Li Hua, Zhuang Tengfeng, Wu Wenrui, Gan Wenyi, Wu Chongjie, Peng Sijun, Huan Songwei, Liu Ning
Department of Orthopaedics The First Affiliated Hospital of Jinan University Guangzhou Guangdong Province China.
Health Care Sci. 2022 Nov 2;1(3):173-185. doi: 10.1002/hcs2.23. eCollection 2022 Dec.
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.
计算机辅助骨科系统（CAOS）在精准医学领域正迅速普及。然而，CAOS的成本效益尚未得到充分阐明。我们进行这项综述以总结和评估关于CAOS的成本效益分析（CEA）。截至2022年5月31日，已在PubMed和CEA注册库中检索了关于CAOS中CEA的出版物。使用健康经济研究质量（QHES）工具来评估研究质量。还研究了质量与潜在因素之间的关系。本综述中有15项符合条件的研究。12项研究评估了CAOS关节置换术，发现与手动方法相比，CAOS关节置换术具有成本效益。3项研究聚焦于脊柱手术，其中两项分析了CAOS对脊柱融合术后患者的成本效益，结果相互矛盾。一项研究表明，CAOS在脊柱椎弓根螺钉置入方面具有成本效益。纳入的CEA的平均QHES评分为86.1。潜在因素与研究质量无显著关系。基于现有研究，我们的综述表明CAOS在关节置换领域具有成本效益。而在脊柱手术中，答案尚不清楚。当前的CEA具有较高质量，在应用CAOS的骨科不同学科中还需要更多的CEA。
