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Table 5 Cost effectiveness of all patients (postoperatively), mean (95% CI)

From: Effectiveness of rehabilitation for working-age patients after a total hip arthroplasty: a comparison of usual care between the Netherlands and Germany

 

Netherlands (n = 61a)

Germany ( n  = 62)

Difference

Direct costs

Medical costs

  Outpatient care

   Orthopedic surgeon

€ 83

€ 48

€ -35

   Rehabilitation department

€ 4

€ 7

€ 3

   Psychiatrist

€ 0

€ 2

€ 2

   Other

€ 13

€ 0

€ -13

   Total

€ 100 (82–142)

€ 57 (24–58)

€ -43 (-107– -37)

  Postoperative rehabilitation

   Inpatient rehabilitation

-

€ 3054

€ 3054

   Medical training therapy

-

€ 158

€ 158

   Sports rehabilitation

-

€ 26

€ 26

   Physiotherapy

€ 552

€ 646

€ 94

   Total

€ 552 (330–594)

€ 3898 (3522–3999)

€ 3346 (3028–3574)

  Other care providers

   General practitioner

€ 3

€ 40

€ 37

   Orthopedic technician

€ 4

€ 2

€ -2

   Social worker

€ 0

€ 4

€ 4

   Total

€ 5 (1–10)

€ 47 (22–68)

€ 42 (17–63)

  Extra Expensesb

   Medication/Therapy

€ 66

€ 32

€ -34

   Other

€ 52

€ 246

€ 194

   Total

€ 120 (23–245)

€ 286 (112–470)

€ 166 (-57– + 375)

Non-medical costs

  Travel expenses

   

  Total

€ 18 (11–21)

€ 63 (55–75)

€ 46 (38–60)

  Household help

   Alpha help

€ 21

€ 26

€ 5

   Paid by other sources

€ 40

€ 44

€ 4

   Total

€ 61 (4–144)

€ 72 (0–156)

€ 11 (-104– + 114)

Indirect costs

Paid work

  Productivity loss

€ 7658 (4828–10194)

€ 11122 (9254–15541)

€ 3464 (731–9012)

Total

€ 8514

€ 15545

€ 7031 (45%)

  1. aOne Dutch patient did not want to complete the cost questionnaire, hence the Dutch sample here is n = 61 instead of n = 62
  2. b“Extra expenses” was an open-ended question in the questionnaire that asked participants about any additional expenses they had incurred in connection with the hip problem, like medications or therapeutic lines, unexpected large expenses, cancellation of a vacation due to surgery date, necessary home remodeling