Seminars in Arthroplasty
Volume 19, Issue 2 , Pages 186-193 , June 2008

Cost Effectiveness of Minimally Invasive Total Hip Arthroplasty

  • Paul J. Duwelius, MD

      Affiliations

    • Providence St. Vincent Medical Center, Portland, OR.
    • Corresponding Author InformationAddress reprint requests to Paul J. Duwelius, MD, 11782 SW Barnes Road, Suite 300, Building C, Portland, OR 97225.
  • ,
  • Jonathan S. Brenner, MBA

      Affiliations

    • Zimmer Inc, Warsaw, IN.
  • ,
  • Daniel P. Reyner, DrPh, MS

      Affiliations

    • Zimmer Inc, Warsaw, IN.
  • ,
  • Janet C. George, MS

      Affiliations

    • Zimmer Inc, Warsaw, IN.

References 

  1. DeFrances CJ, Hall MJ, Podgornik MN. National Hospital Discharge Survey. Adv Data. 2003;359:1–202005
  2. Graves EJ. National Hospital Discharge Survey: Annual summary. Vital Health Stat. 1993;13:1–63121
  3. Muchmore L, Lynch WD, Gardner HH, et al. Prevalence of arthritis and associated joint disorders in an employed population and the associated healthcare, sick leave, disability, and workers' compensation benefits cost and productivity loss of employers. J Occup Environ Med. 2003;45:369–378
  4. Agency for Healthcare Research and Quality. http://www.ahrq.gov/HCUPnetAccessed July 6, 2005
  5. Praemer A, Furner S, Rice DP. The economic burden of musculoskeletal conditions, section 5, tables 15 and 16. In Musculoskeletal Conditions in the United States. Rosemont, IL: American Academy of Orthopaedic Surgeons; 1999;
  6. United States Government Accountability Office. Report to the Senate Committee on Finance and the House Committee on Ways and Means. Medicare: More Specific Criteria Needed to Classify Inpatient Rehabilitation Facilities 2005. 2005;April. Report No.: GAO-05-366
  7. Medicare Provider Analysis and Review (MEDPAR) of Short-Stay Hospitals. http://63.240.208.147/statistics/medpar/default.aspcAccessed January 18, 2006
  8. Berry DJ, Berger RA, Callaghan JJ, et al. Minimally invasive total hip arthroplasty: Development, early results, and a critical analysis. J Bone Joint Surg Am. 2003;85:2235–2246Presented at the Annual Meeting of the American Orthopaedic Association, Charleston, South Carolina, USA, June 14, 2003
  9. Bertin KC. Minimally invasive outpatient total hip arthroplasty: A financial analysis. Clin Orthop Relat Res. 2005;435:154–163
  10. Berger RA. Total hip arthroplasty using the minimally invasive two-incision approach. Clin Orthop Relat Res. 2003;417:232–241
  11. Berger RA, Duwelius PJ. The two-incision minimally invasive total hip arthroplasty: Technique and results. Orthop Clin North Am. 2004;35:163–172
  12. Berger RA, Jacobs JJ, Meneghini RM, et al. Rapid rehabilitation and recovery with minimally invasive total hip arthroplasty. Clin Orthop Relat Res. 2004;429:239–247
  13. MacWilliam CH, Yood MU, Verner JJ, et al. Patient-related risk factors that predict poor outcome after total hip replacement. Health Serv Res. 1996;31:623–638
  14. Nilsdotter AK, Lohmander LS. Patient relevant outcomes after total hip replacement: A comparison between different surgical techniques. Health Qual Life Outcomes. 2003;1:21
  15. Salmon P, Hall GM, Peerbhoy D, et al. Recovery from hip and knee arthroplasty: Patients' perspective on pain, function, quality of life, and well-being up to 6 months postoperatively. Arch Phys Med Rehabil. 2001;82:360–366
  16. Aarons H, Hall G, Hughes S, et al. Short-term recovery from hip and knee arthroplasty. J Bone Joint Surg Br. 1996;78:555–558
  17. Zimmer . Epoch Final Progress Report to the U.S. FDA. 2002;September 16
  18. Physician Compensation and Production Survey: 2003 Report Based on 2002 Data: Medical Group Management Association. 2003;
  19. Medicare Program: Physician Fee Schedule for Calendar Years 2002-2005 (Centers for Medicare and Medicaid Services). http://www.cms.hhs.gov/pfslookup/02_PFSsearch.asp?agree=yes&next=Accept
  20. Taira DA, Seto TB, Siegrist R, et al. Comparison of analytic approaches for the economic evaluation of new technologies alongside multicenter clinical trials. Am Heart J. 2003;145:452–458
  21. Finkler SA. The distinction between cost and charges. Ann Intern Med. 1982;96:102–109
  22. Henneckens CH, Buring JE. Epidemiolgy in Medicine. Boston, MA: Little, Brown and Company; 1987;
  23. Medicare Prospective Payment System for Inpatient Rehabilitation Facilities. http://www.cms.hhs.gov/InpatientRehabFacPPS/LIRFF/list.aspAccessed January 17, 2006
