Robotic Arm-assisted Total Hip Arthroplasty is More Cost-Effective Than Manual Total Hip Arthroplasty: A Markov Model Analysis.

The Journal of the American Academy of Orthopaedic Surgeons
David R MaldonadoBenjamin G Domb

Abstract

Total hip arthroplasty (THA) is the benchmark surgical treatment of advanced and symptomatic hip osteoarthritis. Preliminary evidence suggests that the robotic arm-assisted (RAA) technology yields more accurate and reproducible acetabular cup placement, which may improve survival rate and clinical results, but economic considerations are less well-defined. The purpose of this study was to compare the cost effectiveness of the RAA THA with manual THA (mTHA) modalities, considering direct medical costs and utilities from a payer's perspective. A Markov model was constructed to analyze two potential interventions for hip osteoarthritis and degenerative joint disorder: RAA THA and mTHA. Potential outcomes of THA were categorized into the transition states: infection, dislocation, no major complications, or revision. Cumulative costs and utilities were assessed using a cycle length of 1 year over a time horizon of 5 years. RAA THA cohort was cost effective relative to mTHA cohort for cumulative Medicare and cumulative private payer insurance costs over the 5-year period. RAA THA cost saving had an average differential of $945 for Medicare and $1,810 for private insurance relative to mTHA while generating slightly more utility (0.04 ...Continue Reading

References

Mar 8, 1998·PharmacoEconomics·A Briggs, M Sculpher
Aug 3, 2005·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Simon G Thompson, Richard M Nixon
Jul 2, 2008·Clinical Medicine & Research·R M D MeekC R Howie
Apr 1, 2008·Expert Review of Pharmacoeconomics & Outcomes Research·Scott D Grosse
Aug 16, 2011·Clinical Orthopaedics and Related Research·David W ShearerBrian T Feeley
Mar 19, 2013·Cost Effectiveness and Resource Allocation : C/E·Timothy M DallDavid Ruiz
Aug 31, 2013·Clinical Orthopaedics and Related Research·Benjamin G DombItamar B Botser
Nov 29, 2013·Arthritis Care & Research·Christopher J DyStephen Lyman
Sep 30, 2014·The Journal of Arthroplasty·John M RedmondBenjamin G Domb
Jan 7, 2015·Clinical Orthopaedics and Related Research·David W ShearerKevin J Bozic
Feb 11, 2015·Clinical Orthopaedics and Related Research·Carlos J Lavernia, Jesus M Villa
Mar 5, 2015·The Journal of Arthroplasty·Benedict U Nwachukwu, Kevin J Bozic
Apr 14, 2015·The Journal of Arthroplasty·Carlos J LaverniaJesus M Villa
Sep 25, 2015·Clinical Orthopaedics and Related Research·Kevin J BozicDaniel Berry
Dec 27, 2015·The Journal of Arthroplasty·Wayne E MoschettiJames W Genuario
Nov 11, 2016·BMC Musculoskeletal Disorders·Maaike G J GademanPerla J Marang-van de Mheen
Nov 24, 2016·Acta Orthopaedica·Kurt G SeagraveKirill Gromov
Feb 27, 2017·Clinical Orthopaedics and Related Research·Per Hviid GundtoftSøren Overgaard
May 4, 2017·The Journal of Bone and Joint Surgery. American Volume·Brian T BarlowGeoffrey H Westrich
Aug 17, 2018·The Journal of Knee Surgery·Robert C MarchandMichael A Mont
Sep 25, 2018·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Peter J NeumannGillian D Sanders
Oct 28, 2018·The Journal of Arthroplasty·Matthew P AbdelMark W Pagnano
Jan 3, 2019·The Journal of Bone and Joint Surgery. American Volume·Jane LiuVasilios Moutzouros

❮ Previous
Next ❯

Citations

Jan 1, 2021·Bone & Joint Research·Nicholas D ClementJames T Patton
Apr 13, 2021·SICOT-J·Andreas FontalisFares S Haddad
Sep 17, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Ahmed K EmaraAtul F Kamath

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.