Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 48.032
Filtrar
1.
Genet Sel Evol ; 51(1): 44, 2019 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-31412777

RESUMO

BACKGROUND: Experimental intercrosses between outbred founder populations are powerful resources for mapping loci that contribute to complex traits i.e. quantitative trait loci (QTL). Here, we present an approach and its accompanying software for high-resolution reconstruction of founder mosaic genotypes in the intercross offspring from such populations using whole-genome high-coverage sequence data on founder individuals (~ 30×) and very low-coverage sequence data on intercross individuals (< 0.5×). Sets of founder-line informative markers were selected for each full-sib family and used to infer the founder mosaic genotypes of the intercross individuals. The application of this approach and the quality of the estimated genome-wide genotypes are illustrated in a large F2 pedigree between two divergently selected lines of chickens. RESULTS: We describe how we obtained whole-genome genotype data for hundreds of individuals in a cost- and time-efficient manner by using a Tn5-based library preparation protocol and an imputation algorithm that was optimized for this application. In total, 7.6 million markers segregated in this pedigree and, within each full-sib family, between 10.0 and 13.7% of these were fully informative, i.e. fixed for alternative alleles in the founders from the divergent lines, and were used for reconstruction of the offspring mosaic genotypes. The genotypes that were estimated based on the low-coverage sequence data were highly consistent (> 95% agreement) with those obtained using individual single nucleotide polymorphism (SNP) genotyping. The estimated resolution of the inferred recombination breakpoints was relatively high, with 50% of them being defined on regions shorter than 10 kb. CONCLUSIONS: A method and software for inferring founder mosaic genotypes in intercross offspring from low-coverage whole-genome sequencing in pedigrees from heterozygous founders are described. They provide high-quality, high-resolution genotypes in a time- and cost-efficient manner. The software is freely available at https://github.com/CarlborgGenomics/Stripes .


Assuntos
Galinhas/genética , Técnicas de Genotipagem , Sequenciamento Completo do Genoma , Animais , Cruzamento , Custos e Análise de Custo , Cruzamentos Genéticos , Conjuntos de Dados como Assunto , Feminino , Efeito Fundador , Técnicas de Genotipagem/economia , Masculino , Linhagem , Polimorfismo de Nucleotídeo Único , Software , Sequenciamento Completo do Genoma/economia
3.
Stud Health Technol Inform ; 264: 1061-1064, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438087

RESUMO

Hospitalization expenses account for a high rate of national medical care expenditure in Japan. The Japanese national medical care expenditure was 42 trillion 364.4 billion yen in 2015, in which hospitalization expenses were 15 trillion 575.2 billion yen (36.8%). Therefore, it is necessary to take measures to reduce hospitalization expenses. The total ratio of the labor cost of physicians and nurses accounted for about 1/3 of all expenditures of general hospitals in 2015. Moreover, the personnel cost of nurses accounted for about 1/5 of all expenditure, showing that the personnel cost of nurses is an element with a large influence on hospital management. The objective of this study was to develop a methodology to reduce the overtime work of nurses accounting for a large rate of personnel expenses by focusing on overtime work, a personnel expense-increasing factor, aiming at hospital cost reduction. First, the cause of overtime work, planning, and recording by nurses were analyzed and an IT application increasing the quality and efficiency of the work was developed. Then, fees for the use and maintenance of the IT system meeting the following conditions were set as a strategy to introduce the system: (1) 50% reduction of the overtime work of nurses and (2) fees 50% or lower than the reduced payment for overtime work. This IT application was introduced to the heads and directors of nursing of 5 hospitals and the strategy was proposed. All heads and directors highly evaluated the system and responded to initiate the process for the introduction. It was suggested that the methodology to reduce the overtime work of nurses proposed by this study is useful and feasible.


Assuntos
Gastos em Saúde , Registros de Enfermagem , Custos e Análise de Custo , Assistência à Saúde , Humanos , Japão
4.
Stud Health Technol Inform ; 264: 1476-1477, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438189

RESUMO

Automated extraction of patient trial eligibility for clinical research studies can increase enrollment at a decreased time and money cost. We have developed a modular trial eligibility pipeline including patient-batched processing and an internal webservice backed by a uimaFIT pipeline as part of a multi-phase approach to include note-batched processing, the ability to query trials matching patients or patients matching trials, and an external alignment engine to connect patients to trials.


