Effect of Facility on the Operative Costs of Total Ankle Arthroplasty:

Foot & Ankle Orthopaedics

Christopher E.Gross¹ 

关键词: cost analysis;    ankle arthroplasty;    surgery centers;   

DOI  :  10.1177/2473011416S00030

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle ArthritisIntroduction/Purpose:Cost containment is increasingly important in health care. Currently, Medicare does not reimburse for total ankle replacement (TAR) in the outpatient, ambulatory setting. Therefore, TAR in Medicare patients must be performed in the inpatient setting. The purpose of this study was to investigate if ambulatory surgery centers (ASC) can deliver lower-cost care and to identify sources of those cost savings in total ankle replacement (TAR). We hypothesize that total ankle arthroplasties cost significantly less than when performed in an inpatient setting.Methods:We performed a cost identification analysis of primary TAR at a single academic medical center. Multiple costs and time measures were taken from 574 consecutive patients over 4 years at either an inpatient facility or ASC. The relationships between total cost and operative time and multiple variables, including patient age, gender, comorbidities, type of implant used, and concurrent procedures performed were ...

【 授权许可】

CC BY