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The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada
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| Zeitschriftentitel: | Infection Control & Hospital Epidemiology |
|---|---|
| Personen und Körperschaften: | , , , , , , |
| In: | Infection Control & Hospital Epidemiology, 39, 2018, 10, S. 1183-1188 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Cambridge University Press (CUP)
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| Schlagwörter: |
| author_facet |
Rennert-May, Elissa D. Conly, John Smith, Stephanie Puloski, Shannon Henderson, Elizabeth Au, Flora Manns, Braden Rennert-May, Elissa D. Conly, John Smith, Stephanie Puloski, Shannon Henderson, Elizabeth Au, Flora Manns, Braden |
|---|---|
| author |
Rennert-May, Elissa D. Conly, John Smith, Stephanie Puloski, Shannon Henderson, Elizabeth Au, Flora Manns, Braden |
| spellingShingle |
Rennert-May, Elissa D. Conly, John Smith, Stephanie Puloski, Shannon Henderson, Elizabeth Au, Flora Manns, Braden Infection Control & Hospital Epidemiology The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada Infectious Diseases Microbiology (medical) Epidemiology |
| author_sort |
rennert-may, elissa d. |
| spelling |
Rennert-May, Elissa D. Conly, John Smith, Stephanie Puloski, Shannon Henderson, Elizabeth Au, Flora Manns, Braden 0899-823X 1559-6834 Cambridge University Press (CUP) Infectious Diseases Microbiology (medical) Epidemiology http://dx.doi.org/10.1017/ice.2018.199 <jats:title>Abstract</jats:title><jats:sec id="S0899823X1800199X_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>Nearly 800,000 primary hip and knee arthroplasty procedures are performed annually in North America. Approximately 1% of these are complicated by a complex surgical site infection (SSI), leading to very high healthcare costs. However, population-based studies to properly estimate the economic burden are lacking. We aimed to address this knowledge gap.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs2" sec-type="general"><jats:title>Design</jats:title><jats:p>Economic burden study.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs3" sec-type="methods"><jats:title>Methods</jats:title><jats:p>Using administrative health and clinical databases, we created a cohort of all patients in Alberta, Canada, who received a primary hip or knee arthroplasty between April 1, 2012, and March 31, 2015. All patients who developed a complex SSI postoperatively were identified through a provincial infection prevention and control database. A combination of corporate microcosting data and gross costing methods were used to determine total mean 12- and 24-month costs, enabling comparison of costs between the infected and noninfected patients.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs4" sec-type="results"><jats:title>Results</jats:title><jats:p>Mean 12-month total costs were significantly greater in patients who developed a complex SSI compared to those who did not (CAD$95,321 [US$68,150] vs CAD$19,893 [US$14,223];<jats:italic>P</jats:italic>< .001). The magnitude of the cost difference persisted even after controlling for underlying patient factors. The most commonly identified causative pathogen (38%) was<jats:italic>Staphylococcus aureus</jats:italic>(95% MSSA).</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs5" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>Complex SSIs following hip and knee arthroplasty lead to high healthcare costs, which are expected to rise as the yearly number of surgeries increases. Using our costing estimates, the cost-effectiveness of different strategies to prevent SSIs should be investigated.</jats:p></jats:sec> The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada Infection Control & Hospital Epidemiology |
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Cambridge University Press (CUP), 2018 |
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0899-823X 1559-6834 |
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| title |
The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_unstemmed |
The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_full |
The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_fullStr |
The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_full_unstemmed |
The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_short |
The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_sort |
the cost of managing complex surgical site infections following primary hip and knee arthroplasty: a population-based cohort study in alberta, canada |
| topic |
Infectious Diseases Microbiology (medical) Epidemiology |
| url |
http://dx.doi.org/10.1017/ice.2018.199 |
| publishDate |
2018 |
| physical |
1183-1188 |
| description |
<jats:title>Abstract</jats:title><jats:sec id="S0899823X1800199X_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>Nearly 800,000 primary hip and knee arthroplasty procedures are performed annually in North America. Approximately 1% of these are complicated by a complex surgical site infection (SSI), leading to very high healthcare costs. However, population-based studies to properly estimate the economic burden are lacking. We aimed to address this knowledge gap.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs2" sec-type="general"><jats:title>Design</jats:title><jats:p>Economic burden study.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs3" sec-type="methods"><jats:title>Methods</jats:title><jats:p>Using administrative health and clinical databases, we created a cohort of all patients in Alberta, Canada, who received a primary hip or knee arthroplasty between April 1, 2012, and March 31, 2015. All patients who developed a complex SSI postoperatively were identified through a provincial infection prevention and control database. A combination of corporate microcosting data and gross costing methods were used to determine total mean 12- and 24-month costs, enabling comparison of costs between the infected and noninfected patients.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs4" sec-type="results"><jats:title>Results</jats:title><jats:p>Mean 12-month total costs were significantly greater in patients who developed a complex SSI compared to those who did not (CAD$95,321 [US$68,150] vs CAD$19,893 [US$14,223];<jats:italic>P</jats:italic>< .001). The magnitude of the cost difference persisted even after controlling for underlying patient factors. The most commonly identified causative pathogen (38%) was<jats:italic>Staphylococcus aureus</jats:italic>(95% MSSA).</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs5" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>Complex SSIs following hip and knee arthroplasty lead to high healthcare costs, which are expected to rise as the yearly number of surgeries increases. Using our costing estimates, the cost-effectiveness of different strategies to prevent SSIs should be investigated.</jats:p></jats:sec> |
