![](/images/graphics-bg.png)
Early Economic Evaluation Demonstrates That Noncomputerized Tomography Robotic-Assisted Surgery Is Cost-Effective in Patients Undergoing Unicompartmental Knee Arthroplasty at High-Volume Orthopaedic Centres
Joint Authors
Nherera, Leo M.
Verma, Sanjay
Trueman, Paul
Jennings, Simon
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-04-14
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
For over fifty years, unicompartmental knee arthroplasty (UKA) has been used to treat single-compartment osteoarthritis of the knee and is considered a safe alternative to total knee arthroplasty (TKA).
The development and use of robotic-assisted surgery (r-UKA) have made the execution of the procedure more precise, and various studies have reported improved radiographic outcomes and implant survival rates; however, its cost-effectiveness is unknown.
This study aimed at assessing the cost-effectiveness of noncomputerized tomography (non-CT) r-UKA compared to the traditional unicompartmental knee arthroplasty (t-UKA) method in patients with unicompartmental knee osteoarthritis from the UK payer’s perspective.
Methods.
We developed a 5-year four-state Markov model to evaluate the expected costs and outcomes of the two strategies in patients aged 65 years.
Failure rates for t-UKA were taken from the British National Joint Registry while data for non-CT r-UKA were obtained from a 2-year observational study.
Cost was obtained from the NHS reference cost valued at 2018/19 GBP£, and a discount rate of 3.5% was applied to both costs and benefits.
Results.
For a high-volume orthopaedic centre that performs 100 UKA operations per year, non-CT r-UKA was more costly than t-UKA but offered better clinical outcomes, and the estimated cost per QALY was £2,831.
The results were more favourable in younger patients aged less than 55 and sensitive to case volumes and follow-up period.
Conclusion.
Non-CT r-UKA is cost-effective compared with t-UKA over a 5-year period.
Results are dependent on case volumes and follow-up period and favour younger age groups.
American Psychological Association (APA)
Nherera, Leo M.& Verma, Sanjay& Trueman, Paul& Jennings, Simon. 2020. Early Economic Evaluation Demonstrates That Noncomputerized Tomography Robotic-Assisted Surgery Is Cost-Effective in Patients Undergoing Unicompartmental Knee Arthroplasty at High-Volume Orthopaedic Centres. Advances in Orthopedics،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1129803
Modern Language Association (MLA)
Nherera, Leo M.…[et al.]. Early Economic Evaluation Demonstrates That Noncomputerized Tomography Robotic-Assisted Surgery Is Cost-Effective in Patients Undergoing Unicompartmental Knee Arthroplasty at High-Volume Orthopaedic Centres. Advances in Orthopedics No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1129803
American Medical Association (AMA)
Nherera, Leo M.& Verma, Sanjay& Trueman, Paul& Jennings, Simon. Early Economic Evaluation Demonstrates That Noncomputerized Tomography Robotic-Assisted Surgery Is Cost-Effective in Patients Undergoing Unicompartmental Knee Arthroplasty at High-Volume Orthopaedic Centres. Advances in Orthopedics. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1129803
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129803