Assuntos
Definição da Elegibilidade , Custos e Análise de Custo , Humanos , Seleção de Pacientes
5.
Bioresour Technol ; 291: 121805, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31351376

RESUMO

With a view to boost practical implementation of lignin conversion technologies, this paper assesses the availability of industrial lignin and evaluates pricing strategies applicable to multi-product biorefineries. The biorefineries, producing either denatured ethanol or sugar hydrolysate as a main product, can yield 43% and 61% of lignin residue (LR) comprising 33% and 23% of lignin by mass, respectively, without sacrificing the output of the main product and before electricity import has become indispensable. Analysis of the pricing strategies reveals that LR must be treated as a low-value by-product, and its minimum selling price (MSP) is driven mainly by the prevailing electricity price. Under the biorefinery net zero energy balance, and taking into account the LR market price adequacy, as well as the main probabilistic conditions, the upper range for the MSP is calculated at $43-70 and $18-37 per ton for biorefineries producing ethanol and hydrolysate, respectively.


Assuntos
Lignina/química , Custos e Análise de Custo , Eletricidade , Etanol/química , Indústrias , Lignina/economia
6.
Stud Health Technol Inform ; 262: 23-26, 2019 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-31349256

RESUMO

Nowadays, the great majority of the healthcare organizations has been criticized due to the high costs and low efficiency and are facing a critical situation aggravated by unmet demand and aging population. Availability of medicines is one of the clearest indicators that a healthcare organization is working efficiently. Medicines represent a large portion of the costs in the health services due to the significant value of these products and their storage and control requirements. Shortages of inventory have become a severe problem at the Brazilian healthcare organizations. The purpose of this work is to present the deployment of a Decision Support System which supports real-time inventory control and medicine tracking providing transparency and accessibility of this critical information at the Brazilian National Cancer Institute.


Assuntos
Sistemas de Apoio a Decisões Clínicas , Organizações de Planejamento em Saúde , Neoplasias , Brasil , Custos e Análise de Custo , Neoplasias/terapia , Estados Unidos
7.
BMC Public Health ; 19(1): 940, 2019 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-31299939

RESUMO

BACKGROUND: Consumption of fruits and vegetables reduces the risk of obesity, diabetes, cancer, cardiovascular mortality and all-cause mortality. The study assessed the pattern of intake and the factors that influence daily intake of commonly available fruits and vegetables in economically disadvantaged South African communities. METHODS: This is a cross-sectional study nested on an ongoing longitudinal study in South Africa. Two communities (a rural and urban) of low socio-economic status were purposely selected from two of the nine provinces. A sample of 535 participants aged 30-75 years was randomly selected from the longitudinal cohort of 1220; 411 (78%) women. Data were collected using validated food frequency and structured interviewer-administered questionnaires. Descriptive and multivariate regression analysis were undertaken. RESULTS: A higher proportion of participants in the urban township compared to their rural community counterparts had purchased fruits (93% vs. 51%) and vegetables (62% vs. 56%) either daily or weekly. Only 37.8% of the participants consumed at least two portions of commonly available fruits and vegetables daily, with no differences in the two communities. Daily/weekly purchase of sugar sweetened beverages (SSBs) was associated with daily intake of fruits and vegetables (p = 0.014). Controlling for age and gender, analysis showed that those who spent R1000 (USD71.4) and more on groceries monthly compared to those who spent less, and those who travelled with a personal vehicle to purchase groceries (compared to those who took public transport) were respectively 1.6 times (AOR, 95% CI: 1.05-2.44; p = 0.030) and 2.1 times (AOR, 95% CI: 1.06-4.09; p = 0.003) more likely to consume at least two or more portions of fruits and vegetables daily. Those who purchased SSBs daily or weekly were less likely (AOR, 95% CI: 0.54, 0.36-0.81, p = 0.007) to consume two or more portions of fruits and vegetables daily. The average household monthly income was very low (only 2.6% of households earned R5000 (US$357.1); and education level, attitude towards fruits and vegetables and owning a refrigerator had no significant association with fruits and vegetable daily intake. CONCLUSION: These findings indicate that affordability and frequency of purchase of sugary drinks can influence daily intake of fruits and vegetables in resource-limited communities.


