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Title: Quantifying the excess cost and resource utilisation for patients with complications associated with elective knee arthroscopy: a retrospective cohort study.
Epworth Authors: de Steiger, Richard
Other Authors: Ademi, Zanfina
Bohensky, Megan
Liew, Danny
Sundararajan, Vijaya
Bucknill, Andrew
Kondogiannis, Chris
Brand, Caroline
Keywords: Arthroscopy
Adverse Outcomes
Health Services Research
Postoperative Complications
Elective Knee Arthroscopy
Postoperative Complications
Venous Thromboembolism
Joint Complication
Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Mar-2014
Publisher: Elsevier
Citation: Knee. 2014 Mar;21(2):491-6
Abstract: Background Recent studies have demonstrated morbidity associated with elective knee arthroscopy. The objective of the current study was to quantify resource utilisation and costs associated with postoperative complications following an elective knee arthroscopy. Methods We undertook a retrospective, longitudinal cohort study using routinely collected hospital data from Victorian public hospitals during the period from 1 July 2000 to 30 June 2009. A generalised linear model was used to examine relative cost and length of stay for venous thromboembolism, joint complications and infections. Log-transformed multiple linear regression and retransformation were used to determine the excess cost after adjustment. Results We identified 166,770 episodes involving an elective knee arthroscopy. There were a total of 976(0.6%) complications, including 573 patients who had a venous thromboembolism (VTE) (0.3%), 227 patients with a joint complication (0.1%) and 141 patients with infections (0.1%). After adjustment, the excess 30-day cost per patient for venous thromboembolism was $USD + 3227 (95% CI: $3211–3244), for joint complications it was $USD + 2247 (95% CI: $2216–2280) and for infections it was $USD + 4364 (95% CI: $4331–4397). Conclusion This is the first study to quantify resource utilisation for complications associated with elective knee arthroscopy. With growing attention focused on improving patient outcomes and containing costs, understanding the nature and impact of complications on resource utilisation is important.
DOI: 10.1016/j.knee.2013.11.009
PubMed URL:
ISSN: 0968 0160
Journal Title: Knee
Type: Journal Article
Affiliated Organisations: Melbourne EpiCentre, Department of Medicine, University of Melbourne, VIC, Australia
Centre for Research Excellence in Patient Safety, Monash University, Melbourne, Australia
Department of Medicine, St. Vincent's Hospital, University of Melbourne, Australia
Department of Medicine, Southern Clinical School, Monash University, Australia
Department of Orthopaedics, Melbourne Health, Melbourne, Australia
Musculoskeletal Clinical Institute, Epworth HealthCare
Type of Clinical Study or Trial: Retrospective studies
Appears in Collections:Musculoskeletal

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