The Incidence and Socioeconomic Impact of Periprosthetic Joint Infection: United States Perspective View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2016

AUTHORS

Christina J. Gutowski , Antonia F. Chen , Javad Parvizi

ABSTRACT

Periprosthetic joint infection (PJI) following total joint arthroplasty leads to prolonged hospitalization, considerable morbidity, loss of productivity in the workplace, and a significant financial burden. The incidence of PJI domestically is rising yearly at an alarming rate, and deep infection is among the most frequent indications for performing revision hip or knee arthroplasty in this country. Revision for infection has been shown to cost more than double that of a revision procedure performed for aseptic loosening or mechanical failure. Infection with resistant organisms has also becomes more prevalent, which is associated with worse treatment outcomes and a higher cost of care. The government is the primary payer for the majority of cases of PJI, through Medicare spending, and several proposals for various reimbursement strategies are on the horizon that will impact provider compensation for physicians and hospitals. This chapter explores the clinical and financial implications of the rising incidence of PJI in this country, and considers the future impacts these trends may have on the American healthcare system. More... »

PAGES

19-26

References to SciGraph publications

Book

TITLE

Periprosthetic Joint Infections

ISBN

978-3-319-30089-4
978-3-319-30091-7

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-319-30091-7_2

DOI

http://dx.doi.org/10.1007/978-3-319-30091-7_2

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39 schema:description Periprosthetic joint infection (PJI) following total joint arthroplasty leads to prolonged hospitalization, considerable morbidity, loss of productivity in the workplace, and a significant financial burden. The incidence of PJI domestically is rising yearly at an alarming rate, and deep infection is among the most frequent indications for performing revision hip or knee arthroplasty in this country. Revision for infection has been shown to cost more than double that of a revision procedure performed for aseptic loosening or mechanical failure. Infection with resistant organisms has also becomes more prevalent, which is associated with worse treatment outcomes and a higher cost of care. The government is the primary payer for the majority of cases of PJI, through Medicare spending, and several proposals for various reimbursement strategies are on the horizon that will impact provider compensation for physicians and hospitals. This chapter explores the clinical and financial implications of the rising incidence of PJI in this country, and considers the future impacts these trends may have on the American healthcare system.
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