Assuntos
Dieta/estatística & dados numéricos , Frutas , Áreas de Pobreza , Verduras , Adulto , Idoso , Bebidas , Custos e Análise de Custo/estatística & dados numéricos , Açúcares da Dieta/administração & dosagem , Feminino , Frutas/economia , Humanos , Masculino , Pessoa de Meia-Idade , África do Sul , Verduras/economia
8.
Waste Manag Res ; 37(9): 906-913, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31266405

RESUMO

The usage of plastics has exponentially increased in our daily lives over the past 50 years because of its durability, low costs and potential for diverse applications, such as widespread use as disposable items. In this study, first, the recycling cost of plastic wastes has been estimated by using actual data taken from a recycling centre, where plastic solid wastes were collected separately. The total amount of plastic wastes recycled at the centre was approximately 695 tonnes. The operating cost of plastics separation at the recycling centre, the transport of plastic wastes, labouring, maintenance, electricity, insurance and chemical costs were taken into consideration in the cost evaluation. Accordingly, the unit cost of recycling was calculated as US$0.40 kg-1 of plastic waste. This cost was compared with the predicted plastic recycling cost in the same region using statistical values. The predicted recycling cost was estimated based on assuming segregated collection by the municipalities of all PSW in municipal solid waste. Then the resulting unit cost of recycling was found to be US$0.25 kg-1 of plastic waste. In addition, the recycling costs were also evaluated including the revenue from the sales of recycled plastic granular. According to the evaluated total cost of plastic recycling, it can be concluded that mechanical recycling of plastics can only be an economical option if the recovery of plastics is improved.


Assuntos
Plásticos , Resíduos Sólidos , Custos e Análise de Custo , Reciclagem , Turquia
10.
Waste Manag ; 95: 440-449, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-31351630

RESUMO

Many governments use subsidies to encourage the recycling of waste electrical and electronic equipment. In order to assist policymakers in maximizing the benefit of these incentives, this paper investigates strategies for the allocation strategy of government subsidies among the parties in the reverse supply chain of e-waste consisting of one collector, one remanufacturer and two retailers. The optimal pricing decisions and effects of government subsidies with multiple subsidized parties are examined. Analytical results suggest that the remanufacturing utilization rate has great influence the allocation strategy of government subsidies. When the e-waste remanufacturing utilization rate is low, the marginal effect of the subsidy to the remanufacturer on economic benefit and the recycle quantity decreases as the subsidy increases. In this situation, the government should subsidize the collector and retailers. And when the e-waste remanufacturing utilization rate is relatively high, the marginal effect of the subsidy to the remanufacturer on economic benefit and the recycle quantity increase as the subsidy increases. In this case, the government should allocate as much support as possible to the remanufacturer.


Assuntos
Resíduo Eletrônico , Reciclagem , Custos e Análise de Custo , Tomada de Decisões , Eletrônica , Financiamento Governamental
11.
Waste Manag ; 95: 674-686, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-31351655

RESUMO

Landfill mining (LFM) is a strategy to mitigate environmental impacts associated with landfills, while simultaneously recovering dormant materials, energy carriers, and land resources. Although several case study assessments on the economy of LFM exist, a broader understanding of the driving factors is still lacking. This study aims at identifying generically important factors for the economy of LFM in Europe and understanding their role in developing economically feasible projects in view of different site, project and system-level conditions. Therefore, a set-based modeling approach is used to establish a large number (531,441) of LFM scenarios, evaluate their economic performance in terms of net present value (NPV), and analyze the relationships between input factors and economic outcome via global sensitivity analysis. The scenario results range from -139 Euro to +127 Euro/Mg of excavated waste, with 80% of the scenarios having negative NPVs. Variations in the costs for waste treatment and disposal and the avoided cost of alternative landfill management (i.e. if the landfill was not mined) have the strongest effect on the scenario NPVs, which illustrates the critical role of system level factors for LFM economy and the potential of policy intervention to incentivize LFM. Consequently, system conditions should guide site selection and project development, which is exemplified in the study for two extreme regional archetypes in terms of income and waste management standard. Future work should further explore the developed model to provide decision support on LFM strategies in consideration of alternative purposes, stakeholders, and objectives.


