Systematic review and meta-analysis of economic and healthcare resource utilization outcomes for robotic versus manual total knee arthroplasty

The introduction of robotics in orthopedic surgery has led to improved precision and standardization in total knee arthroplasty (TKA). Clinical benefits of robotic versus manual TKA have been well established; however, evidence for economic and healthcare resource utilization outcomes (HRU) is lacki...

Full description

Saved in:
Bibliographic Details
Published in:Journal of robotic surgery 2023-12, Vol.17 (6), p.2899-2910
Main Authors: Hoeffel, Daniel, Goldstein, Laura, Intwala, Dhara, Kaindl, Lisa, Dineen, Aidan, Patel, Leena, Mayle, Robert
Format: Article
Language:English
Subjects:
Arthritis
Costs
Economic analysis
Economic impact
Emergency medical services
Emergency procedures
Health care
Hospitals
Impact analysis
Joint replacement surgery
Knee
Length of stay
Literature reviews
Medicine
Medicine & Public Health
Meta-analysis
Minimally Invasive Surgery
Orthopaedic implants
Orthopedics
Osteoarthritis
Pain
Patients
Resource utilization
Robotics
Surgery
Systematic review
Urology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The introduction of robotics in orthopedic surgery has led to improved precision and standardization in total knee arthroplasty (TKA). Clinical benefits of robotic versus manual TKA have been well established; however, evidence for economic and healthcare resource utilization outcomes (HRU) is lacking. The primary objective of this study was to compare economic and HRU outcomes for robotic and manual TKA. The secondary objective was to explore comparative robotic and manual TKA pain and opioid consumption outcomes. Multi-database literature searches were performed to identify studies comparing robotic and manual TKA from 2016 to 2022 and meta-analyses were conducted. This review included 50 studies with meta-analyses conducted on 35. Compared with manual TKA, robotic TKA was associated with a: 14% reduction in hospital length of stay ( P  = 0.022); 74% greater likelihood to be discharged to home ( P  
ISSN:1863-2491
1863-2483
1863-2491
DOI:10.1007/s11701-023-01703-x