Definition of Periprosthetic Hip and Knee Joint Infections and the Economic Burden

Abstract

Periprosthetic Joint infection (PJI) following hip and knee replacements is an important complication causing major concern for patients, operating surgeons and healthcare systems. Therefore, a standardized definition of PJI is required to improve communication and allow for valid comparisons of various diagnostic and treatment strategies. This review summarizes the most commonly used definitions for PJI and the current consensus. It also highlights the economic burden related to PJIs and the importance of a multidisciplinary approach to managing those infections.

The 2018 new definition of periprosthetic joint infection improves the diagnostic efficiency in the Chinese population

“…Periprosthetic joint infection (PJI) is the most serious complication that lowers the quality of patients’ life by elevating the patients’ burden of cost and affecting the outcome of total joint arthroplasty (TJA) [1–3]. Delanois et al reported in 2017 that infection was the most common etiology for revision TKA (20.4%) in the USA [4].…”

The cost of managing complex surgical site infections following primary hip and knee arthroplasty: A population-based cohort study in Alberta, Canada

“…4 In the United Kingdom, the cost for just 1 admission related to revision surgery for SSI is~22,000 pounds (~US$28,300). 9 A study from the United States estimated that the cost of SSIs following hip and knee arthroplasty has increased by US$246 million from 2001 to 2009, and is projected to exceed US$1.62 billion by 2020. 10 Even after appropriate management, as many as 60% of patients are not cured and require chronic treatment.…”

“…The true cost of managing patients with complex joint infections is uncertain, though a study in Canada using gross costing methods estimated that the average cost for a hospital admission for an infected knee arthroplasty is more than CAD$20,000 (~US$15,280) 4 . In the United Kingdom, the cost for just 1 admission related to revision surgery for SSI is ~22,000 pounds (~US$28,300) 9 . A study from the United States estimated that the cost of SSIs following hip and knee arthroplasty has increased by US$246 million from 2001 to 2009, and is projected to exceed US$1.62 billion by 2020 10 .…”

Vergleich der DRG-Erlöse zwischen Fast- und Slow-Track-Verfahren beim zweizeitigen Prothesenwechsel bei periprothetischen Hüftinfektionen im aG-DRG-System 2020

“…Periprothetische Hüftinfektionen sind schwerwiegende und medizinisch sowie ökonomisch herausfordernde Komplikationen in der Endoprothetik [ 1 , 6 , 22 , 26 ], deren Häufigkeit nach primärer Prothesenimplantation mit 0,5–2 % und bei Hüftprothesenrevisionen mit 4 % angegeben wird [ 8 , 10 , 28 ]. Bei weltweit zunehmender Anzahl an Primärimplantationen von Hüftprothesen ist von einem Anstieg periprothetischer Infektionen in den nächsten Jahren auszugehen [ 12 , 25 ].…”