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

Vertaalde titel van de bijdrage: Effecten van revalidatie van werkende patiënten na een totale heup artroplastiek: een vergelijking van de usual care tussen Nederland en Duitsland

Annet Wijnen, Gesine Heber, Günter Dietz, Baukje Dijkstra, Johan S. Dekker, Karin M. Vermeulen, Geranda Slager, Aike Hessel, Djordje Lazovic, Sjoerd K. Bulstra, Martin Stevens

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    Background: Postoperative rehabilitation after primary total hip arthroplasty (p-THA) differs between the Netherlands and Germany. Aim is to compare clinical effectiveness and to get a first impression of cost effectiveness of Dutch versus German usual care after p-THA. Methods: A transnational prospective controlled observational trial. Clinical effectiveness was assessed with self-reported questionnaires and functional tests. Measurements were taken preoperatively and 4 weeks, 12 weeks, and 6 months postoperatively. For cost effectiveness, long-term economic aspects were assessed from a societal perspective. Results: 124 working-age patients finished the measurements. German usual care leads to a significantly larger proportion (65.6% versus 47.5%) of satisfied patients 12 weeks postoperatively and significantly better self-reported function and Five Times Sit-to-Stand Test (FTSST) results. German usual care is generally 45% more expensive than Dutch usual care, and 20% more expensive for working-age patients. A scenario analysis assumed that German patients work the same number of hours as the Dutch, and that productivity costs are the same. This analysis revealed German care is still more expensive but the difference decreased to 8%. Conclusions: German rehabilitation is clinically advantageous yet more expensive, although comparisons are less straightforward as the socioeconomic context differs between the two countries. Trial registration: The study is registered in the German Registry of Clinical Trials (DRKS00011345, 18/11/2016).
    Vertaalde titel van de bijdrageEffecten van revalidatie van werkende patiënten na een totale heup artroplastiek: een vergelijking van de usual care tussen Nederland en Duitsland
    Originele taal-2English
    Artikelnummer525 (2023)
    TijdschriftBMC Musculoskeletal Disorders
    Volume24
    Nummer van het tijdschrift1
    DOI's
    StatusPublished - 27 jun. 2023

    Keywords

    • effectiviteit
    • gebruikelijke zorg
    • patiënten uit de arbeidersklasse
    • rehabilitatie
    • totale heupartroplastiek

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