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The Costs and Benefits of Primary Total Hip Replacement: How Likely Are New Prostheses To Be Cost-effective?

Published online by Cambridge University Press:  10 March 2009

Andrew Briggs ,
Mark Sculpher ,
Annie Britton ,
David Murray  and
Ray Fitzpatrick
Andrew Briggs
Affiliation:
University of Oxford
Mark Sculpher
Affiliation:
Brunei University
Annie Britton
Affiliation:
London School of Hygiene and Tropical Medicine
David Murray
Affiliation:
Nuffield Orthopaedic Centre, Oxford
Ray Fitzpatrick
Affiliation:
University of Oxford
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Abstract

Many new hip prostheses are now available for use in total hip replacement. The majority remain untested relative to standard prostheses; however, many new prostheses are substantially more costly. We examine how much more effective new prostheses must be, in terms of reducing the need for revision operations, in order to justify this increased cost.

Keywords

Health Care CostsHip ProsthesisEconomicsEconomic Models
Type
General Essays
Information
International Journal of Technology Assessment in Health Care , Volume 14 , Issue 4 , Fall 1998 , pp. 743 - 761
Copyright
Copyright © Cambridge University Press 1998

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References

REFERENCES

1.Bourne, R. B., Rorabeck, C. H., Laupacis, A., et al. A randomized clinical trial comparing cemented to cementless total hip replacement in 250 osteoarthritic patients: The impact on health related quality of life and cost effectiveness. Iowa Orthopaedic Journal, 1994, 14, 108–14.Google Scholar
2.Briggs, A., Sculpher, M., & Buxton, M.Uncertainty in the economic evaluation of health care technologies: The role of sensitivity analysis. Health Economics, 1994, 3, 95–104.CrossRefGoogle ScholarPubMed
3.Briggs, A. & Sculpher, M.Introducing Markov models for economic evaluation. Pharmacoeconomics, 1998, 13, 397–409.CrossRefGoogle Scholar
4.Britton, A. R., Murray, D. W., Bulstrode, C. J., McPherson, K., & Denham, R.A long term comparison of the Charnley and Stanmore total hip replacements. Journal of Bone and Joint Surgery, 1996, 78-B, 802–08.Google Scholar
5.Britton, A. R., Murray, D. W., Bulstrode, C., McPherson, K., & Denham, R.Pain after total hip replacement. The use of different pain levels as endpoints in survival analysis. Journal of Bone and Joint Surgery, 1997, 79-B: 93–98.CrossRefGoogle ScholarPubMed
6.Bulstrode, C. J. K., Murray, D. W., Carr, A. J., Pynsent, A. J., & Carter, S. R.Designer hips: Don’t let your patient become a fashion victim. British Medical Journal, 1993, 306, 732–33.CrossRefGoogle Scholar
7.Central Statistical Office. Annual Abstract of Statistics. London: HMSO, 1995.Google Scholar
8.Chang, R. W., Pellissier, J. M., & Hazen, G. B.A cost-effectiveness analysis of total hip arthroplasty for osteoarthritis of the hip. JAMA, 1996, 275, 858–65.CrossRefGoogle ScholarPubMed
9.Cowley, D. E.Prostheses for primary total hip replacement: Critical appraisal of the literature. International Journal of Technology Assessment in Health Care, 1995, 11, 770–78.CrossRefGoogle ScholarPubMed
10.Daellenbach, H. G., Gillespie, W. J., Crosbie, P., & Daellenbach, U. S.Economic appraisal of new technology in the absence of survival data: The case of total hip replacement. Social Science and Medicine, 1990, 31, 1287–93.CrossRefGoogle ScholarPubMed
11.Doubilet, P., Weinstein, M. C., & McNeil, B. J.Use and misuse of the term ‘cost effective’ in medicine. The New England Journal of Medicine, 1986, 314, 253–56.CrossRefGoogle ScholarPubMed
