Economic burden of foot and ankle surgery in the US Medicare population
DA Belatti, P Phisitkul - Foot & ankle international, 2014 - journals.sagepub.com
DA Belatti, P Phisitkul
Foot & ankle international, 2014•journals.sagepub.comBackground: Musculoskeletal diseases affecting the foot and ankle are common and can
result in debilitating pain and chronic disability. The purpose of this study was to estimate the
economic burden associated with operative interventions targeting these afflictions in the
Medicare population. Methods: Procedure incidence was determined using data from
Medicare Part B National Summary Data Files (for 2000-2011). Health care and productivity
costs were estimated for each year using an incidence-based cost model, using …
result in debilitating pain and chronic disability. The purpose of this study was to estimate the
economic burden associated with operative interventions targeting these afflictions in the
Medicare population. Methods: Procedure incidence was determined using data from
Medicare Part B National Summary Data Files (for 2000-2011). Health care and productivity
costs were estimated for each year using an incidence-based cost model, using …
Background
Musculoskeletal diseases affecting the foot and ankle are common and can result in debilitating pain and chronic disability. The purpose of this study was to estimate the economic burden associated with operative interventions targeting these afflictions in the Medicare population.
Methods
Procedure incidence was determined using data from Medicare Part B National Summary Data Files (for 2000-2011). Health care and productivity costs were estimated for each year using an incidence-based cost model, using demographic information from 10 633 patient encounters at the University of Iowa Hospitals and Clinics over the period January 1, 2000, to December 31, 2010.
Results
The estimated economic burden of foot and ankle surgery in the Medicare population was 11billionin2011,up38.2%since2000.Directhealthcarecostswereresponsibleforonly11%ofthistotal,whileindirectproductivitycostscontributedtheremainder.Procedurestargetingthefootaccountedforovertwo-thirdsoftotaleconomicburden,or 7.6 billion. Treatments for fracture and dislocation contributed the most to overall economic burden (31.0% of total), followed by reconstructive procedures (30.7%) and amputations (13.3%).
Conclusion
Even in an older population, considerable productivity losses are associated with foot and ankle surgery. An increasing share of the population older than 65 expects to be fit to work, making disability in older Americans more monetarily important. At the same time, trends in chronic disease mean that the incidence of foot and ankle problems is likely to increase in the Medicare population.
Level of Evidence
Level III, economic analysis.
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