Abstract
Background: We previously demonstrated the feasibility and clinical effectiveness of a web-based assessment following total hip or total knee arthroplasty. The purpose of the present study was to conduct an economic evaluation to compare a web-based assessment with in-person follow-up.
Methods: Patients who had undergone total joint arthroplasty at least twelve months previously were randomized to complete a web-based follow-up or visit the clinic for the usual follow-up. We recorded travel costs and time associated with each option. We followed patients for one year after the web-based or in-person follow-up evaluation and documented any resource use related to the joint arthroplasty. We conducted cost analyses from the health-care payer (Ontario Ministry of Health and Long-Term Care) and societal perspectives. All costs are presented in 2012 Canadian dollars.
Results: A total of 229 patients (118 in the web-based group, 111 in the usual-care group) completed the study. The mean cost of the assessment from the societal perspective was $98 per patient for the web-based assessment and $162 per patient for the usual method of in-person follow-up. The cost for the web-based assessment was significantly lower from the societal perspective (mean difference, $264; 95% confidence interval [CI], $279 to $248; p < 0.01) and also from the health-care payer perspective (mean difference, $227; 95% CI, $229 to $225; p < 0.01).
Conclusions: The web-based follow-up assessment had a lower cost per patient compared with in-person follow-up from both societal and health-care payer perspectives.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1910-1916 |
| Number of pages | 7 |
| Journal | Journal of Bone and Joint Surgery - American Volume |
| Volume | 96 |
| Issue number | 22 |
| DOIs | |
| State | Published - Nov 19 2014 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
- Medicine(all)
- Orthopedics and Sports Medicine
Cite this
Economic evaluation of web-based compared with in-person follow-up after total joint arthroplasty. / Marsh, Jacquelyn; Hoch, Jeffrey S; Bryant, Dianne; MacDonald, Steven J.; Naudie, Douglas; McCalden, Richard; Howard, James; Bourne, Robert; McAuley, James.
In: Journal of Bone and Joint Surgery - American Volume, Vol. 96, No. 22, 19.11.2014, p. 1910-1916.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Economic evaluation of web-based compared with in-person follow-up after total joint arthroplasty
AU - Marsh, Jacquelyn
AU - Hoch, Jeffrey S
AU - Bryant, Dianne
AU - MacDonald, Steven J.
AU - Naudie, Douglas
AU - McCalden, Richard
AU - Howard, James
AU - Bourne, Robert
AU - McAuley, James
PY - 2014/11/19
Y1 - 2014/11/19
N2 - Background: We previously demonstrated the feasibility and clinical effectiveness of a web-based assessment following total hip or total knee arthroplasty. The purpose of the present study was to conduct an economic evaluation to compare a web-based assessment with in-person follow-up.Methods: Patients who had undergone total joint arthroplasty at least twelve months previously were randomized to complete a web-based follow-up or visit the clinic for the usual follow-up. We recorded travel costs and time associated with each option. We followed patients for one year after the web-based or in-person follow-up evaluation and documented any resource use related to the joint arthroplasty. We conducted cost analyses from the health-care payer (Ontario Ministry of Health and Long-Term Care) and societal perspectives. All costs are presented in 2012 Canadian dollars.Results: A total of 229 patients (118 in the web-based group, 111 in the usual-care group) completed the study. The mean cost of the assessment from the societal perspective was $98 per patient for the web-based assessment and $162 per patient for the usual method of in-person follow-up. The cost for the web-based assessment was significantly lower from the societal perspective (mean difference, $264; 95% confidence interval [CI], $279 to $248; p < 0.01) and also from the health-care payer perspective (mean difference, $227; 95% CI, $229 to $225; p < 0.01).Conclusions: The web-based follow-up assessment had a lower cost per patient compared with in-person follow-up from both societal and health-care payer perspectives.
AB - Background: We previously demonstrated the feasibility and clinical effectiveness of a web-based assessment following total hip or total knee arthroplasty. The purpose of the present study was to conduct an economic evaluation to compare a web-based assessment with in-person follow-up.Methods: Patients who had undergone total joint arthroplasty at least twelve months previously were randomized to complete a web-based follow-up or visit the clinic for the usual follow-up. We recorded travel costs and time associated with each option. We followed patients for one year after the web-based or in-person follow-up evaluation and documented any resource use related to the joint arthroplasty. We conducted cost analyses from the health-care payer (Ontario Ministry of Health and Long-Term Care) and societal perspectives. All costs are presented in 2012 Canadian dollars.Results: A total of 229 patients (118 in the web-based group, 111 in the usual-care group) completed the study. The mean cost of the assessment from the societal perspective was $98 per patient for the web-based assessment and $162 per patient for the usual method of in-person follow-up. The cost for the web-based assessment was significantly lower from the societal perspective (mean difference, $264; 95% confidence interval [CI], $279 to $248; p < 0.01) and also from the health-care payer perspective (mean difference, $227; 95% CI, $229 to $225; p < 0.01).Conclusions: The web-based follow-up assessment had a lower cost per patient compared with in-person follow-up from both societal and health-care payer perspectives.
UR - http://www.scopus.com/inward/record.url?scp=84911405873&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84911405873&partnerID=8YFLogxK
U2 - 10.2106/JBJS.M.01558
DO - 10.2106/JBJS.M.01558
M3 - Article
C2 - 25410510
AN - SCOPUS:84911405873
VL - 96
SP - 1910
EP - 1916
JO - Journal of Bone and Joint Surgery - American Volume
JF - Journal of Bone and Joint Surgery - American Volume
SN - 0021-9355
IS - 22
ER -