Tibial plateau fractures in Belgium: epidemiology, financial burden and costs curbing strategies
| Autor: | Michiel Herteleer, Celien Van Brandt, Stefaan Nijs, Cindy Vandoren, Harm Hoekstra |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Sports medicine Financial Stress Economic burden Critical Care and Intensive Care Medicine Fracture Fixation Internal 03 medical and health sciences 0302 clinical medicine Belgium Ambulatory care Health care Epidemiology Tibial plateau fracture INFECTION Humans Medicine Orthopedics and Sports Medicine Knee FIXATION Average cost Retrospective Studies Finance 030222 orthopedics geography Plateau geography.geographical_feature_category Science & Technology Tibia business.industry Incidence (epidemiology) 030208 emergency & critical care medicine medicine.disease Tibial Fractures Emergency Medicine RISK-FACTORS Surgery business Life Sciences & Biomedicine Length-of-stay |
| Popis: | PURPOSE: We describe the incidence of tibial plateau fractures and the evolution of its management and financial burden in Belgium, perform a similar audit at University Hospitals Leuven, and define strategies to curb the increasing cost. METHODS: National data on tibial plateau fractures were collected from the NIHDI and compared to our performance. Several clinical parameters, such as age, sex, treatment modality and length-of-stay, were included. The total healthcare costs are considered as the sum of hospitalization costs and ambulatory care costs. RESULTS: Between 2006 and 2018, a total number of 35,226 tibial plateau fractures were diagnosed in Belgium and 861 at our center. The incidence increased 41% over time (mean 25/100,000 persons per year). The mean rate of surgery in Belgium was 37% and slightly decreased over time, due to a larger increase of non-operatively treated tibial plateau fractures. The rate of surgery at the UHL was 49%. Surprisingly, the average cost per patient was equal for operatively and non-operatively treated patients in Belgium, and driven by the length-of stay. CONCLUSION: Since length-of-stay is the main driver of the total healthcare costs of tibial plateau fractures, guidelines on appropriate length-of-stay can help to decrease variability and curb the total healthcare costs, particularly of the non-operatively treated patients. Our performance was in line with this. LEVEL OF EVIDENCE: Level IV. ispartof: EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY vol:48 issue:5 pages:3643-3650 ispartof: location:Germany status: published |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|