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Journal

2007 | 2 | 1 | 47-65

Article title

Management patterns of thrombosis prophylaxis and related costs in hip and knee replacement in Germany

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EN

Abstracts

EN
The objective of the study was to depict treatment strategies, health care utilisation and cost evaluation of hip and knee replacement surgery in Germany, with a particular emphasis on thrombosis prophylaxis (TP) for the prevention of deep vein thrombosis (DVT). In this multi-centre prospective cohort study, medical record data (socio-demographics, risk factors for thrombosis, thrombosis prophylaxis, course of hospital stay) were collected for patients undergoing either total hip replacement (THR) or total knee replacement (TKR). One and three months post-operatively, post-operative outcomes and health care resource use were documented by patient and physician questionnaires. A total of 309 patients participated in the study (59% female, mean age 66 [SD 10] years). Parenteral anticoagulation was administered for a mean of 38 (SD 16) days. 27 (9%) patients received subsequent oral anticoagulation for a mean of 38 (SD 21) additional days. Symptomatic DVT was reported by four (1.3%) patients. Mean overall direct costs associated with surgery from baseline to 3 months were EUR 11 264 (median 11 564, SD 2 481). Hospital and rehabilitation accounted for 97% of direct costs; costs for medications, physical therapy, physician office visits, out-of-pocket expenses, as well as complication costs accounted for an additional 3% of direct costs. Within these direct costs, a mean of EUR 348 (SD 361) was related to thrombosis prophylaxis, accounting for 3% of direct costs. Mean overall cost was EUR 11 926 (SD 2 481), including 6% indirect costs of productivity loss. Extended thrombosis prophylaxis was observed in the usual care setting of the study and associated with low incidence of symptomatic DVT. Thrombosis prophylaxis is - within the considerable economic burden of joint replacement surgery - a relatively small cost component.

Publisher

Journal

Year

Volume

2

Issue

1

Pages

47-65

Physical description

Dates

published
1 - 3 - 2007
online
1 - 3 - 2007

Contributors

  • Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medical Center, 10098, Berlin, Germany
  • Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medical Center, 10098, Berlin, Germany
  • Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medical Center, 10098, Berlin, Germany
author
  • Department of Orthopaedics and Rheumatology, University Hospital Giessen and Marburg, 35043, Marburg, Germany
  • Institute for Social Medicine, Epidemiology and Health Economics, Charité University Medical Center, 10098, Berlin, Germany

References

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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-007-0005-7
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