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Robotic-Arm Assisted Technology’s Impact on Knee Arthroplasty and Associated Healthcare Costs

Background: The number of total knee arthroplasties (TKA) carried out globally is expected to substantially rise in the coming decades. Consequently, focus has been increasing on improving surgical techniques and minimizing expenses. Robotic arm–assisted knee arthroplasty has garnered interest to re...

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Autores principales: Kolessar, David J., Hayes, Daniel S., Harding, Jennifer L., Rudraraju, Ravi T., Graham, Jove H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia Data Analytics, LLC 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398468/
https://www.ncbi.nlm.nih.gov/pubmed/36072348
http://dx.doi.org/10.36469/001c.37024
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author Kolessar, David J.
Hayes, Daniel S.
Harding, Jennifer L.
Rudraraju, Ravi T.
Graham, Jove H.
author_facet Kolessar, David J.
Hayes, Daniel S.
Harding, Jennifer L.
Rudraraju, Ravi T.
Graham, Jove H.
author_sort Kolessar, David J.
collection PubMed
description Background: The number of total knee arthroplasties (TKA) carried out globally is expected to substantially rise in the coming decades. Consequently, focus has been increasing on improving surgical techniques and minimizing expenses. Robotic arm–assisted knee arthroplasty has garnered interest to reduce surgical errors and improve precision. Objectives: Our primary aim was to compare the episode-of-care cost up to 90 days for unicompartmental knee arthroplasty (UKA) and TKA performed before and after the introduction of robotic arm–assisted technology. The secondary aim was to compare the volume of UKA vs TKA. Methods: This was a retrospective study design at a single healthcare system. For the cost analysis, we excluded patients with bilateral knee arthroplasty, body mass index >40, postoperative infection, or noninstitutional health plan insurance. Costs were obtained through an integrated billing system and affiliated institutional insurance company. Results: Knee arthroplasty volume increased 28% after the introduction of robotic-assisted technology. The TKA volume increased by 17%, while the UKA volume increased 190%. Post introduction, 97% of UKA cases used robotic arm–assisted technology. The cost analysis included 178 patients (manual UKA, n = 6; robotic UKA, n = 19; manual TKA, n = 58, robotic TKA, n = 85). Robotic arm–assisted TKA and UKA were less costly in terms of patient room and operating room costs but had higher imaging, recovery room, anesthesia, and supply costs. Overall, the perioperative costs were higher for robotic UKA and TKA. Postoperative costs were lower for robotic arm–assisted surgeries, and patients used less home health and home rehabilitation. Discussion: Surgeons performed higher volumes of UKA, and UKA comprised a greater percentage of total surgical volume after the introduction of this technology. The selective cost analysis indicated robotic arm–assisted technology is less expensive in several cost categories but overall more expensive by up to $550 due to higher cost categories including supplies and recovery room. Conclusions: Our findings show a change in surgeons’ practice to include increased incidence and volume of UKA procedures and highlights several cost-saving categories through the use of robotic arm–assisted technology. Overall, robotic arm–assisted knee arthroplasty cost more than manual techniques at our institution. This analysis will help optimize costs in the future.
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spelling pubmed-93984682022-09-06 Robotic-Arm Assisted Technology’s Impact on Knee Arthroplasty and Associated Healthcare Costs Kolessar, David J. Hayes, Daniel S. Harding, Jennifer L. Rudraraju, Ravi T. Graham, Jove H. J Health Econ Outcomes Res General Indications Background: The number of total knee arthroplasties (TKA) carried out globally is expected to substantially rise in the coming decades. Consequently, focus has been increasing on improving surgical techniques and minimizing expenses. Robotic arm–assisted knee arthroplasty has garnered interest to reduce surgical errors and improve precision. Objectives: Our primary aim was to compare the episode-of-care cost up to 90 days for unicompartmental knee arthroplasty (UKA) and TKA performed before and after the introduction of robotic arm–assisted technology. The secondary aim was to compare the volume of UKA vs TKA. Methods: This was a retrospective study design at a single healthcare system. For the cost analysis, we excluded patients with bilateral knee arthroplasty, body mass index >40, postoperative infection, or noninstitutional health plan insurance. Costs were obtained through an integrated billing system and affiliated institutional insurance company. Results: Knee arthroplasty volume increased 28% after the introduction of robotic-assisted technology. The TKA volume increased by 17%, while the UKA volume increased 190%. Post introduction, 97% of UKA cases used robotic arm–assisted technology. The cost analysis included 178 patients (manual UKA, n = 6; robotic UKA, n = 19; manual TKA, n = 58, robotic TKA, n = 85). Robotic arm–assisted TKA and UKA were less costly in terms of patient room and operating room costs but had higher imaging, recovery room, anesthesia, and supply costs. Overall, the perioperative costs were higher for robotic UKA and TKA. Postoperative costs were lower for robotic arm–assisted surgeries, and patients used less home health and home rehabilitation. Discussion: Surgeons performed higher volumes of UKA, and UKA comprised a greater percentage of total surgical volume after the introduction of this technology. The selective cost analysis indicated robotic arm–assisted technology is less expensive in several cost categories but overall more expensive by up to $550 due to higher cost categories including supplies and recovery room. Conclusions: Our findings show a change in surgeons’ practice to include increased incidence and volume of UKA procedures and highlights several cost-saving categories through the use of robotic arm–assisted technology. Overall, robotic arm–assisted knee arthroplasty cost more than manual techniques at our institution. This analysis will help optimize costs in the future. Columbia Data Analytics, LLC 2022-08-23 /pmc/articles/PMC9398468/ /pubmed/36072348 http://dx.doi.org/10.36469/001c.37024 Text en https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (4.0) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Indications
Kolessar, David J.
Hayes, Daniel S.
Harding, Jennifer L.
Rudraraju, Ravi T.
Graham, Jove H.
Robotic-Arm Assisted Technology’s Impact on Knee Arthroplasty and Associated Healthcare Costs
title Robotic-Arm Assisted Technology’s Impact on Knee Arthroplasty and Associated Healthcare Costs
title_full Robotic-Arm Assisted Technology’s Impact on Knee Arthroplasty and Associated Healthcare Costs
title_fullStr Robotic-Arm Assisted Technology’s Impact on Knee Arthroplasty and Associated Healthcare Costs
title_full_unstemmed Robotic-Arm Assisted Technology’s Impact on Knee Arthroplasty and Associated Healthcare Costs
title_short Robotic-Arm Assisted Technology’s Impact on Knee Arthroplasty and Associated Healthcare Costs
title_sort robotic-arm assisted technology’s impact on knee arthroplasty and associated healthcare costs
topic General Indications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9398468/
https://www.ncbi.nlm.nih.gov/pubmed/36072348
http://dx.doi.org/10.36469/001c.37024
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