Cost | Primary THA | Primary TKA | Primary spinal decompression | Primary spinal fusion |
---|---|---|---|---|
Acute surgical cost | ||||
Operating room | 6 042 | 5 103 | 1 874 | 8 799 |
Nursing | 4 109 | 3 962 | 1 000 | 3 227 |
Medical imaging | 147 | 147 | 155 | 434 |
Laboratories | 381 | 293 | 89 | 141 |
Pharmacy | 781 | 778 | 260 | 745 |
Allied health | 645 | 676 | 399 | 265 |
Total acute surgical costs | 12 105 | 10 959 | 3 777 | 13 611 |
Postdischarge rehabilitation | 2 534 | 2 534 | NA§ | NA§ |
Revision cost per patient‡ | 144 | 857 | 195 | 1 932 |
Revision rate at 2 years, % | 1.05 | 8.33 | 21.4 | 16.67 |
Revision cost† | 13 714 | 10 288 | 911 | 11 590 |
Total per-patient cost | 14 783 | 14 350 | 3 972 | 15 543 |
NA = not applicable; THA = total hip arthroplasty; TKA = total knee arthroplasty.
↵* Unless otherwise indicated.
↵† Costs expressed in Canadian dollars and discounted at a 3% annualized rate.
↵‡ Revision cost includes any necessary diagnostic imaging (radiography or magnetic resonance imaging), perioperative and postdischarge rehabilitation costs.
↵§ All spine patients were discharged home with instructions for home exercise.