Generic total hip arthroplasty.
Hip Society meeting. New Orleans LA USA, 1994/02/27.
To decrease implant costs for total hip arthroplasty, a number of different options are available, including the use of remaindered implants, older designs, discounted stock, or specifically designed implants manufactured and sold at low cost.
To determine the prevalence of these practices, 80 questionnaires were mailed to members of the Hip Society ; 55 (79%) were completed and returned.
In addition, 32 questionnaires were mailed to a representative group of orthopaedic surgeons in Canada ; 29 (90%) were completed and returned.
Analysis of these returns revealed that 73% of the respondents used a low-cost prosthesis for certain indications in total hip arthroplasty.
No uniform policy with regard to cost containment or to the definition of low cost was apparent.
In a parallel study, the results of a clinical trial with a generic hip implant in 150 patients observed for 2 years or longer revealed the general improvement in hip scores and the rate of complication to be compatible with those of other, more-expensive hip prostheses.
Control of prosthetic costs as a means of influencing the cost of arthroplasty appears to be a widespread practice.
Mots-clés Pascal : Prothèse, Hanche, Coût, Implant, Questionnaire, Contrôle coût, Canada, Amérique du Nord, Amérique, Chirurgien, Homme, Chirurgie
Mots-clés Pascal anglais : Prosthesis, Hip, Costs, Implant, Questionnaire, Cost control, Canada, North America, America, Surgeon, Human, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0270969
Code Inist : 002B25I. Création : 01/03/1996.