caa a22 4500 397576765 CHVBK 20180308164858.0 cr unu---uuuuu 161202e199606 xx s 000 0 eng 10.1093/oxfordjournals.pubmed.a024475 doi (NATIONALLICENCE)oxford-10.1093/oxfordjournals.pubmed.a024475 The total cost of hip-joint replacement; a model for purchasers [Elektronische Daten] [P. B. Pynsent, S. R. Carter, C. J. K. Bulstrode] A computer-based model is used to investigate the total cost of primary total hip-joint replacement The model takes into account the probability of prosthesis failure, death and re-revision. The results emphasize the importance of age at insertion, demonstrating that the expected life-span of the patient has a major influence on the total cost for a given prosthesis. The discussion considers the idea of a ‘lifetime care package' to encapsulate the concept of quality when considering the purchasing of total hip replacements. If it is assumed that a primary replacement episode costs £3500 and revision surgery costs twice as much, then the additional premium on the best implant currently available would be £630. The premium payable on the same patient using the worst design would be £3080. This difference reflects the importance of quality in total hip replacement surgery. © Oxford University Press Articles nationallicence joint replacement nationallicence quality nationallicence cost nationallicence survival nationallicence Pynsent P. B. Royal Orthopaedic Hospital Northfield, Birmingham B31 2AP aut Carter S. R. Royal Orthopaedic Hospital Northfield, Birmingham B31 2AP aut Bulstrode C. J. K. Nuffied Department of Orthopaedic Surgery, John Radcliffe II Hospital Oxford OX3 9DU aut Journal of Public Health Oxford University Press 18/2(1996-06), 157-168 1741-3842 18:2<157 1996 18 pubmed https://doi.org/10.1093/oxfordjournals.pubmed.a024475 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/oxfordjournals.pubmed.a024475 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pynsent P. B. Royal Orthopaedic Hospital Northfield, Birmingham B31 2AP aut NATIONALLICENCE 700 1- Carter S. R. Royal Orthopaedic Hospital Northfield, Birmingham B31 2AP aut NATIONALLICENCE 700 1- Bulstrode C. J. K. Nuffied Department of Orthopaedic Surgery, John Radcliffe II Hospital Oxford OX3 9DU aut NATIONALLICENCE 773 0- Journal of Public Health Oxford University Press 18/2(1996-06), 157-168 1741-3842 18:2<157 1996 18 pubmed Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford