Understanding economic analysis and cost-effectiveness of CT scan-guided, 3-dimensional, robotic-arm assisted lower extremity arthroplasty: a systematic review.
J Comp Eff Res
; 13(4): e230040, 2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-38488048
ABSTRACT
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.Palavras-chave
3-dimensional planning; computed tomography; cost savings; costeffectiveness; economic advantages; episodes of care; health economics; length of stay; payors; post-discharge period; robotic-arm assisted joint arthroplasty; total hip arthroplasty; total knee arthroplasty; unicompartmental knee arthroplasty
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tomografia Computadorizada por Raios X
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Análise Custo-Benefício
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Artroplastia de Quadril
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Artroplastia do Joelho
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Procedimentos Cirúrgicos Robóticos
Limite:
Humans
Idioma:
En
Revista:
J Comp Eff Res
/
J. comp. eff. res. (Online)
/
Journal of comparative effectiveness research (Online)
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Estados Unidos