Imperial College London
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Mr Peter Reilly

Faculty of Engineering, Department of Bioengineering

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p.reilly

 
 
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Location

 

Department of OrthopaedicsNorfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Packer:2020:10.1302/2633-1462.112.BJO-2020-0134.R1,
author = {Packer, TW and Sabharwal, S and Griffiths, D and Reilly, P},
doi = {10.1302/2633-1462.112.BJO-2020-0134.R1},
journal = {Bone Jt Open},
pages = {731--736},
title = {The financial burden of reverse shoulder arthroplasty for proximal humerus fractures.},
url = {http://dx.doi.org/10.1302/2633-1462.112.BJO-2020-0134.R1},
volume = {1},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - AIMS: The purpose of this study was to evaluate the cost of reverse shoulder arthroplasty (RSA) for patients with a proximal humerus fracture, using time-driven activity based costing (TDABC), and to compare treatment costs with reimbursement under the Healthcare Resource Groups (HRGs). METHODS: TDABC analysis based on the principles outlined by Kaplan and a clinical pathway that has previously been validated for this institution was used. Staffing cost, consumables, implants, and overheads were updated to reflect 2019/2020 costs. This was compared with the HRG reimbursements. RESULTS: The mean cost of a RSA is £7,007.46 (£6,130.67 to £8,824.67). Implants and staffing costs were the primary cost drivers, with implants (£2,824.80) making up 40% of the costs. Staffing costs made up £1,367.78 (19%) of overall costs. The total tariff, accounting for market force factors and high comorbidities, reimburses £4,629. If maximum cost and minimum reimbursement is applied the losses to the trust are £4,828.67. CONCLUSION: RSA may be an effective and appropriate surgical option in the treatment of proximal humerus fractures; however, a cost analysis at our centre has demonstrated the financial burden of this surgery. Given its increasing use in trauma, there is a need to work towards generating an HRG that adequately reimburses providers.Cite this article: Bone Jt Open 2020;1-12:731-736.
AU  - Packer,TW
AU  - Sabharwal,S
AU  - Griffiths,D
AU  - Reilly,P
DO  - 10.1302/2633-1462.112.BJO-2020-0134.R1
EP  - 736
PY  - 2020///
SP  - 731
TI  - The financial burden of reverse shoulder arthroplasty for proximal humerus fractures.
T2  - Bone Jt Open
UR  - http://dx.doi.org/10.1302/2633-1462.112.BJO-2020-0134.R1
UR  - https://www.ncbi.nlm.nih.gov/pubmed/33367279
VL  - 1
ER  -
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