Journal ArticleDOI
Health Care Utilization and Payer Cost Analysis of Robotic Arm Assisted Total Knee Arthroplasty at 30, 60, and 90 Days.
Michael A. Mont,Christina L Cool,David Gregory,Andrea Coppolecchia,Nipun Sodhi,David J. Jacofsky +5 more
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TLDR
RTKA is associated with lower 30-, 60-, and 90-day postoperative costs and health care utilization and initial economic insights into rTKA with promising results are provided.Abstract:
This study performed a health care utilization analysis between robotic arm assisted total knee arthroplasty (rTKA) and manual total knee arthroplasty (mTKA) techniques. Specifically, we compared (1) index costs and (2) discharge dispositions, as well as (3) 30-day (4) 60-day, and (5) 90-day (a) episode-of-care costs, (b) postoperative health care utilization, and (c) readmissions. The 100% Medicare Standard Analytical Files were used for rTKAs and mTKAs performed between January 1, 2016, and March 31, 2017. Based on strict inclusion–exclusion criteria and 1:5 propensity score matching, 519 rTKA and 2,595 mTKA patients were analyzed. Total episode payments, health care utilization, and readmissions, at 30-, 60-, and 90-day time points were compared using generalized linear model, binomial regression, log link, Mann–Whitney, and Pearson's chi-square tests. The rTKA versus mTKA cohort average total episode payment was US$17,768 versus US$19,899 (pread more
Citations
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Journal ArticleDOI
MAKO CT-based robotic arm-assisted system is a reliable procedure for total knee arthroplasty: a systematic review
Cécile Batailler,Andrea Fernandez,John Swan,Elvire Servien,Fares S. Haddad,Fabio Catani,Sébastien Lustig +6 more
TL;DR: The CT-based robotic-assisted system for TKA reduced postoperative pain and improved implant positioning with equal or slightly superior improvement of the functional outcomes at one year, compared to conventional TKA.
Journal ArticleDOI
Comparative Cost Analysis of Robotic-Assisted and Jig-Based Manual Primary Total Knee Arthroplasty.
TL;DR: In this paper, the authors compared 90-day episode-of-care (EOC) costs for mTKA and raTKA using clinical and financial data from medical and billing records.
Journal ArticleDOI
Robotic-arm assisted total knee arthroplasty is associated with improved accuracy and patient reported outcomes: a systematic review and meta-analysis
Junren Zhang,Wofhatwa Solomon Ndou,Nathan Ng,Paul Gaston,Philip M Simpson,Gavin J. Macpherson,James T. Patton,Nicholas D. Clement +7 more
TL;DR: A systematic review and meta-analysis were conducted to compare the accuracy of component positioning, alignment and balancing techniques employed, patient-reported outcomes, and complications of robotic-arm assisted total knee arthroplasty (RATKA) with manual TKA (mTKA) and the associated learning curve as discussed by the authors.
Journal ArticleDOI
The current state of robotics in total knee arthroplasty.
Jean-Pierre St Mart,En Lin Goh +1 more
TL;DR: The short-term gains and greater technical reliability associated with current systems may justify the ongoing investment in robotic technology and further long-term data are required to fully ascertain the cost-effectiveness of newer robotic systems.
Journal ArticleDOI
Robotic Arm-assisted Total Hip Arthroplasty is More Cost-Effective Than Manual Total Hip Arthroplasty: A Markov Model Analysis.
David R. Maldonado,Cammille C. Go,Cynthia Kyin,Philip J. Rosinsky,Jacob Shapira,Ajay C. Lall,Benjamin G. Domb +6 more
TL;DR: In the Medicare and private payer scenarios, RAA THA is more cost effective than conventional mTHA when considering direct medical costs and utilities from a payer's perspective.
References
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Journal ArticleDOI
Robotic-arm assisted total knee arthroplasty is associated with improved early functional recovery and reduced time to hospital discharge compared with conventional jig-based total knee arthroplasty: a prospective cohort study.
TL;DR: In this article, the authors compared early postoperative functional outcomes and time to hospital discharge between conventional jig-based total knee arthroplasty (TKA) and robotic-arm a
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Robotic-Arm Assisted Total Knee Arthroplasty Demonstrated Greater Accuracy and Precision to Plan Compared with Manual Techniques.
Emily Hampp,Morad Chughtai,Laura Scholl,Nipun Sodhi,Manoshi Bhowmik-Stoker,David J. Jacofsky,Michael A. Mont +6 more
TL;DR: RATKA demonstrated more accurate and precise bone cuts and implant positioning to plan when compared with MTKA, there were clear differences that separated these two groups.
Journal ArticleDOI
Iatrogenic Bone and Soft Tissue Trauma in Robotic-Arm Assisted Total Knee Arthroplasty Compared With Conventional Jig-Based Total Knee Arthroplasty: A Prospective Cohort Study and Validation of a New Classification System.
TL;DR: The proposed MASTI classification system is a reproducible grading scheme for describing iatrogenic bone and soft tissue injury in TKA and may facilitate further research correlating macroscopicsoft tissue injury during TKA to long-term clinical and functional outcomes.
Journal ArticleDOI
Bundled Payments in Total Joint Replacement: Keeping Our Care Affordable and High in Quality
TL;DR: Early results of bundled payments are promising, but preserving access to care for patients with high comorbidity burdens and those requiring more complex care is a lingering concern.
Journal ArticleDOI
Patient Satisfaction Outcomes after Robotic Arm-Assisted Total Knee Arthroplasty: A Short-Term Evaluation
Robert C. Marchand,Nipun Sodhi,Anton Khlopas,Assem A Sultan,Steven F. Harwin,Arthur L. Malkani,Michael A. Mont +6 more
TL;DR: Patients who undergo RATKA can expect better short-term outcomes when compared with patients who undergo manual total knee arthroplasty, and the results from this study further highlight the potential of this new surgical tool to improve short‐term pain, physical function, and total satisfaction scores.