Costs of elective total hip arthroplasty during the first year. Cemented versus noncemented

J Arthroplasty. 1994 Oct;9(5):481-7. doi: 10.1016/0883-5403(94)90093-0.


The cost-effectiveness of the Mallory Head (Biomet, Warsaw, IN) cemented versus noncemented total hip arthroplasty was determined as part of a randomized trial. Costs were assessed during the first postoperative year. In-hospital resource use was determined using a chart review of 60 randomly selected patients. Costs were determined using a fully allocated costing model. Outpatient resource use was determined using patient diaries, and appropriate costs were allocated for outpatient visits, admissions to hospital, and patient-borne costs. There was no difference in costs between the cemented and noncemented prostheses. The average cost of the initial hospitalization was $9,990 (1988 Canadian dollars), and outpatient costs during the first year were $1,137 (total cost during the first year was $11,127). The cost per quality adjusted life year was $27,139 during the first year and $8,031 during the first 3 years.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Ambulatory Care / economics
  • Cementation / economics*
  • Cost-Benefit Analysis
  • Female
  • Health Care Costs*
  • Hip Prosthesis / economics*
  • Hospital Costs
  • Humans
  • Male
  • Middle Aged