Histologic Examinations of Arthroplasty Specimens are not Cost-effective: A Retrospective Cohort Study
TLDR
Routine histologic examinations of routine operative specimens during elective primary arthroplasties increase medical cost but rarely alter patient management and are not cost-effective.Abstract:
Background
Many hospitals require all operative specimens be sent to pathologists for routine examination. Although previous studies indicate this practice increases medical cost, it remains unclear whether it alters patient management and whether it is cost-effective.read more
Citations
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Current status of cost utility analyses in total joint arthroplasty: a systematic review.
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TL;DR: The available evidence suggests that TJA can be cost-saving and is highly cost-effective compared with conservative management of end-stage arthritis, and more attention should be paid to understanding the cost utility of TJA compared with nonoperative treatment modalities.
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Comparison of clinical and histologic diagnoses in 16,587 total joint arthroplasties: implications for orthopedic and pathologic practices.
TL;DR: The findings demonstrated significantly more diagnostic discrepancies and discordance than has been suggested by the previously published literature and may be due to more careful diagnostic analyses of orthopedic specimens than in other institutions.
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Routine versus selective histologic analysis of gallbladder specimens for the detection of incidental gallbladder cancers. A retrospective review over 9 years of activity with a special focus on patients' age.
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TL;DR: Age should be considered as an additional factor for a selective approach to the histologic analysis of all gallbladder specimens following cholecystectomies, according to the influence of age.
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A compensating income variation approach to valuing 34 health conditions in Iceland.
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TL;DR: Compensating income variation (CIV) for physical conditions vary greatly, but paralysis, fibromyalgia, chronic back pain, rheumatoid arthritis, urinary incontinence, severe headache and thyroid disease were among those consistently associated with substantial well‐being reductions.
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CT planning studies for robotic total knee arthroplasty.
TL;DR: The total cost of a CT scan is low and a minimal part of the overall cost of the RATKA, suggesting that the professional component could be eliminated to reduce costs.
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