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Economic Impact of Prosthetic Joint Infection - an Evaluation Within the Portuguese National Health System

2018-09-08Journal article Open access
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dc.contributor.authorSousa, A.
dc.contributor.authorCarvalho, A.
dc.contributor.authorPereira, C.
dc.contributor.authorReis, E.
dc.contributor.authorSantos, A.
dc.contributor.authorAbreu, M.
dc.contributor.authorSoares, D.
dc.contributor.authorFragoso, R.
dc.contributor.authorFerreira, S.
dc.contributor.authorReis, M.
dc.contributor.authorSousa, R.
dc.date.accessioned2019-08-29T09:12:36Z
dc.date.available2019-08-29T09:12:36Z
dc.date.issued2018-09-08
dc.description.abstractIntroduction: Prosthetic infection is a devastating complication of arthroplasty and carries significant economic burden. The objective of this study was to analyze the economic impact of prosthetic hip and knee infection in Portuguese National Health System. Material and Methods: Case-control study carried out from January 2014 to December 2015. The mean costs of primary arthroplasties and prosthetic revision surgeries for non-infectious reasons were compared with the costs of prosthetic infections treated with debridement and preservation of the prosthesis or with two-stage exchange arthroplasty.The reimbursement for these cases was also evaluated and compared with its real costs. Results: A total of 715 primary arthroplasties, 35 aseptic revisions, 16 surgical debridements and 15 revisions for infectious reasons were evaluated. The cost of primary arthroplasties was 3,230€ in the hips and 3,618€ in the knees. The cost of aseptic revision was 6,089€ in the hips and 7,985€ in the knees. In the cases treated with debridement and implant retention the cost was 5,528€ in the hips and 4,009€ in the knees. In cases of infections treated with a two-stage revision the cost was 11,415€ and 13,793€ for hips and knees, respectively. Conclusion: As far as we know this is the first study that analyzes the economic impact of prosthetic infection in the Portuguese context. Although direct compensation for treating infected cases is much lower than calculated costs, infected cases push the overall hospital case-mix-index upwards thus increasing financial compensation for the entire cohort of treated patients. This knowledge will allow for more informed decisions about health policies in the future.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Bone Jt Infect. 2018 Sep 8;3(4):197-202pt_PT
dc.identifier.doi10.7150/jbji.28508pt_PT
dc.identifier.issn2206-3552
dc.identifier.urihttp://hdl.handle.net/10400.16/2295
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherIvyspring International Publisherpt_PT
dc.relation.publisherversionhttp://www.jbji.net/v03p0197.htmpt_PT
dc.subjectPortugese National Health Systempt_PT
dc.subjectprosthetic joint infectionpt_PT
dc.titleEconomic Impact of Prosthetic Joint Infection - an Evaluation Within the Portuguese National Health Systempt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceAustraliapt_PT
oaire.citation.endPage202pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage197pt_PT
oaire.citation.titleJournal of Bone and Joint Infectionpt_PT
oaire.citation.volume3pt_PT
person.familyNameSousa
person.givenNameRicardo
person.identifier.ciencia-id8C18-816F-6E4A
person.identifier.orcid0000-0003-4293-7347
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication2f21d3c0-c752-499f-9bcc-d87d9fd31d5c
relation.isAuthorOfPublication.latestForDiscovery2f21d3c0-c752-499f-9bcc-d87d9fd31d5c

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