Assuntos
Eliminação de Resíduos , Gerenciamento de Resíduos , Custos e Análise de Custo , Europa (Continente) , Mineração , Instalações de Eliminação de Resíduos
12.
Cornea ; 38(8): 933-937, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31276456

RESUMO

PURPOSE: To understand medication use and patient burden for treatment of bacterial keratitis (BK). METHODS: A retrospective study was conducted examining medical records of adult patients with BK in an academic cornea practice. Data collected included medications used in the treatment of BK, dosing of medications, and the number and total duration of clinical encounters. Costs of medications were estimated using the average wholesale pharmacy price. Linear regression analysis was used to investigate associations of medication use with patient demographics and corneal culture results and reported with beta estimates (ß) and 95% confidence intervals (95% CIs). RESULTS: Forty-eight patients with BK (56% female) were studied. Patients were treated for a median of 54 days with 10 visits, 5 unique medications, 587 drops, and 7 prescriptions. The estimated median medication cost was $933 (interquartile range: $457-$1422) US dollars. Positive bacterial growth was significantly associated with more visits (ß: 6.16, 95% CI: 1.75-10.6, P = 0.007), more days of treatment (ß: 86.8, 95% CI: 10.8-163, P = 0.026), more prescribed medications (ß: 2.86, 95% CI: 1.04-4.67, P = 0.003), and more doses of medications (ß: 796, 95% CI: 818-1412, P = 0.012) compared with patients who did not undergo corneal scraping. Patients were prescribed 132 more drops of medication for every 10 years of older age (ß: 132, 95% CI: 18.2-246, P = 0.024). Sex and income were not associated with medication burden or treatment length. CONCLUSIONS: Older patients and those with positive cultures incur the most medication burden in treatment of BK. Providers should be aware of medication usage and cost burden as it may affect compliance with treatment.


Assuntos
Antibacterianos/economia , Antibacterianos/uso terapêutico , Úlcera da Córnea/tratamento farmacológico , Custos e Análise de Custo , Custos de Medicamentos , Uso de Medicamentos/estatística & dados numéricos , Infecções Oculares Bacterianas/tratamento farmacológico , Administração Oftálmica , Bactérias/isolamento & purificação , Úlcera da Córnea/microbiologia , Prescrições de Medicamentos/estatística & dados numéricos , Infecções Oculares Bacterianas/microbiologia , Feminino , Glucocorticoides/economia , Glucocorticoides/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Midriáticos/economia , Midriáticos/uso terapêutico , Soluções Oftálmicas , Estudos Retrospectivos
13.
Bone Joint J ; 101-B(7_Supple_C): 64-69, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31256638

RESUMO

AIMS: The Bundled Payments for Care Improvement (BPCI) initiative has identified pathways for improving the value of care. However, patient-specific modifiable and non-modifiable risk factors may increase costs beyond the target payment. We sought to identify risk factors for exceeding our institution's target payment, the so-called 'bundle busters'. PATIENTS AND METHODS: Using our data warehouse and Centers for Medicare and Medicaid Services (CMS) data we identified all 412 patients who underwent total joint arthroplasty and qualified for our institution's BPCI model, between July 2015 and May 2017. Episodes where CMS payments exceeded the target payment were considered 'busters' (n = 123). Risk ratios (RRs) were calculated using a modified Poisson regression analysis. RESULTS: An increased risk of exceeding the target payment was significantly associated with increasing age (adjusted RR 1.04, 95% confidence interval (CI) 1.01 to 1.06) and body mass index (adjusted RR 1.03, 95% CI 1.003 to 1.06). Eight comorbid risk factors were also identified (all p < 0.05), only two of which were considered to be potentially modifiable (diabetes with complications and preoperative anaemia). An American Society of Anesthesiologist physical status classification system (ASA) score ≥ 3 (adjusted RR 2.3, 95% CI 1.67 to 3.18) and Charlson Comorbidity Index (CCI) ≥ 3 (adjusted RR 1.94, 95% CI 1.45 to 2.60) were risk factors for bundle busting. CONCLUSION: Non-modifiable preoperative risk factors can increase costs and exceed the target payment. Future bundled payment models should incorporate the stratification of risk. Cite this article: Bone Joint J 2019;101-B(7 Supple C):64-69.


