Cost-effectiveness of Same-day Discharge Surgery for Primary Total Hip Arthroplasty: A Pragmatic Randomized Controlled Study

• DOI: 10.3389/fpubh.2022.825727
• Publication Date: 2022-04-25T11:00:35Z
• Authors: Yangyang Shi; Peipei Zhu; Jie Jia; Zengwu Shao; Shuhua Yang; Wei Chen; Ke Zhang; Wei Tong; Hongtao Tian
• Keywords: Hip Arthroplasty; Hip surgery

Total hip arthroplasty (THA) causes a great medical burden globally, and the same-day discharge (SDD) method has previously been considered to be cost saving. However, standard cost-effectiveness analysis (CEA) in randomized controlled trial (RCT) is needed evaluated benefits of SDD when performing THA from perspective both economic clinical outcomes. Eighty-four participants undergoing primary were either group or inpatient group. Outcomes assessed by an independent orthopedist who was not surgical team, using Oxford Hip Score (OHS), EuroQol 5D (EQ-5D), SF-36 scores quality-adjusted life years (QALYs). All information also collected. The mean stay patients 21.70 ± 3.45 h, while 78.15 26.36 h. This did detect any significant differences OHS QALYs. total significantly lower than that (¥69,771.27 6,608.00 vs. ¥80,666.17 8,421.96, p < 0.001). From cost, measuring OHS, incremental effect -0.12 -¥10,894.90. ratio (ICER) 90,790.83. When QALYs, 0.02, ICER negative. Sensitivity produced similar results. acceptable likelihood being more cost-effective traditional option. After conducting cost-utility analysis, resulted better reducing cost.