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Economic Burden of Periprosthetic Joint Infection Following Primary Total Knee Replacement in a Developing Country

BACKGROUND: Periprosthetic joint infection is one of the devastating complications after primary total knee arthroplasty, which increases the financial burden on patients and affects their quality of life as well. The financial burden of periprosthetic joint infection after joint replacement in deve...

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Autores principales: Iqbal, Faizan, Shafiq, Bilal, Noor, Syed Shahid, Ali, Zulfiqar, Memon, Nouman, Memon, Naveed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Orthopaedic Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7683183/
https://www.ncbi.nlm.nih.gov/pubmed/33274024
http://dx.doi.org/10.4055/cios20037
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author Iqbal, Faizan
Shafiq, Bilal
Noor, Syed Shahid
Ali, Zulfiqar
Memon, Nouman
Memon, Naveed
author_facet Iqbal, Faizan
Shafiq, Bilal
Noor, Syed Shahid
Ali, Zulfiqar
Memon, Nouman
Memon, Naveed
author_sort Iqbal, Faizan
collection PubMed
description BACKGROUND: Periprosthetic joint infection is one of the devastating complications after primary total knee arthroplasty, which increases the financial burden on patients and affects their quality of life as well. The financial burden of periprosthetic joint infection after joint replacement in developed countries is well known. There is a need to evaluate the economic burden in developing countries such as Pakistan. METHODS: This is a single-center, retrospective, case-control study conducted at the Department of Orthopedic Surgery, Liaquat National Hospital Karachi. Cases of primary total knee arthroplasty performed during this study were divided into 2 groups: uneventful primary total knee arthroplasty and periprosthetic joint infection treated with 2-stage revision. To calculate the final cost, we divided the total hospital cost into the hospital stay cost and operating room cost. RESULTS: During study period, 32 patients were diagnosed with periprosthetic joint infection. The total cost of revision surgery for periprosthetic joint infection considering 2 hospitalizations was 1,780,222 ± 313,686 Pakistani rupee (PKR). The total cost of uneventful arthroplasty was 390,172 ± 51,460 PKR. We observed significant difference with respect to economic details between the 2 groups. CONCLUSIONS: Management of periprosthetic joint infection was 4.5 times more expensive than uneventful primary total knee arthroplasty. Measures should be undertaken to reduce the prevalence of periprosthetic joint infection, thereby reducing patients' economic burden.
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spelling pubmed-76831832020-12-02 Economic Burden of Periprosthetic Joint Infection Following Primary Total Knee Replacement in a Developing Country Iqbal, Faizan Shafiq, Bilal Noor, Syed Shahid Ali, Zulfiqar Memon, Nouman Memon, Naveed Clin Orthop Surg Original Article BACKGROUND: Periprosthetic joint infection is one of the devastating complications after primary total knee arthroplasty, which increases the financial burden on patients and affects their quality of life as well. The financial burden of periprosthetic joint infection after joint replacement in developed countries is well known. There is a need to evaluate the economic burden in developing countries such as Pakistan. METHODS: This is a single-center, retrospective, case-control study conducted at the Department of Orthopedic Surgery, Liaquat National Hospital Karachi. Cases of primary total knee arthroplasty performed during this study were divided into 2 groups: uneventful primary total knee arthroplasty and periprosthetic joint infection treated with 2-stage revision. To calculate the final cost, we divided the total hospital cost into the hospital stay cost and operating room cost. RESULTS: During study period, 32 patients were diagnosed with periprosthetic joint infection. The total cost of revision surgery for periprosthetic joint infection considering 2 hospitalizations was 1,780,222 ± 313,686 Pakistani rupee (PKR). The total cost of uneventful arthroplasty was 390,172 ± 51,460 PKR. We observed significant difference with respect to economic details between the 2 groups. CONCLUSIONS: Management of periprosthetic joint infection was 4.5 times more expensive than uneventful primary total knee arthroplasty. Measures should be undertaken to reduce the prevalence of periprosthetic joint infection, thereby reducing patients' economic burden. The Korean Orthopaedic Association 2020-12 2020-11-18 /pmc/articles/PMC7683183/ /pubmed/33274024 http://dx.doi.org/10.4055/cios20037 Text en Copyright © 2020 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Iqbal, Faizan
Shafiq, Bilal
Noor, Syed Shahid
Ali, Zulfiqar
Memon, Nouman
Memon, Naveed
Economic Burden of Periprosthetic Joint Infection Following Primary Total Knee Replacement in a Developing Country
title Economic Burden of Periprosthetic Joint Infection Following Primary Total Knee Replacement in a Developing Country
title_full Economic Burden of Periprosthetic Joint Infection Following Primary Total Knee Replacement in a Developing Country
title_fullStr Economic Burden of Periprosthetic Joint Infection Following Primary Total Knee Replacement in a Developing Country
title_full_unstemmed Economic Burden of Periprosthetic Joint Infection Following Primary Total Knee Replacement in a Developing Country
title_short Economic Burden of Periprosthetic Joint Infection Following Primary Total Knee Replacement in a Developing Country
title_sort economic burden of periprosthetic joint infection following primary total knee replacement in a developing country
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7683183/
https://www.ncbi.nlm.nih.gov/pubmed/33274024
http://dx.doi.org/10.4055/cios20037
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