Cost of physiotherapeutic treatment in the postoperative period of anterior cruciate ligament reconstruction in a University Hospital in Minas Gerais.
Cost of postoperative physiotherapeutic treatment for anterior cruciate ligament reconstruction
DOI:
https://doi.org/10.34019/1982-8047.2022.v48.37802Keywords:
Reconstrução do Ligamento Cruzado Anterior, Custos de Cuidados de Saúde, Reabilitação, Serviço Hospitalar de FisioterapiaAbstract
Introduction: Anterior cruciate ligament injuries are recurrent in sports activity practitioners. Surgical treatment has an adequate cost-benefit ratio, but when adding postoperative physical therapy treatment, the impact on the health system becomes higher. Costs in the health area are relevant, as it is essential that management dominates and knows the processes of expenditure. Objective: Evaluate the costs involved in the rehabilitation process after ACL reconstruction surgery in a University Hospital and compare these costs with the amount agreed with the local public manager for physical therapy treatment. Materials and Methods: observational and retrospective study. Data were collected by analyzing the electronic medical records of the Management Application System for University Hospitals of the Physiotherapy Outpatient Clinic, using a convenience sample. Results: Nine patients were eligible for this study. The average cost per physiotherapy session was R$ 100.30. Thus, the average total cost of postoperative ACL rehabilitation per patient was R$ 2,507.50, corresponding to an average intervention period of 25 sessions. Conclusion: The average cost per physical therapy intervention in the postoperative period of ACL reconstruction was R$ 100.30, much higher than the amount agreed with the local manager.
Downloads
References
Nicolini AP, de Carvalho RT, Matsuda MM, Filho JS, Cohen M. Common injuries in athletes’ knee: experience of a specialized center. Acta Ortop Bras. 2014; 22(3):127-31. doi:10.1590/1413-78522014220300475
Takahashi S, Nagano Y, Ito W, Kido Y, Okuwaki T. A retrospective study of mechanisms of anterior cruciate ligament injuries in high school basketball, handball, judo, soccer, and volleyball. Medicine (Baltimore). 2019; 98(26):1-6. doi:10.1097/MD.0000000000016030
Rout R, McDonnell S, Hulley P et al. The pattern of cartilage damage in antero-medial osteoarthritis of the knee and its relationship to the anterior cruciate ligament. J Orthop Res. 2013; 31(6):908-13. doi:10.1002/jor.22253
Mehl J, Otto A, Baldino JB et al. The ACL-deficient knee and the prevalence of meniscus and cartilage lesions: a systematic review and meta-analysis (CRD42017076897). Arch Orthop Trauma Surg. 2019; 139(6):819-41. doi:10.1007/s00402-019-03128-4
Monk AP, Hopewell S, Harris K, Davies LJ, Beard D, Price A. Surgical versus conservative interventions for treating anterior cruciate ligament injuries. Cochrane Database Syst Rev. 2014; 2014(6). doi:10.1002/14651858.CD011166
Mather RC, Koenig L, Kocher MS et al. Societal and economic impact of anterior cruciate ligament tears. J Bone Jt Surgery-American Vol. 2013; 95(19):1751-9. doi:10.2106/JBJS.L.01705
Lopes TJA, Simic M, Pappas E. Epidemiology of anterior cruciate ligament reconstruction in brazil’s public health system. Rev Bras Med do Esporte. 2016; 22(4):297-301. doi:10.1590/1517-869220162204159074
Janssen KW, Orchard JW, Driscoll TR, van Mechelen W. High incidence and costs for anterior cruciate ligament reconstructions performed in Australia from 2003-2004 to 2007-2008: time for an anterior cruciate ligament register by Scandinavian model? Scand J Med Sci Sport. 2012; 22(4):495-501. doi:10.1111/j.1600-0838.2010.01253.x
Musahl V, Karlsson J. Anterior cruciate ligament tear. N Engl J Med. 2019; 380(24):2341-8. doi:10.1056/NEJMcp1805931
Filho JRV, Filho SIN, Pássari IAA. Gestão de custos hospitalares: um estudo de caso no hospital santa casa de misericórdia e maternidade de rondonópolis – MT. In: Antonella Carvalho de Oliveira; 2018:150-170. doi:10.22533/at.ed.22318271210
Bonacim CAG, Araujo AMP. Gestão de custos aplicada a hospitais universitários públicos: a experiência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da USP. Rev Adm Pública. 2010; 44(4):903-31. doi:10.1590/S0034-76122010000400007
Martins G de A, Theóphilo CR. Metodologia da investigação científica para ciências sociais. São Paulo: Atlas; 2009.
