The economic implications of a multimodal analgesic regimen for patients undergoing major orthopedic surgery: A comparative study of direct costs

Regional Anesthesia and Pain Medicine

Volumn 34, Issue 4, 2009, Pages 301-307

  Duncan, Christopher M ^a,b   Long, Kirsten Hall ^a   Warner, David O ^a   Hebl, James R ^a  

^a Mayo Clinic College of Medicine   (United States)

^b NONE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

BUPIVACAINE; CELECOXIB; KETOROLAC; OXYCODONE; PARACETAMOL; ROFECOXIB;

ANALGESIA; ARTICLE; CLINICAL PATHWAY; COMPARATIVE STUDY; CONTINUOUS INFUSION; CONTROLLED STUDY; COST CONTROL; DRUG CHOICE; DRUG COST; HOSPITAL COST; HUMAN; MAJOR CLINICAL STUDY; MEDICAL FEE; MEDICARE; NERVE BLOCK; PAIN; PRIORITY JOURNAL; REIMBURSEMENT; TOTAL HIP PROSTHESIS; TOTAL KNEE REPLACEMENT;

ANALGESIA; ARTHROPLASTY, REPLACEMENT, HIP; ARTHROPLASTY, REPLACEMENT, KNEE; DIRECT SERVICE COSTS; HOSPITALIZATION; HUMANS; MEDICARE PART A; MEDICARE PART B; UNITED STATES;

EID: 70350157756     PISSN: 10987339     EISSN: None     Source Type: Journal    
DOI: 10.1097/AAP.0b013e3181ac7f86     Document Type: Article

References (24)

1. Keehan S, Sisko A, Truffer C, Smith S, Cowan C, Poisal J, et al. Health spending projections through 2017: the baby-boom generation is coming to Medicare. Health Aff. 2008;27:w145-w155.
2. Bozic KJ, Beringer D. Economic considerations in minimally invasive total joint arthroplasty. Clin Orthop Relat Res. 2007;463: 20-25. (Pubitemid 47585246)
3. DeFrances CJ, Podgomik MN. 2004 National Hospital Discharge Survey. Natl Cent Health Stat. 2006;371: 1-20.
4. Quality AfHRa: HCUPnet, Healthcare Cost and Utilization Project. Rockville, MD: Agency for Healthcare Research and Quality, 2004.
5. Quality AfHRa: HCUPnet, Healthcare Cost and Utilization Project. Rockville, MD. Agency for Healthcare Research and Quality, 2003.
6. Kurtz S, Mowat F, Ong K, Chan N, Lau E, Halpern M. 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.
7. Hebl JR, Dilger JA, Byer DE, Kopp SL, Stevens SR, Pagnano MW, et al. A preemptive multimodal pathway featuring peripheral nerve blockade improves perioperative outcomes after major orthopedic surgery. Reg Anesth Pain Med. 2008;33: 510-517.
8. Drummond MFM. Economic Evaluation in Health Care: Merging Theory With Practice. New York: Oxford University Press; 2001.
9. ISPOR: health care cost, quality and outcomes. ISPOR Book of Terms. Lawrenceville, NJ: International Society for Pharmacoeconomics and Outcomes Research; 2003.
10. Drummond MF. Methods for the Economic Evaluation of Health Care Programmes. 3rd ed. New York: Oxford University Press; 2005.
11. Lubarsky DA. Understanding the term "cost-effectiveness." J Clin Anesth. 1997;9: 603-604.
12. Lubarsky DA. Incentivize everything, incentivize nothing. Anesth Analg. 2005;100: 490-492.
13. Briggs A. Economic evaluation and clinical trials: size matters. Br Med J. 2000;321: 1362-1363.
14. Thompson SG, Barber JA. How should cost data in pragmatic randomised trials be analysed? Br Med J. 2000;320: 1197-2000.
15. Ilfeld BM, Mariano ER, Williams BA, Woodard JN, Macario A. Hospitalization costs of total knee arthroplasty with a continuous femoral nerve block provided only in the hospital versus on an ambulatory basis: a retrospective, case-control, cost-minimization analysis. Reg Anesth Pain Med. 2007;32: 46-54.
16. Briggs A, Gray A. The distribution of health care costs and their statistical analysis for economic evaluation. J Health Serv Res Policy. 1998;3:233-245.
17. Efron B, Tibshirani R. A Introduction to the Bootstrap. New York: Chapman & Hall; 1993.
18. Hebl JR, Kopp SL, Ali MH, Horlocker TT, Dilger JA, Lennon RL, et al. A comprehensive anesthesia protocol that emphasizes peripheral nerve blockade for total knee and total hip arthroplasty. J Bone Joint Surg Am. 2005;87(suppl 2):63-70.
19. Delaney CP, Kiran RP, Senagore AJ, Brady K, Fazio VW. Case-matched comparison of clinical and financial outcome after laparoscopic or open colorectal surgery. Ann Surg. 2003;238: 67-72.
20. Duncan PG, Ballantyne M. Does the method of payment affect anaesthetic practice? An evaluation of an alternate payment plan. Can J Anaesth. 1997;44: 503-510.
21. Greenberg CP. Practical, cost-effective regional anesthesia for ambulatory surgery. J Clin Anesth. 1995;7: 614-621.
22. Johnstone RE, Martinec CL. Costs of anesthesia. Anesth Analg. 1993;76: 840-848.
23. Kendell J, Wildsmith JA, Gray IG. Costing anaesthetic practice. An economic comparison of regional and general anaesthesia for varicose vein and inguinal hernia surgery. Anaesthesia. 2000;55: 1106-1113.
24. HCPR: HCPR-OCHEUD-Introduction. Rochester, MN: Mayo Clinic Division of Health Care Policy and Research; 2006.