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Cited by 381

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs

Open access
Räsänen, Pirjo, Paavolainen, Pekka, Sintonen, Harri, Koivisto, Anna-Maija, Blom, Marja, Ryynänen, Olli-Pekka, Roine, Risto P·2007·Acta Orthopaedica
DOI 10.1080/17453670610013501
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Abstract

BACKGROUND: Concurrent head-to-head comparisons of healthcare interventions regarding cost-utility are rare. The concept of favorable cost-effectiveness of total hip or knee arthroplasty is thus inadequately verified. PATIENTS AND METHODS: In a trial involving several thousand patients from 10 medical specialties, 223 patients who were enrolled for hip or knee replacement surgery were asked to fill in the 15D health-related quality of life (HRQoL) survey before and after operation. RESULTS: Mean (SD) HRQoL score (on a 0-1 scale) increased in primary hip replacement patients (n = 96) from 0.81 (0.084) preoperatively to 0.86 (0.12) at 12 months (p < 0.001). In revision hip replacement (n = 24) the corresponding scores were 0.81 (0.086) and 0.82 (0.097) respectively (p = 0.4), and in knee replacement (n = 103) the scores were 0.81 (0.093) and 0.84 (0.11) respectively (p < 0.001). Of 15 health dimensions, there were statistically significant improvements in moving, usual activities, discomfort and symptoms, distress, and vitality in both primary replacement groups. Mean cost per quality-adjusted life year (QALY) gained during a 1-year period was euro 6,710 for primary hip replacement, euro 52,274 for revision hip replacement, and euro 13,995 for primary knee replacement. INTERPRETATION: Hip and knee replacement both improve HRQoL. The cost per QALY gained from knee replacement is twice that gained from hip replacement.

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Metadata

Authors
Räsänen, P., Paavolainen, P., Sintonen, H., Koivisto, A.-M., Blom, M., Ryynänen, O.-P., & Roine, R. P.
Venue
Acta Orthopaedica
Publisher
MJS Publishing, Medical Journals Sweden AB
Published
2007-01
Volume
78
Issue
1
Pages
108-115
ISSN
  • 1745-3674 (ISSN-L)
  • 1745-3682
DOI
10.1080/17453670610013501
OpenAlex
W2069518397
Cited by
381
References
21
FWCI
15.59
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs. https://app.cochat.ai/papers/10.1080/17453670610013501
The paper
Räsänen, P., Paavolainen, P., Sintonen, H., Koivisto, A.-M., Blom, M., Ryynänen, O.-P., & Roine, R. P. (2007). Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs. Acta Orthopaedica. https://doi.org/10.1080/17453670610013501

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.