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https://doi.org/10.20471/acc.2020.59.04.13

The Croatian Health Insurance Fund Does Not Recognize Differences in the Cost of Different Treatments for Revision Total Hip Arthroplasty

Srećko Sabalić orcid.org/0000-0003-0070-5206 ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; School of Medicine, University of Split, Split, Croatia
Dinko Vidović ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Slaven Babić ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Tomislav Ćuti ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Domagoj Gajski ; School of Dental Medicine, University of Zagreb, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Krešimir Rotim ; University of Applied Health Sciences, Zagreb, Croatia; School of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Dejan Blažević ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia

Sažetak

In recent years, there has been increased interest in the cost of treatment for revision
interventions for hip and knee prostheses. In all publications so far, the authors note the high cost
of treatment for revision interventions, especially if infection is present. The aim of this study was to
compare the cost of treatment and health insurance reimbursements between revision total hip arthroplasty
(THA) for infection and revision for aseptic indications (aseptic instability and periprosthetic
fracture). Hospital data on 168 patients having undergone revision THA between 2010 and 2018 at
the Department of Traumatology, Sestre milosrdnice University Hospital Centre from Zagreb were
analyzed. Financial data were collected from the Hospital Information System. Financial analysis
included total cost per patient, Croatian Health Insurance Fund reimbursements, cost of implants, and
length of hospital stay. The difference between the mean total cost per patient and the mean Croatian
Health Insurance Fund reimbursements was -262.83 € (-6.08%) for aseptic instability, -1694.94 €
(-17.25%) for infection and -916.49 € (-17.33%) for periprosthetic fracture. The Croatian Health
Insurance Fund does not recognize differences in the cost of revision THA for aseptic instability, infection
and periprosthetic fracture. Health insurance reimbursement is inadequate for centers that
offer revision hip surgery.

Ključne riječi

Revision total hip arthroplasty; Infection; Periprosthetic fracture; Aseptic instability; Financial analysis

Hrčak ID:

254074

URI

https://hrcak.srce.hr/254074

Datum izdavanja:

1.12.2020.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.632 *