Document Detail

Cost of prostheses in patients with unilateral transtibial amputation for vascular disease. A population-based follow-up during 8 years of 112 patients.
MedLine Citation:
PMID:  9930106     Owner:  NLM     Status:  MEDLINE    
We analyzed the cost of prostheses for patients amputated because of vascular disease. During 1 year, 112 patients were treated with a primary unilateral transtibial amputation in Malmöhus county, Sweden, which has 527,000 inhabitants. During the first 6 months after the amputation, 50% (56/112) of the patients had received a prosthesis. At 6 months, 49 patients (7 had died) were examined, 18 had poor and 31 had good prosthetic function. Within 1 year, 71 (63%) patients had been fitted with a prosthesis. During 8 years after the amputation, they received altogether 137 prostheses and 54 exchange sockets; 59% of the prostheses and 26% of the sockets were delivered during the first year. Each patient received a median of 1 prosthesis and 1 extra socket. During the 8-year period, the total cost of prostheses, sockets and maintenance for the 71 patients was USD 228,746, representing a median cost of USD 1,582 per patient. The total cost of maintenance of the prostheses during the same period was USD 37,959, representing 20% of the total cost of all the prostheses and sockets. There was no statistically significant difference in the costs between patients with good or poor function.
Y Hermodsson; B M Persson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta orthopaedica Scandinavica     Volume:  69     ISSN:  0001-6470     ISO Abbreviation:  Acta Orthop Scand     Publication Date:  1998 Dec 
Date Detail:
Created Date:  1999-02-12     Completed Date:  1999-02-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370352     Medline TA:  Acta Orthop Scand     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  603-7     Citation Subset:  IM    
Department of Orthopaedics, Helsingborg Hospital, Sweden.
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MeSH Terms
Aged, 80 and over
Amputation / economics*
Arterial Occlusive Diseases / economics,  mortality,  surgery*
Artificial Limbs / economics*
Costs and Cost Analysis
Ischemia / economics,  mortality,  surgery*
Leg / blood supply*
Middle Aged
Postoperative Complications / economics,  mortality
Prosthesis Failure / economics
Survival Rate
Tibia / surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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