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Meta-Analysis
. 2020 Jan;30(1):67-74.
doi: 10.1007/s00590-019-02540-1. Epub 2019 Sep 11.

Economic analyses of fast-track total hip and knee arthroplasty: a systematic review

Matthias Büttner  1 , Anica M Mayer  2 , Britta Büchler  2 , Ulrich Betz  3 , Philipp Drees  4 , Singer Susanne  2
Affiliations
Meta-Analysis

Economic analyses of fast-track total hip and knee arthroplasty: a systematic review

Matthias Büttner et al. Eur J Orthop Surg Traumatol. 2020 Jan.

Abstract

Purpose: The number of total hip (THA) and knee arthroplasties (TKA) grows constantly which causes enormously rising costs for healthcare systems. The aim of this systematic literature review was to evaluate whether a cost reduction can be achieved by THA or TKA fast-track protocols, which is a multidisciplinary approach aiming at faster recovery.

Methods: A systematic literature research was undertaken for the timeframe from 2007/01/01 to 2019/03/04 in PubMed. Abstracts and title of the identified records were checked for eligible criteria and afterward the full text was assessed.

Results: Seven studies were included in the review. All studies showed a reduction in the total cost for fast-track THA and TKA. Most studies based their cost calculations on the amount of days the patients spend in the hospital.

Conclusion: Using a fast-track protocol can significantly reduce the overall costs of the treatment.

Keywords: Cost analysis; Cost-effectiveness; Fast-track; Total hip arthroplasty; Total knee arthroplasty.

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References

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