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Cost-effectiveness of patient specific vs conventional instrumentation for total knee arthroplasty:A systematic review and meta-analysis

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World Journal of Orthopedics 2023年第6期14卷 458-470页

作者： isobel m dorling Lars Geenen marion J L F Heymans Jasper most Bert Boonen martijn G m Schotanus Department of Orthopaedic Surgery and Traumatology Zuyderland Medical CenterSittard-Geleen 6162 BGLimburgNetherlands Zuyderland Academy Zuyderland Medical CenterSittard-Geleen 6155 NHLimburgNetherlands School of Care and Public Health Research Institute(CAPHRI) Faculty of HealthMedicine and Life SciencesMaastricht 6229 ERLimburgNetherlands Department of Orthopaedic Surgery and Traumatology Maastricht University Medical CenterMaastricht 6229 HXLimburgNetherlands

BACKGROUND Over the past years,patient specific instrumentation(PSI)for total knee arthroplasty(TKA)has been implemented and routinely *** clear answer has been given on its associated cost and cost-effectiveness when compared to conventional instrumentation(CI)for *** To compare the cost and cost-effectiveness of PSI TKA compared to CI *** A literature search was performed in healthcare,economical healthcare,and medical databases(mEDLINE,EmBASE,CINAHL,Web of Science,Cochrane Library,EconLit).It was conducted in April 2021 and again in January *** literature included randomised controlled trials,retrospective studies,prospective studies,observational studies,and case control *** studies were assessed on methodological *** outcomes included incremental cost-effectiveness ratio,quality-adjusted life years,total costs,imaging costs,production costs,sterilization associated costs,surgery duration costs and readmission rate *** eligible studies were assessed for risk of ***-analysis was performed for outcomes with sufficient *** Thirty-two studies were included into the systematic *** were included in the metaanalysis.3994 PSI TKAs and 13267 CI TKAs were included in the sample *** methodological quality of the included studies,based on Consensus on Health Economic Criteria-scores and risk of bias,ranged from average to *** TKA costs less than CI TKA when considering mean operating room time and its associated costs and tray sterilization per patient *** TKA costs more compared to CI TKA when considering imaging and production *** total costs per patient case,PSI TKA is more expensive in comparison to CI ***-analysis comparing total costs for PSI TKA,and CI TKA showed a significant higher cost for PSI *** Cost for PSI and CI TKA can differ when considering distinct aspects of their *** costs per patient case are increased for PSI TKA whe

关键词： Total knee arthroplasty Patient specific instrumentation Instrumentation for total knee arthroplasty Cost-effectiveness Systematic review

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