Proefschrift

Economic burden of the postoperative management in peri- and/or intra-articular fractures of the lower extremities 41 without paid job. Furthermore, no differences were found in fracture type, two or more operations and median length of stay in hospital between the two groups. Table 4.1 Baseline characteristics of the entire population. Patients with paid job (N=26) Patients without paid job (N=27) Total (N=53) p Female, N 9 (34.6%) 16 (59.3%) 27 (50.9%) 0.04 Median age (IQR), years 48.5 (41.3-60.0) 67.0 (58.0-71.0) 60.0 (47.0-67.0) <0.01 ASA, N I, II III > 25 (96.2%) 1 (3.8%) 19 (70.4%) 8 (29.6%) 44 (83.0%) 9 (17.0%) 0.02 Median Charlson score (IQR) 1 (0-2) 3 (2-5) 2 (1-3) <0.01 Fracture type, N: Pelvic Acetabular Tibial plateau Pilon Calcaneal 0 (0.0%) 0 (0.0%) 17 (65.4%) 7 (26.9%) 2 (7.7%) 1 (3.7%) 3 (11.1%) 11 (40.7%) 5 (18.5%) 7 (25.9%) 1 (1.9%) 3 (5.7%) 28 (52.8%) 12 (22.6%) 9 (17.0%) 0.96 In-hospital outcome: Two or more procedures (%) Median length of stay in hospital (IQR), in days 3 (11.5%) 4.0 (2.0-11.0) 5 (18.5) 6.0 (2.0-15.0) 8 (15.1) 5.0 (2.0-11.5) 0.73 0.16 Abbreviation: N, number of subjects; ASA, American Society of Anesthesiologists; IQR, interquartile range. Patients’ self-perceived outcome measures After a follow-up of 26 weeks post-surgery, the overall response rate of the patients’ self-perceived outcome levels at all measurement points was 100%. The overall mean costs at baseline, collected over a 3 months period before fracture, were €301.33, consisting of 1) mean healthcare costs over a 3 months period before fracture of €227.83; 2) productivity losses over a 4 weeks period before fracture of € 59.72; and 3) patient and family costs before fracture of €13.78. Compared to baseline, the overall mean costs during the 26 weeks of rehabilitation were significantly increased to €9,836.96; consisting of healthcare costs (68.7%); the productivity loss (28.7%), and 3) patient and family costs (2.6%). The costs for the patients with paid job and the patients without paid job are presented in Table 4.2. There was significantly lower (p<0.01) total mean societal costs and total mean healthcare costs in patients with paid job compared to patients without paid job (Table 4.2). In terms of the ADL and Qol there were differences in the ADL, as measured with the LEFS and no significant difference in the total utility and costs, as measured with the EQ-5D.

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