methods: The Taiwan National Health Insurance Research Database (NHIRD) was searched, and the total medical costs of 452 patients who received simultaneous bilateral TKAs were compared with those of 690 who received staged bilateral TKAs.Results: All categories of medical costs were lower in the simultaneous TKA group, with the exception of therapeutic procedure fees which were higher in the simultaneous bilateral TKA group. The 10-year prosthesis survival rates for simultaneous and staged bilateral TKA were 90.9% and 87.5% (p > 0.05), respectively.Conclusions: These results indicate that simultaneous bilateral TKA is more cost effective than staged bilateral TKA. Prosthesis survival is not affected by the choice for staged or simultaneous bilateral TKA.

AB - Background: Bilateral total knee arthroplasty (TKA) is required for many patients. There are few studies comparing the overall costs of staged and simultaneous bilateral TKA.Methods: The Taiwan National Health Insurance Research Database (NHIRD) was searched, and the total medical costs of 452 patients who received simultaneous bilateral TKAs were compared with those of 690 who received staged bilateral TKAs.Results: All categories of medical costs were lower in the simultaneous TKA group, with the exception of therapeutic procedure fees which were higher in the simultaneous bilateral TKA group. The 10-year prosthesis survival rates for simultaneous and staged bilateral TKA were 90.9% and 87.5% (p > 0.05), respectively.Conclusions: These results indicate that simultaneous bilateral TKA is more cost effective than staged bilateral TKA. Prosthesis survival is not affected by the choice for staged or simultaneous bilateral TKA.

KW - National health insurance research database

KW - Simultaneous bilateral TKA

KW - Staged bilateral TKA

KW - Total knee arthroplasty

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