The Cost-Effectiveness of Tibial Metaphyseal Cones in Revision Total Knee Arthroplasty.
J Arthroplasty
; 37(6S): S50-S55, 2022 06.
Article
em En
| MEDLINE
| ID: mdl-35569918
ABSTRACT
BACKGROUND:
The purpose of this study is to evaluate the cost-effectiveness of tibial cones in revision total knee arthroplasty.METHODS:
A Markov model was used for cost-effectiveness analysis. The average cone price was obtained from Orthopedic Network News. The average cone aseptic loosening rate was determined by literature review. Hospitalization costs and baseline re-revision rates were calculated using the PearlDiver Database.RESULTS:
The maximum cost-effective cone price varied from $3514 at age 40 to $648 at age 90, compared to the current average selling price of $4201. Cones became cost-effective with baseline aseptic loosening rates of 0.89% annually at age 40 to 4.38% annually at age 90, compared to the current average baseline loosening rate of 0.76% annually.CONCLUSION:
For the average patient, tibial cones are not cost-effective, but may become so at lower prices, in younger patients, or in patients at substantially increased risk of aseptic loosening.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artroplastia do Joelho
/
Prótese do Joelho
Tipo de estudo:
Health_economic_evaluation
/
Observational_studies
/
Risk_factors_studies
Limite:
Adult
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Aged80
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Humans
Idioma:
En
Revista:
J Arthroplasty
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Israel