A 90-day episode-of-care cost analysis of robotic-arm assisted total knee arthroplasty
To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA). TKA procedures were identified in Medicare 100% data. Accounting for baseline differences, propensity score matching was performed 1:5. 90-day EOC and index co...
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Published in | Journal of comparative effectiveness research Vol. 8; no. 5; pp. 327 - 336 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
England
Future Medicine Ltd
01.04.2019
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Subjects | |
Online Access | Get full text |
ISSN | 2042-6305 2042-6313 2042-6313 |
DOI | 10.2217/cer-2018-0136 |
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Abstract | To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA).
TKA procedures were identified in Medicare 100% data. Accounting for baseline differences, propensity score matching was performed 1:5. 90-day EOC and index costs, lengths-of-stay, discharge disposition and readmission rates were assessed.
A total of 519 rTKA and 2595 mTKA were included. Overall 90-day EOC costs were US$2391 less for rTKA (p < 0.0001). Over 90% of patients in both cohorts utilized post-acute services, with rTKA accruing fewer costs than mTKA. Post-acute savings can be attributed to discharge destination.
rTKA incurred an overall lower 90-day EOC cost versus mTKA. Savings were driven by fewer readmissions and an economically beneficial discharge destinations. |
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AbstractList | Aim:
To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA).
Patients & methods:
TKA procedures were identified in Medicare 100% data. Accounting for baseline differences, propensity score matching was performed 1:5. 90-day EOC and index costs, lengths-of-stay, discharge disposition and readmission rates were assessed.
Results:
A total of 519 rTKA and 2595 mTKA were included. Overall 90-day EOC costs were US$2391 less for rTKA (p < 0.0001). Over 90% of patients in both cohorts utilized post-acute services, with rTKA accruing fewer costs than mTKA. Post-acute savings can be attributed to discharge destination.
Conclusion:
rTKA incurred an overall lower 90-day EOC cost versus mTKA. Savings were driven by fewer readmissions and an economically beneficial discharge destinations. To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA).AIMTo evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA).TKA procedures were identified in Medicare 100% data. Accounting for baseline differences, propensity score matching was performed 1:5. 90-day EOC and index costs, lengths-of-stay, discharge disposition and readmission rates were assessed.PATIENTS & METHODSTKA procedures were identified in Medicare 100% data. Accounting for baseline differences, propensity score matching was performed 1:5. 90-day EOC and index costs, lengths-of-stay, discharge disposition and readmission rates were assessed.A total of 519 rTKA and 2595 mTKA were included. Overall 90-day EOC costs were US$2391 less for rTKA (p < 0.0001). Over 90% of patients in both cohorts utilized post-acute services, with rTKA accruing fewer costs than mTKA. Post-acute savings can be attributed to discharge destination.RESULTSA total of 519 rTKA and 2595 mTKA were included. Overall 90-day EOC costs were US$2391 less for rTKA (p < 0.0001). Over 90% of patients in both cohorts utilized post-acute services, with rTKA accruing fewer costs than mTKA. Post-acute savings can be attributed to discharge destination.rTKA incurred an overall lower 90-day EOC cost versus mTKA. Savings were driven by fewer readmissions and an economically beneficial discharge destinations.CONCLUSIONrTKA incurred an overall lower 90-day EOC cost versus mTKA. Savings were driven by fewer readmissions and an economically beneficial discharge destinations. To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA). TKA procedures were identified in Medicare 100% data. Accounting for baseline differences, propensity score matching was performed 1:5. 90-day EOC and index costs, lengths-of-stay, discharge disposition and readmission rates were assessed. A total of 519 rTKA and 2595 mTKA were included. Overall 90-day EOC costs were US$2391 less for rTKA (p < 0.0001). Over 90% of patients in both cohorts utilized post-acute services, with rTKA accruing fewer costs than mTKA. Post-acute savings can be attributed to discharge destination. rTKA incurred an overall lower 90-day EOC cost versus mTKA. Savings were driven by fewer readmissions and an economically beneficial discharge destinations. To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA). TKA procedures were identified in Medicare 100% data. Accounting for baseline differences, propensity score matching was performed 1:5. 90-day EOC and index costs, lengths-of-stay, discharge disposition and readmission rates were assessed. A total of 519 rTKA and 2595 mTKA were included. Overall 90-day EOC costs were US$2391 less for rTKA (p < 0.0001). Over 90% of patients in both cohorts utilized post-acute services, with rTKA accruing fewer costs than mTKA. Post-acute savings can be attributed to discharge destination. rTKA incurred an overall lower 90-day EOC cost versus mTKA. Savings were driven by fewer readmissions and an economically beneficial discharge destinations. Aim: To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA). Patients & methods: TKA procedures were identified in Medicare 100% data. Accounting for baseline differences, propensity score matching was performed 1:5. 90-day EOC and index costs, lengths-of-stay, discharge disposition and readmission rates were assessed. Results: A total of 519 rTKA and 2595 mTKA were included. Overall 90-day EOC costs were US$2391 less for rTKA (p < 0.0001). Over 90% of patients in both cohorts utilized post-acute services, with rTKA accruing fewer costs than mTKA. Post-acute savings can be attributed to discharge destination. Conclusion: rTKA incurred an overall lower 90-day EOC cost versus mTKA. Savings were driven by fewer readmissions and an economically beneficial discharge destinations. |
Author | Seeger, Kelly A Jacofsky, David J Sodhi, Nipun Mont, Michael A Cool, Christina L |
AuthorAffiliation | 1Baker Tilly LLP, New York, NY 10119, USA 2The CORE Institute, Phoenix, AZ 85023, USA 3Department of Orthopedic Surgery, Lenox Hill Hospital, New York, NY 10075, USA |
AuthorAffiliation_xml | – name: 3Department of Orthopedic Surgery, Lenox Hill Hospital, New York, NY 10075, USA – name: 2The CORE Institute, Phoenix, AZ 85023, USA – name: 1Baker Tilly LLP, New York, NY 10119, USA |
Author_xml | – sequence: 1 givenname: Christina L surname: Cool fullname: Cool, Christina L – sequence: 2 givenname: David J surname: Jacofsky fullname: Jacofsky, David J – sequence: 3 givenname: Kelly A surname: Seeger fullname: Seeger, Kelly A – sequence: 4 givenname: Nipun surname: Sodhi fullname: Sodhi, Nipun – sequence: 5 givenname: Michael A surname: Mont fullname: Mont, Michael A |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30686022$$D View this record in MEDLINE/PubMed |
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Keywords | knee arthroplasty total knee arthroplasty knee osteoarthritis economic utility episode-of-care MAKO TKA claims analysis managed care health economics |
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Snippet | To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA).
TKA procedures... Aim: To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA). Patients &... Aim: To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA). Patients &... To evaluate 90-day episode-of-care (EOC) costs associated with robotic-arm assisted total knee arthroplasty (rTKA) versus manual TKA (mTKA).AIMTo evaluate... |
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SubjectTerms | Accuracy Arthritis claims analysis Cost analysis Diagnosis related groups DRGs economic utility episode-of-care health economics Hospitals Identification Joint surgery knee arthroplasty knee osteoarthritis MAKO managed care Medical imaging Medicare NMR Nuclear magnetic resonance Patient satisfaction Robotics TKA total knee arthroplasty Trends |
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Title | A 90-day episode-of-care cost analysis of robotic-arm assisted total knee arthroplasty |
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