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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
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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

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