Calidad del proceso quirúrgico de la artroplastia total de caderaanálisis económico y clínico en el Hospital General Universitario Reina Sofia en comparación con centros concertados

Abstract

The objective of this study is to analyze the process of total hip arthroplasty, making a comparative economic and clinical assessment between the Reina Sofia University General Hospital of Murcia and its officially approved hospitals. METHODS The study includes a sample of 233 patients who underwent surgery between January 2016 and December 2019 at hospitals belonging to the health area of the Reina Sofia Hospital and its external hospitals, San José Viamed de Alcantarilla and Hospital Quirón Murcia. The patients were operated on at the Reina Sofia hospital and its officially approved hospitals were compared considering several economic, clinical, radiological variables, the technique used and different satisfaction surveys. RESULTS The average price of admission to the Reina Sofia Hospital for patients undergoing total hip arthroplasty was 7,137.87€ while in the approved hospitals it was 2,848.27€. Despite this notable economic difference, no other significant differences were observed in the percentage of medical or surgical complications, days of hospital stay or percentage of reoperations. The satisfaction surveys did show a trend towards greater satisfaction in patients undergoing surgery at the Reina Sofia General Hospital. CONCLUSION We can conclude that no significant differences were found in the complications or safety of the patient undergoing hip prosthesis surgery in the different hospitals in this study. The hip arthroplasty process is more expensive at the Reina Sofia hospital. Satisfaction percentages are higher in patients operated on at the Reina Sofia Hospital. All of this leads us to conclude that the outsourcing of the total hip arthroplasty process in the approved hospitals studied is effective, safe, and necessary to reduce the surgical waiting lists in public hospitals.