outcome after total hip- and knee arthroplasty how to measure, … · 2019-06-06 · icon...
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H E AD O F D E PAR T M E N T, P O U L H E D E VAN G C H R I S T E N S E N ,
O R T H O PAE D I C D E PAR T M E N T, FAR S O E ,
AAL B O R G U N I V E R S I T Y H O S P I TAL .
Outcome after total hip- and
knee arthroplasty – how to
measure, and can outcome be
predicted ?
I C O N – C O M W E L L K O L D I N G 2 0 1 9 .
Value Based Healthcare.
Michael Porter
PATIENT OUTCOME.
Effekt 2019, Kolding, 27. februar 2019.
Outcome Indikator Notifications
Quality of life EQ-5D-3L 6 month, 1 yr og 2 yr
Function OHS/OKS 6 month, 1 yr og 2 yr
Complications RKKP 1 yr og 2 yr
Quistionaire ?
I C O N – C O M W E L L K O L D I N G 2 0 1 9 .
Group interview was performed
twice, to find out what patients
found to be the most important
outcome after Hip- or Knee
Arthroplasty.
Less pain and better function – the
most important outcome overall.
PATIENT COURSE .
General Practitioner
Orthopaedicsurgeon Operation
Control
Who and Why
?
Outcome data as decision
tool.
Rehab.
Non –
Operative.
Prediction model for Hip and Knee Arthroplasty
”The Crystal Ball”
I C O N – C O M W E L L K O L D I N G 2 0 1 9 .
Risk factors.
Un-ajusted estimates
Linear regression on outcomes,
quality of life and function.
E F F E K T 2 0 1 9 , K O L D I N G , 2 7 . F E B R U A R 2 0 1 9 .
PATIENT COURSE .
General Practitioner
Orthopaedicsurgeon
Rehabilitation Control Who and Why ?
Outcome data as
decision tool.
Operation.
Non-
operativ.
VALUE BASED HEALTHCARE WILL BE A MAJOR TOPICFOR THE NEXT MANY YEARS.
Thank you for your attention.