Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador
Background. Few charitable overseas surgical missions produce cost-effectiveness analyses of their work. Methods. We compared the pre- and postoperative health status for 157 total hip arthroplasty (THA) patients operated on from 2007 to 2011 attended by an annual Canadian orthopedic mission to Ecua...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2017/5109895 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849412658138185728 |
|---|---|
| author | Michael Schlegelmilch Saifee Rashiq Barbara Moreau Patricia Jarrín Bach Tran Anderson Chuck |
| author_facet | Michael Schlegelmilch Saifee Rashiq Barbara Moreau Patricia Jarrín Bach Tran Anderson Chuck |
| author_sort | Michael Schlegelmilch |
| collection | DOAJ |
| description | Background. Few charitable overseas surgical missions produce cost-effectiveness analyses of their work. Methods. We compared the pre- and postoperative health status for 157 total hip arthroplasty (THA) patients operated on from 2007 to 2011 attended by an annual Canadian orthopedic mission to Ecuador to determine the quality-adjusted life years (QALYs) gained. The costs of each mission are known. The cost per surgery was divided by the average lifetime QALYs gained to estimate an incremental cost-effectiveness ratio (ICER) in Canadian dollars per QALY. Results. The average lifetime QALYs (95% CI) gained were 1.46 (1.4–1.5), 2.5 (2.4–2.6), and 2.9 (2.7–3.1) for unilateral, bilateral, and staged (two THAs in different years) operations, respectively. The ICERs were $4,442 for unilateral, $2,939 for bilateral, and $4392 for staged procedures. Seventy percent of the mission budget was spent on the transport and accommodation of volunteers. Conclusion. THA by a Canadian short-stay surgical team was highly cost-effective, according to criteria from the National Institute for Health and Care Excellence and the World Health Organization. We encourage other international missions to provide similar cost-effectiveness data to enable better comparison between mission types and between mission and nonmission care. |
| format | Article |
| id | doaj-art-5eda341c910d4cfc98bfccbc8eef6f61 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-5eda341c910d4cfc98bfccbc8eef6f612025-08-20T03:34:22ZengWileyAdvances in Orthopedics2090-34642090-34722017-01-01201710.1155/2017/51098955109895Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in EcuadorMichael Schlegelmilch0Saifee Rashiq1Barbara Moreau2Patricia Jarrín3Bach Tran4Anderson Chuck5Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, CanadaCanadian Association of Medical Teams Abroad, Edmonton, AB, CanadaCanadian Association of Medical Teams Abroad, Edmonton, AB, CanadaFundación Tierra Nueva, Quito, EcuadorInstitute of Health Economics, Edmonton, AB, CanadaDepartment of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, AB, CanadaBackground. Few charitable overseas surgical missions produce cost-effectiveness analyses of their work. Methods. We compared the pre- and postoperative health status for 157 total hip arthroplasty (THA) patients operated on from 2007 to 2011 attended by an annual Canadian orthopedic mission to Ecuador to determine the quality-adjusted life years (QALYs) gained. The costs of each mission are known. The cost per surgery was divided by the average lifetime QALYs gained to estimate an incremental cost-effectiveness ratio (ICER) in Canadian dollars per QALY. Results. The average lifetime QALYs (95% CI) gained were 1.46 (1.4–1.5), 2.5 (2.4–2.6), and 2.9 (2.7–3.1) for unilateral, bilateral, and staged (two THAs in different years) operations, respectively. The ICERs were $4,442 for unilateral, $2,939 for bilateral, and $4392 for staged procedures. Seventy percent of the mission budget was spent on the transport and accommodation of volunteers. Conclusion. THA by a Canadian short-stay surgical team was highly cost-effective, according to criteria from the National Institute for Health and Care Excellence and the World Health Organization. We encourage other international missions to provide similar cost-effectiveness data to enable better comparison between mission types and between mission and nonmission care.http://dx.doi.org/10.1155/2017/5109895 |
| spellingShingle | Michael Schlegelmilch Saifee Rashiq Barbara Moreau Patricia Jarrín Bach Tran Anderson Chuck Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador Advances in Orthopedics |
| title | Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador |
| title_full | Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador |
| title_fullStr | Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador |
| title_full_unstemmed | Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador |
| title_short | Cost-Effectiveness Analysis of Total Hip Arthroplasty Performed by a Canadian Short-Stay Surgical Team in Ecuador |
| title_sort | cost effectiveness analysis of total hip arthroplasty performed by a canadian short stay surgical team in ecuador |
| url | http://dx.doi.org/10.1155/2017/5109895 |
| work_keys_str_mv | AT michaelschlegelmilch costeffectivenessanalysisoftotalhiparthroplastyperformedbyacanadianshortstaysurgicalteaminecuador AT saifeerashiq costeffectivenessanalysisoftotalhiparthroplastyperformedbyacanadianshortstaysurgicalteaminecuador AT barbaramoreau costeffectivenessanalysisoftotalhiparthroplastyperformedbyacanadianshortstaysurgicalteaminecuador AT patriciajarrin costeffectivenessanalysisoftotalhiparthroplastyperformedbyacanadianshortstaysurgicalteaminecuador AT bachtran costeffectivenessanalysisoftotalhiparthroplastyperformedbyacanadianshortstaysurgicalteaminecuador AT andersonchuck costeffectivenessanalysisoftotalhiparthroplastyperformedbyacanadianshortstaysurgicalteaminecuador |