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Naslov:The health-economic burden of hip and knee periprosthetic joint infections in Europe : a comprehensive analysis following primary arthroplasty
Avtorji:ID Alt, Volker (Avtor)
ID Szymski, Dominik (Avtor)
ID Rupp, Markus (Avtor)
ID Fontalis, Andreas (Avtor)
ID Vaznaisiene, Danguole (Avtor)
ID Marais, Leonard C. (Avtor)
ID Wagner, Christof (Avtor)
ID Walter, Nike (Avtor)
ID Trebše, Rihard (Avtor)
Datoteke:.pdf RAZ_Alt_Volker_2025.pdf (604,25 KB)
MD5: 685752E6A56F518DCC8F8C51FA56CF5B
 
URL https://boneandjoint.org.uk/Article/10.1302/2633-1462.63.BJO-2024-0225.R1
 
Jezik:Angleški jezik
Vrsta gradiva:Članek v reviji
Tipologija:1.01 - Izvirni znanstveni članek
Organizacija:UPR - Univerza na Primorskem
Opis:Aims Periprosthetic joint infections (PJIs) pose significant challenges to patients and healthcare systems worldwide. The aim of this study was to estimate the health-economic burden of reimbursement payment in Europe for PJIs following primary hip and knee arthroplasty. Methods The calculation was based on health-economic modelling using data on primary hip and knee arthroplasties for the year 2019 from the Statistical Office of the European Union (Eurostat) and published infection rates to estimate the total number of hip and knee PJIs in 30 European countries. Revision procedures were stratified into: 1) debridement, antibiotics, and implant retention (DAIR); 2) one-stage exchange; and 3) two-stage revision procedures. The cases were then multiplied by the respective healthcare system reimbursement payments. Payment data were acquired from a survey of 13 countries (Austria, Croatia, France, Germany, Italy, Lithuania, Netherlands, Norway, Portugal, Slovenia, Switzerland, Turkey, and the UK) and extrapolated for the remaining countries. Results In 2019, a total of 2,048,778 primary total joint replacements were performed (total hip arthroplasty (THA) = 1,147,316 and total knee arthroplasty (TKA) = 901,462), with an estimated 20,416 cases of PJIs (11,131 hip and 9,285 knee) in Europe. This results in an estimated total reimbursement burden of €346,262,026 for European healthcare systems. The breakdown for hip PJI reimbursement was €197,230,953 (€9,751,962 for DAIR procedures, €45,135,894 for one-stage revisions, and €142,343,097 for two-stage revisions). For knee PJIs, the analysis yielded a total reimbursement of €149,031,073 (€9,335,075 for DAIR procedures, €48,058,479 for one-stage revisions, and €91,637,518 for two-stage revisions). Conclusion This is the first study to evaluate the health-economic burden of PJIs in Europe, revealing a substantial impact on healthcare systems with an estimated case load of 20,414 cases and overall reimbursement of €346,262,026 for primary THAs and TKAs performed in 2019.
Verzija publikacije:Objavljena publikacija
Leto izida:2025
Št. strani:str. 298-311
Številčenje:Vol. 6, iss. 3
PID:20.500.12556/RUP-22590 Povezava se odpre v novem oknu
UDK:617.3
ISSN pri članku:2633-1462
DOI:10.1302/2633-1462.63.BJO-2024-0225.R1 Povezava se odpre v novem oknu
COBISS.SI-ID:229145347 Povezava se odpre v novem oknu
Datum objave v RUP:02.02.2026
Število ogledov:35
Število prenosov:2
Metapodatki:XML DC-XML DC-RDF
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Gradivo je del revije

Naslov:Bone & joint open
ISSN:2633-1462
COBISS.SI-ID:56018179 Povezava se odpre v novem oknu

Licence

Licenca:CC BY-NC-ND 4.0, Creative Commons Priznanje avtorstva-Nekomercialno-Brez predelav 4.0 Mednarodna
Povezava:http://creativecommons.org/licenses/by-nc-nd/4.0/deed.sl
Opis:Najbolj omejujoča licenca Creative Commons. Uporabniki lahko prenesejo in delijo delo v nekomercialne namene in ga ne smejo uporabiti za nobene druge namene.

Sekundarni jezik

Jezik:Slovenski jezik
Ključne besede:umetni sklepi, okužbe, ekonomika


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