• Gerard A Sheridan, Matthew Nagle, Catherine Howells, Olga Gallagher, Patrick J Kiely, Patrick O'Toole, Paula M Kelly, and David P Moore.
• Department of Orthopaedics, Our Lady's Children's Hospital Crumlin, Dublin, Ireland. sheridga@tcd.ie.
• Ir J Med Sci. 2020 Feb 1; 189 (1): 27-31.

BackgroundWe describe the first radiographic clinic in the literature for DDH and how this novel clinic can significantly improve the efficiency and cost-effectiveness of service in a tertiary referral centre.AimsA radiographic clinic for the management of developmental dysplasia of the hip was introduced in 2017 in our institution. We performed a detailed cost analysis to assess the economic savings made with the introduction of this new clinic. We assessed the efficiency of the service by identifying how many unnecessary outpatient visits were prevented. We also assessed the difference in times from referral to review between the two clinics.MethodsAnalysis of the clinic activity in 2017 was possible as all data was collected prospectively by the DDH CNS and stored in our database. Cost analysis was performed, and the savings made per patient along with the financial benefit to our institution was recorded.ResultsThe new radiographic clinic reduced the cost of reviewing one patient by €162.51 per patient. There was a 73% discharge rate from the clinic which prevented 251 unnecessary patient visits to the outpatient department over the course of the year. There was a significant 11-day reduction in waiting times between referral and review when comparing the radiographic to the conventional clinic (p < 0.05).ConclusionsA radiographic clinic for the management of developmental dysplasia of the hip has a significant effect on the efficiency and overall cost-effectiveness of service provision in a tertiary referral centre.

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