评估中足关节融合术的成本:一项回顾性队列研究。

IF 1.3 4区 医学 Q2 Medicine
William Newton MD , Andrew Rowley MD , Cody Ashy MD , Caroline P. Hoch MPH , Joshua L. Morningstar BS , Christopher E. Gross MD , Daniel J. Scott MD, MBA
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引用次数: 0

摘要

本回顾性队列研究旨在确定中足关节融合术治疗中足关节炎的经济成本,确定成本的主要驱动因素。使用南卡罗来纳州税收和财政事务(SCRFA)数据库对2012年至2020年南卡罗来纳州的中足关节融合术病例进行回顾性分析。通过ICD-9、ICD-10或CPT代码确定患者病例,我们的分析共纳入1,313例病例。接受足中部关节融合术的患者主要是女性(71.1%),高加索人(74.6%),通过商业保险(40.2%)或医疗保险(37.3%)投保,平均年龄为54.27岁(范围4-86岁)。每次中足关节融合术的平均总费用为54,307.08美元(范围9,433.05美元- 120,664.29美元),平均住院时间为1.26天(范围1-6天)。总收费从2012年的42,857美元上升到2020年的58,643.43美元。经分析,该费用的最大贡献者是供应(27,888.28美元),手术室费用(15,876.80美元)和麻醉费用(3,866.70美元)。值得注意的是,手术费的贡献相对较小(670.49美元)。每次中足关节融合术的平均总费用为54307.08美元,用品和手术室费用超过平均总费用的80%。由于专业服务(医师)费用仅占成本的1.2%,医院系统、医院管理人员和外科医生应考虑提高他们对降低手术成本的方法的理解,进行供应谈判,并过渡到更多的门诊手术,以此作为提高中足关节融合术护理价值的手段。临床证据等级:IV级,回顾性队列研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing the costs of midfoot arthrodesis: A retrospective cohort study
This retrospective cohort study aims to determine the economic cost of midfoot arthrodesis when treating midfoot arthritis, identifying the major driving forces of cost. A retrospective analysis was conducted on midfoot arthrodesis cases in South Carolina from 2012 to 2020 using the South Carolina Revenue and Fiscal Affairs (SCRFA) database. Patient cases were identified by ICD-9, ICD-10, or CPT code, yielding a total of 1,313 cases included in our analysis. Patients undergoing midfoot arthrodesis were primarily female (71.1 %), Caucasian (74.6 %), insured through commercial insurance (40.2 %) or Medicare (37.3 %), and had a mean age of 54.27 years (range 4-86). The mean total cost per midfoot arthrodesis was $54,307.08 (range $9,433.05-$120,664.29) and the mean length of stay was 1.26 (range 1-6) days. Total charges trended upward from $42,857 in 2012 to $58,643.43 in 2020. Upon analysis, the largest contributors to this cost were supplies ($27,888.28), operating room costs ($15,876.80), and anesthesia costs ($3,866.70). Notably, surgeon fees were a comparatively minor contributor ($670.49). The mean total cost per midfoot arthrodesis was $54,307.08, with supplies and operating room costs exceeded 80 % of the mean total costs. With professional service (physician) fees accounting for only 1.2 % of costs, hospital systems, hospital administrators, and surgeons should consider improving their understanding of ways to reduce surgical costs, supply negotiation, and transitioning to more outpatient surgery as means to improve the value of midfoot arthrodesis care.
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来源期刊
Journal of Foot & Ankle Surgery
Journal of Foot & Ankle Surgery ORTHOPEDICS-SURGERY
CiteScore
2.30
自引率
7.70%
发文量
234
审稿时长
29.8 weeks
期刊介绍: The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors.
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