Time and Cost of Diagnosis for Symptomatic XXXX .

@entity1 @entity1743 @entity158
BACKGROUND: @entity1743 ( @entity1743 ) and labral tears are common causes of @entity158 that are often not promptly or properly diagnosed. To our knowledge, no reports have defined the time and cost of diagnosis of labral tears associated with @entity1743 . HYPOTHESIS: @entity1 with labral tears associated with @entity1743 undergo extraneous diagnostic testing and @entity158 and incur a significant amount of health care costs before they receive appropriate surgical management for their pathology. STUDY DESIGN: Economic and decision analysis; Level of evidence, 4. METHODS: A total of 78 @entity1 diagnosed with symptomatic @entity1743 were surveyed. A standardized questionnaire asked @entity1 about time to diagnosis, symptoms, health care providers visited, imaging tests, and treatments prior to diagnosis. Costs were calculated based on 2012 national Medicare data. RESULTS: @entity1 in the cohort saw an average of 4.0 health care providers, had an average of 3.4 diagnostic imaging tests, and tried an average of 3.1 treatments prior to diagnosis. The average total amount spent per @entity1 prior to diagnosis was US 2456.97. The calculated minimum cost of diagnosis, including a visit to an orthopaedic surgeon as well as an anteroposterior pelvis and lateral hip radiograph and 1 magnetic resonance arthrogram, was US 690.62. The average duration between onset of symptoms and diagnosis of labral tear was 32.0 months. CONCLUSION: The average amount of health care dollars spent per @entity1 prior to receiving a diagnosis of acetabular labral tear was US 1766.35 higher than the calculated minimum cost. This figure is based on Medicare payment amounts, which may significantly underestimate the actual charges at many hospitals, thereby increasing the total cost of diagnosis. CLINICAL RELEVANCE: The costs and @entity158 associated with this time, along with the potential long-term degradation of the hip joint, make it important for all health care professionals to recognize and appropriately manage or refer the @entity1 .
