Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-02T18:29:36.318Z Has data issue: false hasContentIssue false
  • English
  • Français

COST-UTILITY OF WAITING TIME IN TOTAL JOINT REPLACEMENTS: A RANDOMIZED CLINICAL TRIAL

Published online by Cambridge University Press:  07 January 2013

Ulla Tuominen ,
Harri Sintonen ,
Pasi Aronen ,
Johanna Hirvonen ,
Seppo Seitsalo ,
Matti Lehto ,
Kalevi Hietaniemi  and
Maria Blom
Ulla Tuominen
Affiliation:
The Social Insurance Institution, Research Department
Harri Sintonen
Affiliation:
Hjelt Institute, Department of Public Health
Pasi Aronen
Affiliation:
Hjelt Institute, Department of Public Health
Johanna Hirvonen
Affiliation:
University of Helsinki, Faculty of Pharmacy
Seppo Seitsalo
Affiliation:
University of Helsinki, Faculty of Pharmacy
Matti Lehto
Affiliation:
University of Helsinki, Faculty of Pharmacy
Kalevi Hietaniemi
Affiliation:
University of Helsinki, Faculty of Pharmacy
Maria Blom
Affiliation:
University of Helsinki, Faculty of Pharmacy
Get access Rights & Permissions [Opens in a new window]

Extract

In many Western countries, long waiting times for elective surgery are a concern. Major joint replacement is an example of a type of surgery with a high volume of demand and relatively long waiting periods for patients. As populations get older, the prevalence of slowly progressive diseases, such as osteoarthritis (OA) in hip and knee joints, is increasing. Over three-quarters of a million total hip and knee replacement surgeries are done in the United States annually (1). Furthermore, according to March et al. (1997), the costs of OA have been estimated to account for up to 1–2.5 percent of the Gross National Product (GNP) in several developed countries (2). In Finland, a total of 11,104 total joint replacements (TJRs) were performed in 2004 (hip 6,600 and knee 5,905), with the median waiting time of 181 days for the surgery (hip 153 and knee 209 days). Until 2007, the number of TJRs was 17,334 (hip 7,698 and knee 9,636), with a median waiting time of 120 and 142 days, respectively (3;4). The mean waiting time for elective surgical procedures is approximately 3 months in several countries and the maximum waiting times can stretch into years.