  24. Medicare Inpatient Rehabilitation Facility Prospective Payment System for FY 2003. http://www.cms.hhs.gov/InpatientRehabFacPPS/LIRFF/list.aspAccessed January 17, 2006
  25. Medicare Changes to the Inpatient Rehabilitation Facility Prospective Payment System and Fiscal Year 2004 Rates. http://www.cms.hhs.gov/InpatientRehabFacPPS/LIRFF/list.aspAccessed January 17, 2006
  26. Medicare Inpatient Rehabilitation Facility Prospective Payment System for Fiscal Year 2005. http://www.cms.hhs.gov/InpatientRehabFacPPS/LIRFF/list.aspAccessed January 17, 2006
  27. FY 2002 Medicare Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities Final Rule. http://www.cms.hhs.gov/SNFPPS/LSNFF/list.aspAccessed January 17, 2006
  28. FY 2003 Medicare Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities Final Rule. http://www.cms.hhs.gov/SNFPPS/LSNFF/list.aspAccessed January 17, 2006
  29. FY 2004 Medicare Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities Final Rule. http://www.cms.hhs.gov/SNFPPS/LSNFF/list.aspAccessed January 17, 2006
  30. FY 2005 Medicare Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities Final Rule. http://www.cms.hhs.gov/SNFPPS/LSNFF/list.aspAccessed January 17, 2006
  31. Medicare Prospective Payment System for Home Health Agencies. http://www.cms.hhs.gov/HomeHealthPPS/HHPPSRN/list.asAccessed January 17, 2006
  32. Medicare Update to the Prospective Payment System for Home Health Agencies for FY02. http://www.cms.hhs.gov/HomeHealthPPS/HHPPSRN/list.asAccessed January 17, 2006
  33. Medicare Update to the Prospective Payment System for Home Health Agencies for FY03. http://www.cms.hhs.gov/HomeHealthPPS/HHPPSRN/list.asAccessed January 17, 2006
  34. Medicare Home Health Prospective Payment System Rate Update for FY 2004. http://www.cms.hhs.gov/HomeHealthPPS/HHPPSRN/list.asAccessed January 17, 2006
  35. CMS Manual System, Pub. 100–20, One Time Notification, Transmittal 59. http://www.cms.hhs.gov/transmittals/downloads/R59OTN.pdfAccessed January 17, 2006
  36. Medicare Home Health Prospective Payment System Rate Update for Calendar Year 2005. http://www.cms.hhs.gov/HomeHealthPPS/HHPPSRN/list.aspAccessed January 17, 2006
  37. 2002 National Physician Fee Schedule Relative Value File. http://www.cms.hhs.gov/PhysicianFeeSched/PFSRVF/list.aspAccessed January 16, 2006
  38. 2003 National Physician Fee Schedule Relative Value File. http://www.cms.hhs.gov/PhysicianFeeSched/PFSRVF/list.aspAccessed January 16, 2006
  39. 2004 National Physician Fee Schedule Relative Value File. http://www.cms.hhs.gov/PhysicianFeeSched/PFSRVF/list.aspAccessed January 16, 2006
  40. 2005 National Physician Fee Schedule Relative Value File. http://www.cms.hhs.gov/PhysicianFeeSched/PFSRVF/list.aspAccessed January 16, 2006
  41. Bureau of Labor Statistics. http://www.bls.gov/news.release/archives/wkyeng_01262005.pdfAccessed January 17, 2006
  42. Bureau of Labor Statistics. http://www.bls.gov/news.release/archives/wkyeng_01262005.pdfAccessed January 16, 2006
  43. Bureau of Labor Statistics. http://www.bls.gov/news.release/archives/cpi_01162003.pdfAccessed January 17, 2006
  44. Bureau of Labor Statistics. http://www.bls.gov/news.release/archives/cpi_01192005.pdfAccessed January 17, 2006
  45. Bureau of Labor Statistics. http://www.bls.gov/news.release/archives/cpi_03232005.pdfAccessed January 17, 2006
  46. Bureau of Labor Statistics. http://www.bls.gov/news.release/archives/cpi_05182005.pdfAccessed January 17, 2006
  47. Bureau of Labor Statistics. http://www.bls.gov/news.release/archives/cpi_07142005.pdfAccessed January 17, 2006
  48. Bureau of Labor Statistics. http://www.bls.gov/news.release/archives/cpi_09152005.pdfAccessed January 17, 2006
  49. FY 2002 PPS Payment Impact File. http://www.cms.hhs.gov/AcuteInpatientPPS/HIF/list.aspAccessed January 16, 2006
  50. FY 2003 PPS Payment Impact File. http://www.cms.hhs.gov/AcuteInpatientPPS/HIF/list.aspAccessed January 16, 2006
  51. FY 2004 PPS Payment Impact File. http://www.cms.hhs.gov/AcuteInpatientPPS/HIF/list.aspAccessed January 16, 2006
  52. FY 2005 Final Impact. http://www.cms.hhs.gov/AcuteInpatientPPS/HIF/list.aspAccessed January 16, 2006
  53. Melhorn JM. Impairment and disability evaluations: Understanding the process. J Bone Joint Surg Am. 2001;83A:1905–1911
  54. Mahadevia PJ, Strell J, Kunaprayoon D, et al. Cost savings from intravenous immunoglobulin manufactured from chromotography/caprylate (IGIV-C) in persons with primary humoral immunodeficiency disorder. Value Health. 2005;8:488–494
