Baker Tilly US, LLP, New York, NY, USA.
Stryker Orthopedics, Mahwah, NJ, USA.
J Comp Eff Res. 2021 Nov;10(16):1225-1234. doi: 10.2217/cer-2020-0255. Epub 2021 Sep 28.
To evaluate 90-day episode-of-care (EOC) resource consumption in robotic-assisted total hip arthroplasty (RATHA) versus manual total hip arthroplasty (mTHA). THA procedures were identified in Medicare 100% data. After propensity score matching 1:5, 938 RATHA and 4,670 mTHA cases were included. 90-day EOC cost, index costs, length of stay and post-index rehabilitation utilization were assessed. RATHA patients were significantly less likely to have post-index inpatient rehabilitation or skilled nursing facility admissions and used fewer home health agency visits, compared with mTHA patients. Total 90-day EOC costs for RATHA patients were found to be US$785 less than those of mTHA patients (p = 0.0095). RATHA was associated with an overall lower 90-day EOC cost when compared with mTHA. The savings associated with RATHA were driven by reduced utilization and cost of post-index rehabilitation services.
评估机器人辅助全髋关节置换术（RATHA）与传统全髋关节置换术（mTHA）的 90 天疗程（EOC）资源消耗。在 Medicare 100%数据中确定 THA 手术。在倾向评分匹配 1:5 后，纳入 938 例 RATHA 和 4670 例 mTHA 病例。评估 90 天 EOC 成本、指数成本、住院时间和指数后康复利用情况。与 mTHA 患者相比，RATHA 患者接受指数后住院康复或熟练护理机构入院的可能性显著降低，并且使用家庭健康机构就诊的次数也较少。与 mTHA 患者相比，RATHA 患者的 90 天 EOC 总成本低 785 美元（p=0.0095）。与 mTHA 相比，RATHA 总体上降低了 90 天 EOC 成本。与 RATHA 相关的节省主要来自指数后康复服务的利用和成本降低。