Keywords

Cost-utilityTotal Joint ReplacementHRQoL15Dwaiting time
Type
ASSESSMENTS
Information
International Journal of Technology Assessment in Health Care , Volume 29 , Issue 1 , January 2013 , pp. 27 - 34
Copyright
Copyright © Cambridge University Press 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Hoogeboom, TJ, van den Endey, CHM, van der Sluisz, G, et al.The impact of waiting for total joint replacement on pain and functional status: a systematic review. Osteoarthritis Cartilage. 2009;17:1420–7.CrossRefGoogle ScholarPubMed
2.March, LM, Bachmeier, CJM. Economic of osteoarthritis: a global perspective. Ballieres Clin Rheumatol. 1997;11:817–34.CrossRefGoogle ScholarPubMed
3.National Research and Development Centre for Welfare and Health. Operative inpatient service 2006. [cited 2007 November 16]. Available from: http://www.stakes.info/0, 1, 7.asp.Google Scholar
4.Lavernia, CJ, Guzman, JF, Gachupin-Garcia, . A cost effectiveness and quality of life in knee arthroplasty. Clin Orthop. 1997;345:134–9.CrossRefGoogle Scholar
5.Siciliani, L, Hurst, J. Explaining waiting time variations for elective surgery across OECD countries. OECD Health Working Papers. 2003;7:10–1.Google Scholar
6.Kili, S, Wright, I, Jones, RS. Change in Harris hip score in patients on the waiting list for total hip replacement. Ann R Coll Surg Engl. 2003;85:269–71.CrossRefGoogle ScholarPubMed
7.Sarin, S, Shields, DA, Farrah, J, Scurr, JH, Coleridge-Smith, PD. Does venous function deteriorate in patients waiting for varicose vein surgery? J R Soc Med. 1993;86.Google ScholarPubMed
8.Siciliani, L, Hurst, J. Explaining waiting time variations for elective surgery across OECD countries. OECD Economic Studies No, 38. 2004/1:95–123Google Scholar
9.Gravelle, H, Siciliani, L. Is waiting-time priorisation welfare improving? Health Econ. 2008;17:167–84.CrossRefGoogle Scholar
10.Hirvonen, J, Blom, M, Tuominen, U, et al.Health-related quality of life in patients waiting for major joint replacement. A comparison between patients and population controls. Health Qual Life Outcomes. 2006;4:3.CrossRefGoogle Scholar
11.Hirvonen, J, Blom, M, Tuominen, U, et al.Evaluating waiting time effect on health outcomes at admission: a prospective randomized study on patients with osteoarthritis of the knee joint. J Eval Clin Practice. 2007;13:728–33.CrossRefGoogle Scholar
12.Kapstad, H, Rustoen, T, Hanestad, BR, et al.Changes in pain, stiffness and physical function in patients with osteoarthritis waiting for hip or knee joint replacement surgery. Osteoarthritis Cartilage. 2007;15:837–43CrossRefGoogle ScholarPubMed
13.Hawker, GA, Stewart, L, French, MR, et al.Understanding the pain experience in hip and knee osteoarthritis–an OARSI/OMERACT initiative. Osteoarthritis Cartilage. 2008;16:415–22.CrossRefGoogle ScholarPubMed
14.Boutron, I, Rannou, F, Jardinaud-Lopez, M, et al.Disability and quality of life of patients with knee or hip osteoarthritis in the primary care setting and factors associated with general practitioners’ indication for prosthetic replacement within 1 year. Osteoarthritis Cartilage. 2008;16:1024–31.CrossRefGoogle ScholarPubMed
15.Tuominen, U, Sintonen, H, Hirvonen, J, et al.The effect of waiting time on health outcomes and the use and costs of medication in total hip replacement patients: a randomised clinical trial. Osteoarthritis Cartilage. 2009;17:1144–50.CrossRefGoogle Scholar
16.Laupacis, A, Bourne, R, Robareck, C, et al.Cost of elective total hip arthroplasty during the first year. Cemented versus noncementted. J Artroplasty. 1994;9:481–7.CrossRefGoogle Scholar
17.Rasanen, P, Paavolainen, P, Sintonen, H, et al.Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs. Acta Orthop. 2007;78:108–15.CrossRefGoogle ScholarPubMed
18.Rissanen, P, Aro, S, Sintonen, H, et al.Costs and cost-effectiveness in hip and knee replacements. A prospective study. Int J Technol Assess Health Care. 1997;13:575–88.CrossRefGoogle ScholarPubMed
19.Sintonen, H. Outcome measurement in acid-related diseases. Pharmaco Economics. 1994;5(Suppl.3):17–24.CrossRefGoogle Scholar
20.Sintonen, H. The 15D instrument of health-related quality of life: properties and applications. Ann Med. 2001;33:328–36.CrossRefGoogle ScholarPubMed
21.Hawthorne, G, Richardson, J, Day, NA. A comparison of the assessment of quality of life (AQoL) with four other generic utility instruments. Ann Med. 2001;33:358–70.CrossRefGoogle ScholarPubMed
22.Stavem, K. Reliability, validity and responsiveness of two multiattribute utility measures in patients with chronic obstructive pulmonary disease. Qual Life Res. 1999;8:45–54.CrossRefGoogle ScholarPubMed
23.Moock, J, Kohlmann, T. Comparing preference-based quality-of-life measures: results from rehabilitation patients with musculoskeletal, cardiovascular, or psychosomatic disorders. Qual Life Res. 2008;17:485–95.CrossRefGoogle ScholarPubMed
24.Hujanen, T, Kapiainen, S, Tuominen, U. Unit costs in Finnish Health care. 2006. [cited 2008 April 9]. Available from: http://www.terveydenhuollon_yksikkokustannukset_Suomessa_2006.Google Scholar
25.Hollis, S, Campbell, F. What is meant by intention to treat analysis? Survey of published randomized controlled trial. BMJ. 1999;319:670–4.CrossRefGoogle Scholar
26.Tuominen, U, Sintonen, H, Hirvonen, J, et al.Is longer waiting time for total knee replacement associated with health outcomes and medication costs? Randomized clinical trial. Value Health. 2010;13:998–1004.CrossRefGoogle ScholarPubMed
Supplementary material: File

Tuominen Supplementary Material

Appendix

Download Tuominen Supplementary Material(File)
File 126 KB
Supplementary material: File

Tuominen Supplementary Material

Appendix

Download Tuominen Supplementary Material(File)
File 124.4 KB
Supplementary material: File

Tuominen Supplementary Material

Appendix

Download Tuominen Supplementary Material(File)
File 48.1 KB
Supplementary material: File

Tuominen Supplementary Material

Appendix

Download Tuominen Supplementary Material(File)
File 41.5 KB
Supplementary material: File

Tuominen Supplementary Material

Appendix

Download Tuominen Supplementary Material(File)
File 32.3 KB