Trial reportInternational journal of health care finance and economics2008
Early discharge and home intervention reduces unit costs after total hip replacement: results of a cost analysis in a randomized study.
Trial report in International journal of health care finance and economics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Early discharge hospital at home.The Cochrane database of systematic reviews · 2017Pooled it
- Assistive devices, hip precautions, environmental modifications and training to prevent dislocation and improve function after hip arthroplasty.The Cochrane database of systematic reviews · 2016Pooled it
- Preoperative education for hip or knee replacement.The Cochrane database of systematic reviews · 2014Pooled it
- Health and social support services in older adults recently discharged from hospital: service utilisation and costs and exploration of the impact of a home-exercise intervention.BMC geriatrics · 2016Trial
- Hospital at Home for Early Home Transfer after Bariatric Surgery: A Propensity-Score Matched Study.Obesity surgery · 2025Article
- Review
- Comparing outcomes of total hip arthroplasty versus hemiarthroplasty in neck of femur fracture patients: an Australian registry study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Organization of Rehabilitation Services in Randomized Controlled Trials: Which Factors Influence Functional Outcome? A Systematic Review.Archives of rehabilitation research and clinical translation · 2022Review
- Impact of Neuraxial Versus General Anesthesia on Discharge Destination in Patients Undergoing Primary Total Hip and Total Knee Replacement.Anesthesia and analgesia · 2021Article
- Using machine learning methods to predict nonhome discharge after elective total shoulder arthroplasty.JSES international · 2021Article
- Short Term Complications in Geriatric Ankle Fractures Using a Protocolized Approach to Surgical Treatment: Is Early Weight Bearing Safe?The Iowa orthopaedic journal · 2020Article
- Surgical Technical Evidence Review for Elective Total Joint Replacement Conducted for the AHRQ Safety Program for Improving Surgical Care and Recovery.Geriatric orthopaedic surgery & rehabilitation · 2018Review
- Blood management may have an impact on length of stay after total hip arthroplasty.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2014Article
- The challenge of obtaining information necessary for multi-criteria decision analysis implementation: the case of physiotherapy services in Canada.Cost effectiveness and resource allocation : C/E · 2013Article
- [Analysis of the activity of mobile rehabilitation-physiotherapy units in primary care].Atencion primaria · 2010Article
- THA with a minimally invasive technique, multi-modal anesthesia, and home rehabilitation: factors associated with early discharge?Clinical orthopaedics and related research · 2009Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Total hip replacement (THR) is a common and costly procedure. The number of THR is expected to increase over the coming years. Two pathways of postoperative treatment were compared in a randomized study. Fifty patients from two hospitals were randomized into a study group (SG) of 27 patients receiving preoperative and postoperative education programs, as well as home visits from an outpatient team. A control group (CG) of 23 patients received "conventional" rehabilitation augmented by a stay at a rehabilitation center if needed. All costs for the two groups both in hospitals and after discharge were collected and analyzed. On average total costs for the SG were $8,550 and $11,952 for the CG, a 28% cost reduction. Total inpatient costs were $5,225 for the SG and $6,515 for the CG. In a regression analysis the group difference is statistically significant. Adjusting for changes in the Oxford Hip Score gives effective costs (C/E). The ratio of the SGs C/E to the CGs is 0.60. That is a cost-effectiveness gain of 40%. A shorter hospital stay augmented with better preoperative education and home treatment appears to be more effective and costs less than the traditional in hospital pathway of treatment.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.