outcome after total hip- and knee arthroplasty how to measure, … · 2019-06-06 · icon...

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.