Document Detail

Proximal femoral replacements for metastatic bone disease: financial implications for sarcoma units.
MedLine Citation:
PMID:  19603165     Owner:  NLM     Status:  MEDLINE    
Metastatic pathological fractures of the proximal femur are increasingly treated by endoprosthetic proximal femoral replacement. We report the results and the costs incurred performing these procedures at our supra-regional sarcoma unit. Sixty-two patients underwent 63 proximal femoral replacements for metastatic bone disease over a seven-year period. Breast cancer was the most common primary pathology. One patient underwent a revision procedure for infection. Twenty-two patients suffered dislocations, most commonly those undergoing a conventional arthroplasty articulation. The estimated cost of a proximal femoral replacement is 18,002 pounds at our centre. Less than half of this is reimbursed under Payment by Results. Endoprosthetic replacement of the proximal femur is an effective treatment of metastases, but is poorly reimbursed under current funding arrangements.
Robert U Ashford; Sammy A Hanna; Derek H Park; Rob C Pollock; John A Skinner; Timothy W R Briggs; Stephen R Cannon
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Publication Detail:
Type:  Journal Article     Date:  2009-07-15
Journal Detail:
Title:  International orthopaedics     Volume:  34     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-21     Completed Date:  2010-08-26     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  709-13     Citation Subset:  IM    
East Midlands Sarcoma Service, Department of Orthopaedics, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK.
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MeSH Terms
Arthroplasty, Replacement, Hip / economics*
Costs and Cost Analysis
Femoral Fractures / etiology,  pathology,  surgery
Femoral Neoplasms / complications,  secondary,  surgery*
Fractures, Spontaneous / etiology,  pathology,  surgery
Health Care Costs*
Hip Prosthesis / economics*
Length of Stay
Sarcoma / complications,  secondary,  surgery*

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