Assuntos
Artroplastia de Quadril/economia , Artroplastia do Joelho/economia , Centers for Medicare and Medicaid Services (U.S.)/economia , Gastos em Saúde/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Custos e Análise de Custo , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Estados Unidos
14.
Bone Joint J ; 101-B(7_Supple_C): 61-63, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31256655

RESUMO

AIMS: The aim of this study was to compare the actual cost of a cemented and cementless total knee arthroplasty (TKA) procedure. MATERIALS AND METHODS: The cost of operative time, implants, cement, and cementing accessories were included in the overall cost of the TKA procedure. Operative time was determined from a previously published study comparing cemented and cementless implants of the same design. The cost of operative time, implants, cement, and cementing accessories was determined from market and institutional data. RESULTS: Mean operative time for cemented TKA was 11.6 minutes longer for cemented TKA than cementless TKA (93.7 minutes (sd 16.7) vs 82.1 minutes (sd 16.6); p = 0.001). Using a conservative published standard of $36 per minute for operating theatre time cost, the total time cost was $418 higher for cementing TKA. The cost of cement and accessories ranged from $170 to $625. Overall, the calculated cost of cemented TKA is $588 to $1043, depending on technique. The general increased charge for cementless TKA implants over cemented TKA implants was $366. CONCLUSION: The overall procedural cost of implanting a cementless TKA is less than implanting a cemented TKA. Cost alone should not be a barrier to using cementless TKA. Cite this article: Bone Joint J 2019;101-B(7 Supple C):61-63.


Assuntos
Artroplastia do Joelho/economia , Cimentos para Ossos , Prótese do Joelho/economia , Osteoartrite do Joelho/cirurgia , Artroplastia do Joelho/métodos , Custos e Análise de Custo , Humanos , Osteoartrite do Joelho/economia , Falha de Prótese , Reoperação , Estados Unidos
16.
BMC Public Health ; 19(1): 822, 2019 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-31242890

RESUMO

BACKGROUND: 'Pop-up' warning messages have potential as a Responsible Gambling tool, but many warning messages in the literature are generic. The present study simulated digital roulette to compare the effectiveness of expenditure-specific, generic and control messages, during online roulette. METHODS: Forty-five casual gamblers participated in a laboratory setting. Gambles were 'rigged' such that participants suffered a net loss. Total 'play money' wagers from individual bets after the presentation of the messages were measured. RESULTS: Expenditure-specific warning messages demonstrated significant reductions in wager amounts compared with other message types - Generic (p = .035) and Control messages (p < .001). No significant differences were found between Generic and Control messages (p > .05). Thus expenditure-specific warning messages about current losses were more effective than generic messages for reducing expenditure. CONCLUSIONS: Expenditure-specific warning messages exhibit potential for ameliorating potentially harmful gambling behaviour. Expenditure-specific messages should be tested in a broader range of gambling contexts to examine their generalizability and potential for implementation in the gambling industry.


Assuntos
Comunicação , Custos e Análise de Custo , Tomada de Decisões , Jogo de Azar , Redução do Dano , Promoção da Saúde/métodos , Adolescente , Adulto , Idoso , Coleta de Dados , Feminino , Jogos Recreativos , Humanos , Indústrias , Laboratórios , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Adulto Jovem
17.
Manag Care ; 28(5): 24-29, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31188107

RESUMO

Too often, the prices of health care services and drugs are cloaked in mystery. A growing consensus demands that patients be given a clearer sense, in advance, of what things will cost. But there are obstacles-and some stakeholders benefit from the present confusion.