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| author | Rennert-May, Elissa D., Conly, John, Smith, Stephanie, Puloski, Shannon, Henderson, Elizabeth, Au, Flora, Manns, Braden |
| author_facet | Rennert-May, Elissa D., Conly, John, Smith, Stephanie, Puloski, Shannon, Henderson, Elizabeth, Au, Flora, Manns, Braden, Rennert-May, Elissa D., Conly, John, Smith, Stephanie, Puloski, Shannon, Henderson, Elizabeth, Au, Flora, Manns, Braden |
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| description | <jats:title>Abstract</jats:title><jats:sec id="S0899823X1800199X_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>Nearly 800,000 primary hip and knee arthroplasty procedures are performed annually in North America. Approximately 1% of these are complicated by a complex surgical site infection (SSI), leading to very high healthcare costs. However, population-based studies to properly estimate the economic burden are lacking. We aimed to address this knowledge gap.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs2" sec-type="general"><jats:title>Design</jats:title><jats:p>Economic burden study.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs3" sec-type="methods"><jats:title>Methods</jats:title><jats:p>Using administrative health and clinical databases, we created a cohort of all patients in Alberta, Canada, who received a primary hip or knee arthroplasty between April 1, 2012, and March 31, 2015. All patients who developed a complex SSI postoperatively were identified through a provincial infection prevention and control database. A combination of corporate microcosting data and gross costing methods were used to determine total mean 12- and 24-month costs, enabling comparison of costs between the infected and noninfected patients.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs4" sec-type="results"><jats:title>Results</jats:title><jats:p>Mean 12-month total costs were significantly greater in patients who developed a complex SSI compared to those who did not (CAD$95,321 [US$68,150] vs CAD$19,893 [US$14,223];<jats:italic>P</jats:italic>< .001). The magnitude of the cost difference persisted even after controlling for underlying patient factors. The most commonly identified causative pathogen (38%) was<jats:italic>Staphylococcus aureus</jats:italic>(95% MSSA).</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs5" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>Complex SSIs following hip and knee arthroplasty lead to high healthcare costs, which are expected to rise as the yearly number of surgeries increases. Using our costing estimates, the cost-effectiveness of different strategies to prevent SSIs should be investigated.</jats:p></jats:sec> |
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| spelling | Rennert-May, Elissa D. Conly, John Smith, Stephanie Puloski, Shannon Henderson, Elizabeth Au, Flora Manns, Braden 0899-823X 1559-6834 Cambridge University Press (CUP) Infectious Diseases Microbiology (medical) Epidemiology http://dx.doi.org/10.1017/ice.2018.199 <jats:title>Abstract</jats:title><jats:sec id="S0899823X1800199X_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>Nearly 800,000 primary hip and knee arthroplasty procedures are performed annually in North America. Approximately 1% of these are complicated by a complex surgical site infection (SSI), leading to very high healthcare costs. However, population-based studies to properly estimate the economic burden are lacking. We aimed to address this knowledge gap.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs2" sec-type="general"><jats:title>Design</jats:title><jats:p>Economic burden study.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs3" sec-type="methods"><jats:title>Methods</jats:title><jats:p>Using administrative health and clinical databases, we created a cohort of all patients in Alberta, Canada, who received a primary hip or knee arthroplasty between April 1, 2012, and March 31, 2015. All patients who developed a complex SSI postoperatively were identified through a provincial infection prevention and control database. A combination of corporate microcosting data and gross costing methods were used to determine total mean 12- and 24-month costs, enabling comparison of costs between the infected and noninfected patients.</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs4" sec-type="results"><jats:title>Results</jats:title><jats:p>Mean 12-month total costs were significantly greater in patients who developed a complex SSI compared to those who did not (CAD$95,321 [US$68,150] vs CAD$19,893 [US$14,223];<jats:italic>P</jats:italic>< .001). The magnitude of the cost difference persisted even after controlling for underlying patient factors. The most commonly identified causative pathogen (38%) was<jats:italic>Staphylococcus aureus</jats:italic>(95% MSSA).</jats:p></jats:sec><jats:sec id="S0899823X1800199X_abs5" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>Complex SSIs following hip and knee arthroplasty lead to high healthcare costs, which are expected to rise as the yearly number of surgeries increases. Using our costing estimates, the cost-effectiveness of different strategies to prevent SSIs should be investigated.</jats:p></jats:sec> The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada Infection Control & Hospital Epidemiology |
| spellingShingle | Rennert-May, Elissa D., Conly, John, Smith, Stephanie, Puloski, Shannon, Henderson, Elizabeth, Au, Flora, Manns, Braden, Infection Control & Hospital Epidemiology, The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada, Infectious Diseases, Microbiology (medical), Epidemiology |
| title | The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_full | The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_fullStr | The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_full_unstemmed | The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_short | The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| title_sort | the cost of managing complex surgical site infections following primary hip and knee arthroplasty: a population-based cohort study in alberta, canada |
| title_unstemmed | The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada |
| topic | Infectious Diseases, Microbiology (medical), Epidemiology |
| url | http://dx.doi.org/10.1017/ice.2018.199 |