  55. Gold M, Siegel J, Russell L, et al. Cost-Effectiveness in Health and Medicine. New York, NY: Oxford University Press; 1996;
  56. Brazier J, Roberts J, Tsuchiya A, et al. A comparison of the EQ-5D and SF-6D across seven patient groups. Health Econ. 2004;13:873–884
  57. Brazier JE, Roberts J. The estimation of a preference-based measure of health from the SF-12. Med Care. 2004;42:851–859
  58. Brazier JE, Roberts J, Deverill M. The estimation of a preference-based measure of health from the SF-36. J Health Econ. 2002;21:271–292
  59. Ware JEJ, Snow KK, Kosinski MK, et al. SF-36 Health Survey: Manual and Interpretation Guide. Boston, MA: Nimrod Press; 1993;
  60. Ware JE, Snow KK, Kosinski M, et al. How to Score the SF-36 Health Survey. Boston, MA: Medical Outcomes Trust; 1994;
  61. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: Treatment by mold arthroplasty (An end-result study using a new method of result evaluation). J Bone Joint Surg Am. 1969;51:737–755
  62. Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika. 1983;70:41–55
  63. Indurkhya A, Mitra N, Schrag D. Using propensity scores to estimate the cost-effectiveness of medical therapies. Stat Med. 2005;
  64. Rubin DB. Inference and Missing Data. Biometrika. 1976;63:581–592
  65. Tang L, Song J, Belin TR, et al. A comparison of imputation methods in a longitudinal randomized clinical trial. Stat Med. 2005;24:2111–2128
  66. Zhao SZ, Fiechtner JI, Tindall EA, et al. Evaluation of health-related quality of life of rheumatoid arthritis patients treated with celecoxib. Arthritis Care Res. 2000;13:112–121
  67. Oostenbrink JB, Al MJ. The analysis of incomplete cost data due to dropout. Health Econ. 2005;14:763–776
  68. Barnes SA, Lindborg SR, Seaman JW. Multiple imputation techniques in small sample clinical trials. Stat Med. 2005;
  69. SAS for the Personal Computer. Cary, NC: SAS, Inc; 2002;Version 9.1
  70. Kreder HJ, Deyo RA, Koepsell T, et al. Relationship between the volume of total hip replacements performed by providers and the rates of postoperative complications in the state of Washington. J Bone Joint Surg Am. 1997;79:485–494
  71. Hooker JA, Lachiewicz PF, Kelley SS. Efficacy of prophylaxis against thromboembolism with intermittent pneumatic compression after primary and revision total hip arthroplasty. J Bone Joint Surg Am. 1999;81:690–696
  72. Katz JN, Losina E, Barrett J, et al. Association between hospital and surgeon procedure volume and outcomes of total hip replacement in the United States medicare population. J Bone Joint Surg Am. 2001;83:1622–1629
  73. Hart R, Stipcak V, Janacek M, et al. Component position following total hip arthroplasty through a miniinvasive posterolateral approach. Acta Orthop Belg. 2005;71:60–64
  74. Kurtz S, Mowat F, Ong K, et al. Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002. J Bone Joint Surg Am. 2005;87:1487–1497
  75. Owings MF, Lawrence L. Detailed diagnoses and procedures, National Hospital Discharge Survey, 1997. Vital Health Stat. 1999;13:1–157
  76. Birrell F, Johnell O, Silman A. Projecting the need for hip replacement over the next three decades: Influence of changing demography and threshold for surgery. Ann Rheum Dis. 1999;58:569–572
  77. O'Brien BJ, Spath M, Blackhouse G, et al. A view from the bridge: Agreement between the SF-6D utility algorithm and the Health Utilities Index. Health Econ. 2003;12:975–981
  78. Petrou S, Hockley C. An investigation into the empirical validity of the EQ-5D and SF-6D based on hypothetical preferences in a general population. Health Econ. 2005;
  79. Bryan S, Longworth L. Measuring health-related utility: Why the disparity between EQ-5D and SF-6D?. Eur J Health Econ. 2005;6:253–260
  80. Feeny D, Wu L, Eng K. Comparing short form 6D, standard gamble, and Health Utilities Index Mark 2 and Mark 3 utility scores: results from total hip arthroplasty patients. Qual Life Res. 2004;13:1659–1670
  81. Kopec JA, Willison KD. A comparative review of four preference-weighted measures of health-related quality of life. J Clin Epidemiol. 2003;56:317–325
  82. Longworth L, Bryan S. An empirical comparison of EQ-5D and SF-6D in liver transplant patients. Health Econ. 2003;12:1061–1067

 Research supported by Zimmer (Duwelius) and Zimmer employment (Brenner, Reyner, George).

PII: S1045-4527(08)00014-X

doi: 10.1053/j.sart.2008.02.005

Seminars in Arthroplasty
Volume 19, Issue 2 , Pages 186-193 , June 2008