Assuntos
Custos de Medicamentos , Comércio , Custos e Análise de Custo , Humanos
18.
Curr Urol Rep ; 20(8): 45, 2019 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-31218458

RESUMO

PURPOSE OF REVIEW: To provide an economic context within which to consider treatment options for benign prostatic hyperplasia (BPH). To this end, this review provides a comparison of the costs of combination medical therapy, operative treatment, and office-based therapies for BPH from a payer perspective. RECENT FINDINGS: Analysis of Medicare charges from the authors' institution, as well as local retail costs of medication, demonstrated a wide range in costs of commonly used BPH treatments. In this study, interventions for BPH reached cost equivalence with combination medical therapy within 6 months to 8 years. A myriad of options for managing men with symptomatic BPH exist. It is prudent not only to consider surgeon preference and patient-specific factors when selecting a treatment but also to understand the economic impact different BPH therapies confer.


Assuntos
Hiperplasia Prostática/economia , Hiperplasia Prostática/terapia , Terapia Combinada/economia , Custos e Análise de Custo , Humanos , Masculino , Medicare/economia , Estados Unidos , Procedimentos Cirúrgicos Urológicos Masculinos/economia , Procedimentos Cirúrgicos Urológicos Masculinos/métodos , Agentes Urológicos/economia , Agentes Urológicos/uso terapêutico
19.
Waste Manag ; 91: 72-79, 2019 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-31203944

RESUMO

Food waste (FW) generation from hotel operations have a significant negative impact on the environment, society and economy. Hence, the urgent need to introduce sustainable food management to reduce both FW and operational costs in hotels. The aim of this paper is to identify the drivers of FW generation and barriers to sustainable food waste management (SFWM) in island based hotels. The data were collected using in-depth interview coupled with the observations conducted at 23 selected hoteliers in Langkawi Island, Malaysia. Based on the analysis, using qualitative content analysis (QCA), eight FW drivers were identified and the drivers were classified into three categories of factors, mainly internal, external and intermediate influence. There are four FW drivers identified as internal factors that influenced the implementation of food waste management namely (1) poor hotel management and policies, (2) lack of skills in food preparation, (3) lack of facilities and FW technology and (4) non-implementation of waste audit and waste separation. For external factors, there are two FW drivers, including (5) unsustainable food consumption patterns of the customers and (6) risk of food ingredients spoilage. As for intermediate factors, two FW drivers were identified, which are (7) ineffective communication and (8) inadequate education and awareness. Findings from this study contribute towards a better understanding on the complexity of FW issues, particularly for island-based hotel sector. It was also suggested that a holistic approach with multi-stakeholders is crucial to reduce food wastage towards achieving SFWM.


Assuntos
Gerenciamento de Resíduos , Custos e Análise de Custo , Alimentos , Ilhas , Malásia
20.
Expert Rev Med Devices ; 16(7): 555-567, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31154870

RESUMO

INTRODUCTION: Total knee arthroplasty (TKA) is one of the most commonly performed orthopedic procedures. During the past decade, patient-specific instrumentation (PSI) has been commercially introduced in order to simplify and make TKA surgery more effective, precise and efficient than conventional mechanical instrumentation (CI) and computer-assisted surgery (CAS). Nevertheless, there are critical arguments against PSI for routine use. The aim of the current manuscript is to describe advantages and limitations of PSI for primary TKA. AREAS COVERED: By means of a description of the available literature different aspects are discussed (accuracy, clinical and functional outcomes, operative time, blood loss, efficiency and costs). EXPERT OPINION: Most publications do not claim a significant increase in PSI accuracy over CI, but they also do not postulate PSIs accuracy is worse either. Regarding clinical aspects, PSI did not appear to give any advantage over standard techniques although, equally, it did not appear to show any disadvantages. PSI seems to reduce operative time, could reduce perioperative blood loss and provides logistical benefits in the operation room. Further studies will be required to more thoroughly assess all the advantages and disadvantages of this promising technology as an alternative to CI and CAS.


Assuntos
Artroplastia do Joelho/instrumentação , Articulação do Joelho/cirurgia , Artroplastia do Joelho/economia , Custos e Análise de Custo , Humanos , Articulação do Joelho/diagnóstico por imagem , Duração da Cirurgia , Cirurgia Assistida por Computador/economia , Cirurgia Assistida por Computador/instrumentação , Resultado do Tratamento
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA