Understanding economic analysis and cost-effectiveness of CT scan-guided, 3-dimensional, robotic-arm assisted lower extremity arthroplasty : a systematic review
Aim: The overall goal of this review was to examine the cost-utility of robotic-arm assisted surgery versus manual surgery. Methods: We performed a systematic review of all health economic studies that compared CT-based robotic-arm assisted unicompartmental knee arthroplasty, total knee arthroplasty and total hip arthroplasty with manual techniques. The papers selected focused on various cost-utility measures. In addition, where appropriate, secondary aims encompassed various clinical outcomes (e.g., readmissions, discharges to subacute care, etc.). Only articles directly comparing CT-based robotic-arm assisted joint arthroplasty with manual joint arthroplasty were included, for a resulting total of 21 reports. Results: Almost all twenty-one studies demonstrated a positive effect of CT scan-guided robotic-assisted joint arthroplasty on health economic outcomes. For studies reporting on 90-day episodes of costs, 10 out of 12 found lower costs in the robotic-arm assisted groups. Conclusion: Robotic-arm assisted joint arthroplasty patients had shorter lengths of stay and cost savings based on their 90-day episodes of care, among other metrics. Payors would likely benefit from encouraging the use of this CT-based robotic technology.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:13 |
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| Enthalten in: |
Journal of comparative effectiveness research - 13(2024), 4 vom: 24. Apr., Seite e230040 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Sarrel, Kara [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 25.03.2024 Date Revised 27.04.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.57264/cer-2023-0040 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369777387 |
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| 245 | 1 | 0 | |a Understanding economic analysis and cost-effectiveness of CT scan-guided, 3-dimensional, robotic-arm assisted lower extremity arthroplasty |b a systematic review |
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| 500 | |a Date Completed 25.03.2024 | ||
| 500 | |a Date Revised 27.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Aim: The overall goal of this review was to examine the cost-utility of robotic-arm assisted surgery versus manual surgery. Methods: We performed a systematic review of all health economic studies that compared CT-based robotic-arm assisted unicompartmental knee arthroplasty, total knee arthroplasty and total hip arthroplasty with manual techniques. The papers selected focused on various cost-utility measures. In addition, where appropriate, secondary aims encompassed various clinical outcomes (e.g., readmissions, discharges to subacute care, etc.). Only articles directly comparing CT-based robotic-arm assisted joint arthroplasty with manual joint arthroplasty were included, for a resulting total of 21 reports. Results: Almost all twenty-one studies demonstrated a positive effect of CT scan-guided robotic-assisted joint arthroplasty on health economic outcomes. For studies reporting on 90-day episodes of costs, 10 out of 12 found lower costs in the robotic-arm assisted groups. Conclusion: Robotic-arm assisted joint arthroplasty patients had shorter lengths of stay and cost savings based on their 90-day episodes of care, among other metrics. Payors would likely benefit from encouraging the use of this CT-based robotic technology | ||
| 650 | 4 | |a Systematic Review | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a 3-dimensional planning | |
| 650 | 4 | |a computed tomography | |
| 650 | 4 | |a cost savings | |
| 650 | 4 | |a cost–effectiveness | |
| 650 | 4 | |a economic advantages | |
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| 650 | 4 | |a health economics | |
| 650 | 4 | |a length of stay | |
| 650 | 4 | |a payors | |
| 650 | 4 | |a post-discharge period | |
| 650 | 4 | |a robotic-arm assisted joint arthroplasty | |
| 650 | 4 | |a total hip arthroplasty | |
| 650 | 4 | |a total knee arthroplasty | |
| 650 | 4 | |a unicompartmental knee arthroplasty | |
| 700 | 1 | |a Hameed, Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a Dubin, Jeremy |e verfasserin |4 aut | |
| 700 | 1 | |a Mont, Michael A |e verfasserin |4 aut | |
| 700 | 1 | |a Jacofsky, David J |e verfasserin |4 aut | |
| 700 | 1 | |a Coppolecchia, Andréa B |e verfasserin |4 aut | |
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