Cost of prostheses in patients with unilateral transtibial amputation for vascular disease : A population-based follow-up during 8 years of 112 patients.
We analyzed the cost of prostheses for patients amputated because of vascular disease.
During 1 year, 112 patients were treated with a primary unilateral transtibial amputation in Malmöhus county, Sweden, which has 527,000 inhabitants.
During the first 6 months after the amputation, 50% (56/112) of the patients had received a prosthesis.
At 6 months, 49 patients (7 had died) were examined, 18 had poor and 31 had good prosthetic function.
Within 1 year, 71 (63%) patients had been fitted with a prosthesis.
During 8 years after the amputation, they received altogether 137 prostheses and 54 exchange sockets ; 59% of the prostheses and 26% of the sockets were delivered during the first year.
Each patient received a median of 1 prosthesis and 1 extra socket.
During the 8-year period, the total cost of prostheses, sockets and maintenance for the 71 patients was USD 228,746, representing a median cost of USD 1,582 per patient.
The total cost of maintenance of the prostheses during the same period was USD 37,959, representing 20% of the total cost of all the prostheses and sockets.
There was no statistically significant difference in the costs between patients with good or poor function.
Mots-clés Pascal : Ischémie, Membre inférieur, Traitement, Amputation chirurgicale, Jambe, Unilatéral, Prothèse amovible, Postopératoire, Analyse coût, Epidémiologie, Suède, Europe, Homme, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Chirurgie, Traitement orthopédique
Mots-clés Pascal anglais : Ischemia, Lower limb, Treatment, Surgical amputation, Leg, Unilateral, Removable prosthesis, Postoperative, Cost analysis, Epidemiology, Sweden, Europe, Human, Cardiovascular disease, Vascular disease, Surgery, Orthopedic treatment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0091626
Code Inist : 002B26H. Création : 31/05/1999.