• Arch Orthop Trauma Surg · Dec 2021

    Health economic value of CT scan based robotic assisted UKA: a systematic review of comparative studies.

    • Florent Bernard-de-Villeneuve, Kayahan Kayikci, Elliot Sappey-Marinier, Timothy Lording, Cécile Batailler, Elvire Servien, and Sébastien Lustig.
    • FIFA Medical Center of Excellence, Orthopaedics Surgery and Sports Medicine Department, Croix-Rousse Hospital, 103 Grande rue de la Croix Rousse, 69004, Lyon, France.
    • Arch Orthop Trauma Surg. 2021 Dec 1; 141 (12): 2129-2138.

    PurposeThe aim of this systematic review was to compare relevant health economic consequences of the CT-based robotic-arm-assisted system versus conventional Uni-compartmental Knee Arthroplasty (UKA).MethodsIn November 2020, A PRISMA systematic review was conducted using four databases (Pubmed, Scopus, Cochrane and Google Scholar) to identify all comparative studies reporting health economic assessments, such as robotic system costs, consumable costs, surgical revision rate, operating time, length of stay, and inpatient care costs.ResultsA total of nine comparative studies published between 2014 and 2020 were included in this systematic review. There was a moderate risk of bias as assessed using the ROBINS-I Tool. The CT-based robotic-arm-assisted system seemed to be associated with a lower risk of revision, decreased analgesia requirements during hospitalization, a shorter length of stay, and lower inpatient care costs compared to a conventional technique.ConclusionCT-based robotic-arm-assisted system for UKA appears to be an economically viable solution with a positive health economic impact as it tends to decrease revision rate compared to conventional UKA, improve post-operative rehabilitation and analgesia management. Post-operative inpatient care costs seem lower with the robotic-assisted system but depend on institutional case volume and differ among health systems. More studies are needed to confirm cost-effectiveness of CT-based robotic-arm-assisted system based on different health systems.Level Of EvidenceSystematic review, Level IV.© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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