Key result
Computer-assisted orthopedic systems prove cost-effective over manual methods in high-volume joint arthroplasty.
Why the study?
Computer-assisted orthopedic systems are rapidly gaining popularity in precision medicine, but their cost-effectiveness has not been well clarified.
Is the computer-assisted orthopedic system (CAOS) cost-effective compared to manual methods in orthopedic surgeries?
Systematic Review (n=15)
Is the computer-assisted orthopedic system (CAOS) cost-effective compared to manual methods in orthopedic surgeries?
Answers are grounded in this paper and cite their sources.
CAOS is potentially cost-effective for joint arthroplasty in high-volume centers, but evidence is insufficient to establish its economic value in spinal surgery.
Computer-assisted orthopedic system (CAOS) is rapidly gaining popularity in the field of precision medicine. However, the cost-effectiveness of CAOS has not been well clarified. We performed this review to summarize and assess the cost-effectiveness analyses (CEAs) with regard to CAOS. Publications on CEA in CAOS have been searched in PubMed and CEA Registry up to May 31, 2022. The Quality of Health Economic Studies (QHES) instrument was used to estimate the quality of studies. Relationships between qualities and potential factors were also examined. There were 15 eligible studies in the present review. Twelve studies evaluated CAOS joint arthroplasties and found that CAOS joint arthroplasties were cost-effective compared to manual methods. Three studies focused on spinal surgery, two of which analyzed the cost-effectiveness of CAOS for patients after spinal fusion, with conflicting results. One study demonstrated that CAOS was cost-effective in spinal pedicle screw insertion. The mean QHES score of CEAs included was 86.1. The potential factors had no significant relationship with the quality of studies. Based on available studies, our review reflected that CAOS was cost-effective in the field of joint arthroplasty. While in spinal surgery, the answer was unclear. Current CEAs represent high qualities, and more CEAs are required in the different disciplines of orthopedics where CAOS is employed.
No takes yet. Share an insight, caveat, or question.
Li et al. (2022) conducted a systematic review in Orthopedic surgery (joint arthroplasty and spinal surgery) (n=15). Computer-assisted orthopedic system (CAOS) vs. Manual orthopedic surgery methods was evaluated on Cost-effectiveness (Incremental cost-effectiveness ratio [ICER]). Computer-assisted orthopedic systems were generally cost-effective compared to manual methods in joint arthroplasty, especially with high surgical volumes, but results in spinal surgery were unclear.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: