Limits...
Time and Cost of Diagnosis for Symptomatic Femoroacetabular Impingement.

Kahlenberg CA, Han B, Patel RM, Deshmane PP, Terry MA - Orthop J Sports Med (2014)

Bottom Line: To our knowledge, no reports have defined the time and cost of diagnosis of labral tears associated with FAI.This figure is based on Medicare payment amounts, which may significantly underestimate the actual charges at many hospitals, thereby increasing the total cost of diagnosis.The costs and pain associated with this time, along with the potential long-term degradation of the hip joint, make it important for all health care professionals to recognize and appropriately manage or refer the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

ABSTRACT

Background: Femoroacetabular impingement (FAI) and labral tears are common causes of hip pain that are often not promptly or properly diagnosed. To our knowledge, no reports have defined the time and cost of diagnosis of labral tears associated with FAI.

Hypothesis: Patients with labral tears associated with FAI undergo extraneous diagnostic testing and pain and incur a significant amount of health care costs before they receive appropriate surgical management for their pathology.

Study design: Economic and decision analysis; Level of evidence, 4.

Methods: A total of 78 patients diagnosed with symptomatic FAI were surveyed. A standardized questionnaire asked patients about time to diagnosis, symptoms, health care providers visited, imaging tests, and treatments prior to diagnosis. Costs were calculated based on 2012 national Medicare data.

Results: Patients in the cohort saw an average of 4.0 health care providers, had an average of 3.4 diagnostic imaging tests, and tried an average of 3.1 treatments prior to diagnosis. The average total amount spent per patient prior to diagnosis was US$2456.97. The calculated minimum cost of diagnosis, including a visit to an orthopaedic surgeon as well as an anteroposterior pelvis and lateral hip radiograph and 1 magnetic resonance arthrogram, was US$690.62. The average duration between onset of symptoms and diagnosis of labral tear was 32.0 months.

Conclusion: The average amount of health care dollars spent per patient prior to receiving a diagnosis of acetabular labral tear was US$1766.35 higher than the calculated minimum cost. This figure is based on Medicare payment amounts, which may significantly underestimate the actual charges at many hospitals, thereby increasing the total cost of diagnosis.

Clinical relevance: The costs and pain associated with this time, along with the potential long-term degradation of the hip joint, make it important for all health care professionals to recognize and appropriately manage or refer the patient.

No MeSH data available.


Related in: MedlinePlus

Questions in the survey of time to diagnosis for labral tears. CT, computed tomography; HMO, health maintenance organization; MRI, magnetic resonance imaging; PPO, preferred provider organization.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
getmorefigures.php?uid=PMC4555566&req=5

fig1-2325967114523916: Questions in the survey of time to diagnosis for labral tears. CT, computed tomography; HMO, health maintenance organization; MRI, magnetic resonance imaging; PPO, preferred provider organization.

Mentions: A standardized questionnaire was used to survey patients about their course of hip problems prior to diagnosis of a labral tear (Figure 1). The survey was completed by the patient in the clinic after a diagnosis of a labral tear was confirmed. Information regarding the number and type of health care providers visited, number of imaging tests completed, location of pain prior to diagnosis, activities limited by pain, and length of time that the patient experienced symptoms prior to diagnosis were also collected. Length of time to diagnosis was calculated based on the date of onset of symptoms reported by the patient and the date of diagnosis of a labral tear either by the surgeon or an outside physician who diagnosed a labral tear and referred the patient to the surgeon for confirmation and surgical treatment.


Time and Cost of Diagnosis for Symptomatic Femoroacetabular Impingement.

Kahlenberg CA, Han B, Patel RM, Deshmane PP, Terry MA - Orthop J Sports Med (2014)

Questions in the survey of time to diagnosis for labral tears. CT, computed tomography; HMO, health maintenance organization; MRI, magnetic resonance imaging; PPO, preferred provider organization.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License 1 - License 2 - License 3
Show All Figures
getmorefigures.php?uid=PMC4555566&req=5

fig1-2325967114523916: Questions in the survey of time to diagnosis for labral tears. CT, computed tomography; HMO, health maintenance organization; MRI, magnetic resonance imaging; PPO, preferred provider organization.
Mentions: A standardized questionnaire was used to survey patients about their course of hip problems prior to diagnosis of a labral tear (Figure 1). The survey was completed by the patient in the clinic after a diagnosis of a labral tear was confirmed. Information regarding the number and type of health care providers visited, number of imaging tests completed, location of pain prior to diagnosis, activities limited by pain, and length of time that the patient experienced symptoms prior to diagnosis were also collected. Length of time to diagnosis was calculated based on the date of onset of symptoms reported by the patient and the date of diagnosis of a labral tear either by the surgeon or an outside physician who diagnosed a labral tear and referred the patient to the surgeon for confirmation and surgical treatment.

Bottom Line: To our knowledge, no reports have defined the time and cost of diagnosis of labral tears associated with FAI.This figure is based on Medicare payment amounts, which may significantly underestimate the actual charges at many hospitals, thereby increasing the total cost of diagnosis.The costs and pain associated with this time, along with the potential long-term degradation of the hip joint, make it important for all health care professionals to recognize and appropriately manage or refer the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

ABSTRACT

Background: Femoroacetabular impingement (FAI) and labral tears are common causes of hip pain that are often not promptly or properly diagnosed. To our knowledge, no reports have defined the time and cost of diagnosis of labral tears associated with FAI.

Hypothesis: Patients with labral tears associated with FAI undergo extraneous diagnostic testing and pain and incur a significant amount of health care costs before they receive appropriate surgical management for their pathology.

Study design: Economic and decision analysis; Level of evidence, 4.

Methods: A total of 78 patients diagnosed with symptomatic FAI were surveyed. A standardized questionnaire asked patients about time to diagnosis, symptoms, health care providers visited, imaging tests, and treatments prior to diagnosis. Costs were calculated based on 2012 national Medicare data.

Results: Patients in the cohort saw an average of 4.0 health care providers, had an average of 3.4 diagnostic imaging tests, and tried an average of 3.1 treatments prior to diagnosis. The average total amount spent per patient prior to diagnosis was US$2456.97. The calculated minimum cost of diagnosis, including a visit to an orthopaedic surgeon as well as an anteroposterior pelvis and lateral hip radiograph and 1 magnetic resonance arthrogram, was US$690.62. The average duration between onset of symptoms and diagnosis of labral tear was 32.0 months.

Conclusion: The average amount of health care dollars spent per patient prior to receiving a diagnosis of acetabular labral tear was US$1766.35 higher than the calculated minimum cost. This figure is based on Medicare payment amounts, which may significantly underestimate the actual charges at many hospitals, thereby increasing the total cost of diagnosis.

Clinical relevance: The costs and pain associated with this time, along with the potential long-term degradation of the hip joint, make it important for all health care professionals to recognize and appropriately manage or refer the patient.

No MeSH data available.


Related in: MedlinePlus