Falk JA. Gestão de custos para hospitais: conceitos, metodologias e aplicações. 2001.
Empresa Brasileira de Serviços Hospitalares (BR). Contrato n° 01.2018.152. 2018. [citado em 2022 fev. 22]. Acesso em: https://www.gov.br/ebserh/pt-br/hospitais-universitarios/regiao-sudeste/hu-ufjf/governanca/superintendencia/unidade-de-planejamento/contrato-sus/contrato-no-01-2018.152.
Ministério da Saúde (BR). Sistema de Gerenciamento da Tabela de Procedimentos, Medicamentos e OPM do SUS. [citado em 2021 jun. 27]. Acesso em: http://sigtap.datasus.gov.br/tabela-unificada/app/sec/procedimento/exibir/0302050019/06/2021.
Costa LA, Foni NO, Antonioli E et al. Analysis of 500 anterior cruciate ligament reconstructions from a private institutional register. Zhao C, ed. PLoS One. 2018; 13(1):e0191414. doi:10.1371/journal.pone.0191414
Astur DC, Xerez M, Rozas J, Debieux PV, Franciozi CE, Cohen M. Lesões do ligamento cruzado anterior e do menisco no esporte: incidência, tempo de prática até a lesão e limitações causadas pelo trauma. Rev Bras Ortop. 2016; 51(6):652-6. doi:10.1016/j.rbo.2016.09.002
Conselho Federal de Fisioterapia e Terapia Organizacional (BR). Referencial nacional de procedimentos fisioterapêuticos: RNPF 2020. 2020. [citado em 2020 mar. 10]. Acesso em: https://www.coffito.gov.br/nsite/wp-content/uploads/2020/02/CV_2020-Atualizada.pdf.
Castro AP, Neves VR, Aciole GG. Regional differences and costs of physical therapy procedures in Brazil’s unified health system, 1995 to 2008. Rev Panam Salud Publica/Pan Am J Public Heal. 2011; 30(5):469-76. doi:10.1590/s1020-49892011001100010
Afzali T, Fangel MV, Vestergaard AS, Rathleff MS, Ehlers LH, Jensen MB. Cost-effectiveness of treatments for non-osteoarthritic knee pain conditions: a systematic review. PLoS One. 2018; 13(12):1-16. doi:10.1371/journal.pone.0209240
Lester JD, Gorbaty JD, Odum SM, Rogers ME, Fleischli JE. The cost-effectiveness of meniscal repair versus partial meniscectomy in the setting of anterior cruciate ligament reconstruction. Arthrosc J Arthrosc Relat Surg. 2018; 34(9):2614-20. doi:10.1016/j.arthro.2018.06.046
Stewart BA, Momaya AM, Silverstein MD, Lintner D. The cost-effectiveness of anterior cruciate ligament reconstruction in competitive athletes. Am J Sports Med. 2017; 45(1):23-33. doi:10.1177/0363546516664719
Timm KE. The clinical and cost-effectiveness of two different programs for rehabilitation following ACL reconstruction. J Orthop Sport Phys Ther. 1997; 25(1):43-8. doi:10.2519/jospt.1997.25.1.43
Aprato A, Joeris A, Tosto F, Kalampoki V, Stucchi A, Massè A. Direct and indirect costs of surgically treated pelvic fractures. Arch Orthop Trauma Surg. 2016; 136(3):325-30. doi:10.1007/s00402-015-2373-9
Brand JC. Editorial commentary: anterior cruciate ligament costs are surprising. Arthrosc J Arthrosc Relat Surg. 2019; 35(5):1582-3. doi:10.1016/j.arthro.2019.02.021
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Priscila Monteiro Veras, Liliany Fontes Loures, Alan de Paiva Loures, Rosana Gabriella De Vasconcelos Novaes, Diogo Simões Fonseca, Bruno Barbosa Vieira, Maycon de Moura Reboredo
This work is licensed under a Creative Commons Attribution 4.0 International License.
Cessão de Primeira Publicação à HU Revista
Os autores mantém todos os direitos autorais sobre a publicação, sem restrições, e concedem à HU Revista o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento irrestrito do trabalho, com reconhecimento da autoria e crédito pela citação de publicação inicial nesta revista, referenciando inclusive seu DOI.