Evidence map›Paper›PMID 39417297›Full record

ArticleInternational journal of technology assessment in health care2024

Cost and resource comparison analysis for THA in Switzerland and Austria.

Stefan Blümel, Matthieu Hanauer, Alexander Heimann, Moritz Tannast, Joseph M Schwab

Abstract readComparative Study
In one paragraph

Article in International journal of technology assessment in health care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Stefan BlümelDepartment of Orthopedic Surgery, HFR Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.ORCID https://orcid.org/0009-0008-0915-1389
Matthieu HanauerDepartment of Orthopedic Surgery, HFR Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.
Alexander HeimannDepartment of Orthopedic Surgery, HFR Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.
Moritz TannastDepartment of Orthopedic Surgery, HFR Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.
Joseph M SchwabDepartment of Orthopedic Surgery, HFR Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTotal hip arthroplasty (THA) is an orthopedic intervention that generates substantial costs to national healthcare systems due to the number of interventions and the cost per intervention. We performed a cost comparison analysis in Austria and Switzerland.

methodsData from the national joint arthroplasty register in Switzerland and internal information from the national healthcare services in Austria and Switzerland were compared for patient demographics, interventional characteristics, and costs adjusted for inflation and purchasing power from 2015 to 2021.

resultsThe average age for primary THA in Austria was from 67.4 to 67.8 years with 55.9-57.2 percent female patients and from 68.5 to 69.3 years with 52.4-53.8 percent female patients in Switzerland. The annual incidence rate for primary THA rose from 210.28/100k to 216.6/100k in Austria and from 212/100k to 250/100k in Switzerland. After correction for inflation, costs were -1.91 percent lower in Austria in 2021 than in 2015 and -2.57 percent lower in Switzerland. After correction for purchasing power, costs were higher in Austria. The average hospital stay after THA in Austria was reduced by 20 percent (11.7 days/2015 vs. 9.4 days/2021) and 25 percent in Switzerland (8.4 days/2015 vs. 6.4 days/2021). Revision rate was 2.5-3.2 percent in Austria and 2.8-3.2 percent in Switzerland.

conclusionsThe patient population was comparable while patients undergoing primary THA in Austria stay longer in hospital and have relatively higher costs when adjusted for currency, purchasing power, and inflation. The use of standardized registers would be helpful to compare outcomes and costs.

Indexed as

Arthroplasty, Replacement, HipLength of StayAgedAustriaCosts and Cost AnalysisFemaleHumansMaleMiddle AgedSwitzerlandarthroplasty registercost comparison analysishealthcare costhealthcare qualityhospitalizationpurchasing powertotal hip arthroplasty

Identifiers

PMID39417297
PMCPMC11569899

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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.