12.Drummond, M. F., Stoddart, G. L., & Torrance, G. W.Methods for the economic evaluation of health care programmes. Oxford: Oxford University Press, 1987.Google Scholar
13.Eddy, D. M. Technology assessment: The role of mathematical modeling. In: Assessing medical technologies. Washington, DC: National Academy Press, 1985, 144–55.Google Scholar
14.Furnes, A., Lie, S. A., & Engesaeter, L. B.The economic impact of total hip replacement surgery. Acta Orthopaedica Scandinavica, 1996, 67, 115–21.CrossRefGoogle ScholarPubMed
15.Gillespie, W. J., Pekarsky, B., & O'Connell, D. L.Evaluation of new technologies for total hip replacement: Economic modelling and clinical trials. Journal of Bone and Joint Surgery, 1995, 77-B, 528–33.Google ScholarPubMed
16.Her Majesty's Treasury. Economic appraisal in central government: A technical guide for government departments. London: HMSO, 1991.Google Scholar
17.Laupacis, A., Bourne, R., Rorabeck, C., et al. The effect of elective total hip replacement on health-related quality of life. Journal of Bone and Joint Surgery, 1993, 75-A, 1619–26.CrossRefGoogle ScholarPubMed
18.Laupacis, A., Bourne, R., Rorabeck, C., et al. Costs of elective total hip arthroplasty during the first year: Cemented versus noncemented. Journal of Arthroplasty, 1994, 9, 481–87.CrossRefGoogle ScholarPubMed
19.Laupacis, A., Feeny, D., Detsky, A. S., & Tugwell, P. X.How attractive does a new technology have to be to warrant adoption and utilization? Tentative guidelines for using clinical and economic evaluations. Canadian Medical Association Journal, 1992, 146, 473–81.Google ScholarPubMed
20.Liang, M. H., Cullen, K. E., Larson, M. G., et al. Cost-effectiveness of total joint arthroplasty in osteoarthritis. Arthritis and Rheumatism, 1986, 29, 937–43.CrossRefGoogle ScholarPubMed
21.Malchau, H., & Herberts, P. Prognosis of total hip replacement. The (Swedish) National Hip Arthroplasty Register, 1996.CrossRefGoogle Scholar
22.Maynard, A.The production of health and health care. Journal of Economic Studies, 1985, 10, 31–45.Google Scholar
23.Murray, D. W., Carr, A. J., & Bulstrode, C. J.Which primary total hip replacement? Journal of Bone and Joint Surgery, 1995, 77-B, 520–27.Google ScholarPubMed
24.Patrick, D. L., & Erickson, P.Health status and health policy. Allocating resources to health care. New York: Oxford University Press, 1993.Google Scholar
25.Pynsent, P. B., Carter, S. R., & Bulstrode, C. J. K.The total cost of hip joint replacement: A model for purchasers. Journal of Public Health Medicine, 1996, 18, 157–68.CrossRefGoogle Scholar
26.Review Body for Nursing Staff, Midwives, Health Visitors, and Professions Allied to Medicine (Chairman, Bryan Rigby). Thirteenth report. London: HMSO, 1996.Google Scholar
27.Review Body on Doctors’ and Dentists’ Remuneration (Chairman, Gough, C. B.). Twenty Fifth report. London: HMSO, 1996.Google Scholar
28.Sculpher, M. J., Drummond, M. F., & Buxton, M.J.The iterative use of economic evaluation as part of the process of health technology assessment. Journal of Health Services Research and Policy, 1997, 2, 26–30.CrossRefGoogle ScholarPubMed
29.Seagroatt, V., Tan, H. S., Goldacre, M., et al. Elective total hip replacement: Incidence, emergency readmission rate, and postoperative mortality. British Medical Journal, 1991, 303, 1431–1435.CrossRefGoogle ScholarPubMed
30.Sonnenberg, F. A., & Beck, J. R.Markov models in medical decision making. Medical Decision Making, 1993, 13, 322–38.CrossRefGoogle ScholarPubMed
31.Torrance, G. W.Measurement of health state utilities for economic appraisal: A review. Journal of Health Economics, 1986, 5, 1–30.CrossRefGoogle Scholar