Increased Use of an Expensive, Elective Procedure
Total Hip Replacements in the 1980s
Bibliographic Data
| ID | 9097399 |
|---|---|
| Authors | Bernard Friedman (Agency for Healthcare Research and Quality), Anne Elixhauser (Agency for Healthcare Research and Quality) |
| Year | 1993 |
| Volume | 31 |
| Issue | 7 |
| Pages | 581-599 |
| Publication date | 1993-07-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199307000-00002 |
| PMID | 8326773 |
| OpenAlex | W2030767186 |
| Language | EN |
| Citations received | 4 |
| References cited | 7 |
Between 1980 and 1987, the number of hospital discharges with total hip replacement (THR) increased by more than 90%, while total hospital discharges fell by more than 10%. Total hip replacement is one of the most costly hospital inpatient procedures, both per case and in total Medicare expenses. Explanations for the growth in use of THR may clarify some of the major forces driving national health care costs. This study assumes that treatment choices are made by (or for) each patient to maximize expected net benefits. Within this framework, the use of THR might have increased because of improved safety for the procedure, longer life expectancy and better control of many serious illnesses that led to increased demand for quality-enhancing procedures, and increased out-of-pocket cost for alternative treatments that are not covered well by insurance. These possible explanations imply changes in the characteristics of THR recipients over time. An upward shift was found in the age distribution of patients, more than simply because of an aging of the population. Sharply increased proportions of patients were also found with serious comorbidities such as cancer and dementia. The safety of the procedure seems to have improved, in terms of the death rate in the hospital. The results suggest that demands for expensive, elective procedures have been increasing for patients previously regarded as too old or impaired to benefit sufficiently. This process leads to continuing increases in real health care expenses even without the invention of new technologies
Dementia · Environmental health · Health care · Hospital care · Intensive care medicine · Life expectancy · Medical emergency · Population · Total hip replacement · Emergency Medicine · Global Health Care Issues · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Internal Medicine · Medicine · Surgery
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Disparity in Total Hip Replacement Affecting Hispanic Medicare Beneficiaries
Using Neural Networks to Identify Patients Unlikely to Achieve a Reduction in Bodily Pain After Total Hip Replacement Surgery
Hybrid Corn
Choosing between Logistic Regression and Discriminant Analysis
The accuracy of Medicare's hospital claims data
The Protracted Demise of Medical Technology
Changes in the Costs of Treatment of Selected Illnesses, 1971-1981
Priority Setting in Medical Technology and Medical Practice Assessment
Volume-Outcome Relationships and Inhospital Mortality
| Citations per year | 0.13 |
|---|---|
| Citation span | 1995 - 2002 (8) |
| Highly cited | No |