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Cost-Effectiveness of the Various Modalities for Pain Control

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Perioperative Medical Management for Total Joint Arthroplasty

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Abstract

Total joint arthroplasty (TJA) procedures increased by over 150 % in 10 years. Patient’s satisfaction and perioperative comfort are essential and improve general health, quality of life and functional outcome after this surgery. The degree of this satisfaction is closely correlated with postoperative pain control. Modern analgesia is based on the concept of multimodal pain control. This concept represents an association between drugs and other analgesic techniques in order to increase efficiency and/or reduce side effects of the treatment. Multiple protocols have shown clinical benefit, but the results in terms of efficacy and costs are variable. The goal of this review is to define the cost-effectiveness of the various modalities for pain control in total hip and knee arthroplasty.

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Authors and Affiliations

  1. Department of Anaesthesiology, Hôpital de la Conception, Aix-Marseille University, 147 boulevard Baille, Marseille, 13005, France

    Sandrine Wiramus & Jacques Albanese

  2. Department of Anaesthesiology, Hôpital Sainte-Marguerite, Aix-Marseille University, 270 boulevard de Sainte Marguerite, Marseille, 13009, France

    David Delahaye

  3. Department of Orthopedic Surgery, Institute for Locomotion, Aix-Marseille University, 270 boulevard de Sainte Marguerite, Marseille, 13009, France

    Sébastien Parratte & Jean-Noël Argenson

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  1. Sandrine Wiramus
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  2. David Delahaye
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  3. Sébastien Parratte
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  4. Jacques Albanese
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  5. Jean-Noël Argenson
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Correspondence to David Delahaye .

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  1. Humanitas Clinical and Research Center, Milan, Italy

    Andrea Baldini

  2. San Donato Hospital, Arezzo, Italy

    Patrizio Caldora

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Wiramus, S., Delahaye, D., Parratte, S., Albanese, J., Argenson, JN. (2015). Cost-Effectiveness of the Various Modalities for Pain Control. In: Baldini, A., Caldora, P. (eds) Perioperative Medical Management for Total Joint Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-07203-6_12

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  • DOI: https://doi.org/10.1007/978-3-319-07203-6_12

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