Estimating the Societal Benefits of THA After Accounting for Work Status and Productivity: A Markov Model Approach.

ABSTRACT:

Background

Demand for total hip arthroplasty (THA) is high and expected to continue to grow during the next decade. Although much of this growth includes working-aged patients, cost-effectiveness studies on THA have not fully incorporated the productivity effects from surgery.

Questions/purposes

We asked: (1) What is the expected effect of THA on patients' employment and earnings? (2) How does accounting for these effects influence the cost-effectiveness of THA relative to nonsurgical treatment?

Methods

Taking a societal perspective, we used a Markov model to assess the overall cost-effectiveness of THA compared with nonsurgical treatment. We estimated direct medical costs using Medicare claims data and indirect costs (employment status and worker earnings) using regr

SUBMITTER: Koenig L 

PROVIDER: S-EPMC5085951 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature