Comparative analysis of the economic costs of treating patients with non-infectious diseases of internal osteosynthesis

Abstract

A comparative analysis of the economic costs of revision surgical treatment of 121 patients with non-infectious complications of internal osteosynthesis and 59 patients who underwent primary osteosynthesis for fractures of the long bones of the limbs with an uncomplicated course was carried out. General economic costs include direct and indirect costs. It was found that the total costs for the treatment of patients suffering from non-infectious complications of internal osteosynthesis of the long bones of the extremities, who are in the clinic of military traumatology and orthopedics. G.I. Turner of the Military Medical Academy in the period from 2007 to 2018 revision surgery was performed, amounted to 279637238 rubles, which corresponds to 2311051,55 rubles per patient. At the same time, the total costs for the treatment of patients with fractures of the long bones of the extremities without complications amounted to 44960873 rubles (762048,69 rubles per patient). The total cost per patient with a non-infectious complication of internal osteosynthesis of the femur was 2540499,54 rubles (483824,85 – straight, 2056674,69 – indirect), of the leg bones – 2333762,17 rubles (474501,47 – straight, 1859260,70 – indirect), the humerus – 1830362,75 rubles (399942 – straight, 1430420,75 – indirect), the bones of the forearm 1804664,6 rubles (339700 – straight, 1464964,6 – indirect). It was revealed that due to failures after primary osteosynthesis of limb fractures and complications, the costs associated with the direct and indirect costs of their treatment increase. In this regard, further research is needed to improve the treatment of complications of internal osteosynthesis and to develop a set of measures for their prevention. This is important both for the patient and for the health care system as a whole.

Keywords

cost of treatment / cost analysis / direct and indirect costs / fractures / non-infectious complications / false joints / deformation / internal osteosynthesis

References

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RIGHTS & PERMISSIONS

Khominets V.V., Tegza V.Y., Foos I.V., Pugaev E.M.