The hospital cost of hip replacement for old inpatients in Belgium

Foor, Julie De; Wilder, Philippe Van; Leclercq, Pol; Martins, Dimitri; Pirson, Michael

doi:10.1007/s41999-018-0150-3

Cited by 3 publications

(7 citation statements)

References 22 publications

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“…A longer hospitalization was found in Group B than in Group A. A study of 961 inpatients who underwent hip arthroplasty in nine general hospitals in Belgium in 2014 showed that the hospital stay duration was 9 days (range, 6.29–20.91 days), which was shorter than that of this study 29 . In this study, the median hospitalization cost of hip arthroplasty patients was 68,130.94 RMB.…”

Section: Discussioncontrasting

confidence: 62%

“…evaluated patients undergoing hip arthroplasty in Germany in 2007 and found that the average hospitalization costs were 7000.7 Euros. De Foor et al 29 . retrospectively assessed 961 inpatients who underwent hip arthroplasty in nine general hospitals in Belgium in 2014 and reported that the hospitalization cost was 8023.91 Euros (range, 6678.32–13,670.78 Euros).…”

Section: Discussionmentioning

confidence: 99%

“…Frerichmann et al 31 evaluated patients undergoing hip arthroplasty in Germany in 2007 and found that the average hospitalization costs were 7000.7 Euros. De Foor et al 29 retrospectively assessed 961 inpatients who underwent hip arthroplasty in nine Although the hospital stay duration of Group B was shorter than that of Group A, the hospitalization costs of Group B were significantly higher. This could be due to an increase in the price of consumables, perioperative examination, and drug costs of patients with multiple diseases.…”

Section: Comparison Of Hospitalization Duration and Costs Of Patients...mentioning

confidence: 99%

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Epidemiological Characteristics and Trends of Primary Hip Arthroplasty in Five Tertiary Hospitals: A Multicenter Retrospective Study

Sun

Zhao

Wang

et al. 2023

Orthopaedic Surgery

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ObjectiveThe number of primary hip arthroplasty (PHA) has increased sharply in recent years. Whether the epidemiological characteristics and trends of PHA have changed are unknown. This study aims to analyze the epidemiological characteristics and trends of those patients are urgent for public health institutions.MethodsThe data of patients who underwent PHA in five tertiary hospitals from January 2011 to December 2020 were retrospectively reviewed. A total of 21,898 patients were included, most of whom were aged 60–69 years (25.1% males and 31.5% females). According to the hospitalization date, the patients were divided into two groups (Group A and Group B). The patients admitted between January 2011 and December 2015 were designated as Group A (7862), and those admitted between January 2016 and December 2020 were designated as Group B (14036). The patient data of the two groups, including sex, age, disease causes, body mass index (BMI), comorbidities, surgical procedures, hospital stay duration, and hospitalization costs, were analyzed by Pearson chi‐Square test, Student t test or Mann–Whitney U test.ResultsMore women were included in Group B than in Group A (58.5% vs 52.5%, P < 0.001). The mean age of Group B was less than that of Group A (62.27 ± 14.77 vs 60.69 ± 14.44 years, P < 0.001). Femoral head necrosis was the primary pathogenic factor in both groups, with a higher proportion in Group B than in Group A (55.5% vs 45.5%, P < 0.001). Significant differences were found between the two groups in BMI, comorbidities, surgical procedures, hospital stay duration, and hospitalization costs. Total hip arthroplasty (THA) was the most common surgical procedure in both groups, with a higher proportion in Group B than in Group A (89.8% vs 79.3%, P < 0.001). The proportion of patients with one or more comorbidities was significantly higher in Group B than in Group A (69.2% vs 59.9%, P < 0.001). In addition, Group B had a shorter hospital stay duration and higher hospitalization costs than Group A.ConclusionFemoral head necrosis was the primary etiology for PHA in this study, followed by femoral neck fracture and hip osteoarthritis. Patients who underwent PHA exhibited a higher percentage of femoral head necrosis; underwent THA more often; and had larger BMIs, more comorbidities, higher medical costs, and younger age in the past decade.

