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Table 2 Pre- and postoperative differences in direct costs per patient randomised to the integrated programme, which included prehabilitation and early rehabilitation, and to the standard care program (in Euros)

From: Costs and quality of life for prehabilitation and early rehabilitation after surgery of the lumbar spine

  Integrated programme Standard care programme
  In total Per patient In total Per patient
Preoperative introduction
I) Physiotherapist: 1 h × 28 patients × 27€* = 756€
I) Physician support: 0.16 h × 5 patients × 34€* = 27€
R) Nurse: 0.25 h × 32 patients × 28€* = 224€
783 28 224 8
Training
I) Physiotherapist: 1/2 h × 28 patients × 27€* × 2 times = 27€
756 27 0 0
Smoking intervention
I) Nurse: 2.8 h × 3 smokers × 28€* = 235€
i) Equipments/medication: 65 € × 3 patients = 195€
430 15 0 0
Alcohol intervention
I) Nurse: 2.8 h × 0 smokers × 28€* = 0€
I) Equipments/medication: 27 € × 0 patients = 0€
0 0 0 0
Optimised pain treatment
I) Physician: 0.25h × 28 patients × 34€* = 238€
238 9 0 0
Preoperative costs   79   8
Postoperative hospital training
I) Physiotherapist: 1 h × 28 patients × 5 times × 27€* = 3,880€
R) Physiotherapist: 1/2 h × 32 patients × 7 times × 27€*= 3,024€
3,880 135 3,024 95
Pain treatment
I) Senior nurse: 0.16 h × 3 times × 28 patients × 30*€ =403€
I) Specialist: 0.16 h × 3 times × 28 patients × 61€* = 820€
R) Senior nurse: 0.16 h × 3 times × 32 patients × 30*€ =460€
R) Specialist: 0.08 h × 3 times × 32 patients × 61€* = 468€
1,223 44 928 29
Hospital stay
I) Bed-price: 164 € per day × 5 days × 28 patients = 22,960€
R) Bed-price: 164 € per day × 7 days × 32 patients = 36,736€
22,960 820 36,736 1,148
Second surgery
R) Stop bleeding: 8,247€
0 0 8,247 258
Postoperative hospital costs per patient   999   1,530
Postoperative primary care GP
I) Contact: 43 contacts × 14€ per contact = 623€
R) Contact: 61 contacts × 14€ per contact = 854€
623 22 854 27
Emergency contacts
I) Contact: 3 contacts × 24€ per contact = 72€
R) Contact: 10 contacts × 24€ per contact=240€
72 2 240 8
Physiotherapy
I) Private physiotherapist: 20 h × 45€*= 900€
R) Private physiotherapist: 67 h × 45€*= 3,015€
900 32 3,015 94
Medical treatment
I) Medical treatment: 1120€
R) Medical treatment: 32€
1,120 40 32 1
Postoperative primary care costs per patients   96   130
Balance for direct costs per patient   1,174   1,668
  1. * Salary per hour