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Section: Discussioncontrasting

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Comparison Of Hospitalization Duration and Costs Of Patients...mentioning

confidence: 99%

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Epidemiological Characteristics and Trends of Primary Hip Arthroplasty in Five Tertiary Hospitals: A Multicenter Retrospective Study

Sun

Zhao

Wang

et al. 2023

Orthopaedic Surgery

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“…This is also the case in other studies on the cost of diseases. 7 , 35 Nevertheless, as this type of data is utilized in the context of Belgian hospital financing, 8 it provides a degree of reliability.…”

Section: Discussionmentioning

confidence: 99%

Predictors and components of inpatient asthma hospital cost: A retrospective cohort study. Analysis from a sample of 14 Belgian hospitals

Seret,

Bruyneel,

Larcin

et al. 2024

Journal of Public Health Research

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Background: Addressing the challenges of asthma has involved various approaches, including the examination of costs associated with hospitalization. However, there is a limited number of studies that have investigated the actual expenses incurred by hospital settings in caring for asthma patients. This study aims to describe the costs, predictors, and breakdown of expenditures in different categories. Design and methods: A retrospective cohort study was conducted, involving 314 hospital stays of patients over 12 years old who were admitted for asthma and classified under APR-DRG 141 (asthma). Univariate and multiple linear regression analyses were performed. Results: The median cost, regardless of DRG severity, amounted to 2.314€ (1.550€−3.847€). Significant variations were observed when the sample was stratified based on the severity of DRG, revealing a cost gradient that increases with severity. The length of stay followed a similar trend. Six predictors were identified: age, admission to intensive care, asthma severity, severity level of the DRG, winter admission, and length of stay. The cost breakdown showed that 44% constituted direct costs, 25% were indirect costs, 26% were attributed to medical procedures performed outside the patient unit, and 5% were related to medication administration. Conclusions: This study initiates a discussion on the role of reducing hospital costs in strategies aiming at controlling asthma-related costs. We argue that cost reduction cannot be achieved solely at the hospital level but must be approached from a public health perspective. This includes promoting high-quality outpatient care and addressing factors leading to poor adherence to the care plan.

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“…Secondly, it is important to note that the analyzed data primarily originate from third party-collected medicoadministrative data, over which we have no control. This is also the case in other studies on the cost of diseases [6,31]. Nevertheless, as this type of data is utilized in the context of Belgian hospital nancing [7], it provides a degree of reliability.…”

Section: Limitationsmentioning

confidence: 94%

Predictors and components of inpatient asthma hospital cost: a retrospective cohort study. Analysis from a sample of 14 Belgian hospitals

Seret

Bruyneel

Larcin

et al. 2023

Preprint

Self Cite

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Background Addressing the challenges of asthma has involved various approaches, including the examination of costs associated with hospitalization. However, there is a limited number of studies that have investigated the actual expenses incurred by hospital settings in caring for asthma patients. This study aims to describe the costs, predictors, and breakdown of expenditures in different categories. Methods A retrospective cohort study was conducted, involving 314 hospital stays of patients over 12 years old who were admitted for asthma and classified under APR-DRG 141 (asthma). Univariate and multiple linear regression analyses were performed. Results The median cost, regardless of DRG severity, amounted to 2.314€ (1.550€-3.847€). Significant variations were observed when the sample was stratified based on the severity of DRG, revealing a cost gradient that increases with severity. The length of stay followed a similar trend. Six predictors were identified: age, admission to intensive care, asthma severity, severity level of the DRG, winter admission, and length of stay. The cost breakdown showed that 44% constituted direct costs, 25% were indirect costs, 26% were attributed to medical procedures performed outside the patient unit, and 5% were related to medication administration. Conclusions This study initiates a discussion on the role of reducing hospital costs in strategies aiming at controlling asthma-related costs. We argue that cost reduction cannot be achieved solely at the hospital level but must be approached from a public health perspective. This includes promoting high-quality outpatient care and addressing factors leading to poor adherence to the care plan.

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The hospital cost of hip replacement for old inpatients in Belgium

Cited by 3 publications

References 22 publications

Epidemiological Characteristics and Trends of Primary Hip Arthroplasty in Five Tertiary Hospitals: A Multicenter Retrospective Study

Epidemiological Characteristics and Trends of Primary Hip Arthroplasty in Five Tertiary Hospitals: A Multicenter Retrospective Study

Predictors and components of inpatient asthma hospital cost: A retrospective cohort study. Analysis from a sample of 14 Belgian hospitals

Predictors and components of inpatient asthma hospital cost: a retrospective cohort study. Analysis from a sample of 14 Belgian hospitals

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