Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literature

Abstract Background The primary purpose of this study is to assess the existing evidence on the cost-effectiveness of surgical interventions for the management of knee and hip osteoarthritis by systematically reviewing published economic evaluation studies. Methods A systematic review was conducted...

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Main Authors: Hanin Kamaruzaman, Philip Kinghorn, Raymond Oppong
Format: Article
Language:English
Published: BMC 2017-05-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12891-017-1540-2
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author Hanin Kamaruzaman
Philip Kinghorn
Raymond Oppong
author_facet Hanin Kamaruzaman
Philip Kinghorn
Raymond Oppong
author_sort Hanin Kamaruzaman
collection DOAJ
description Abstract Background The primary purpose of this study is to assess the existing evidence on the cost-effectiveness of surgical interventions for the management of knee and hip osteoarthritis by systematically reviewing published economic evaluation studies. Methods A systematic review was conducted for the period 2004 to 2016. Electronic databases were searched to identify both trial and model based economic evaluation studies that evaluated surgical interventions for knee and hip osteoarthritis. Results A total of 23 studies met the inclusion criteria and an assessment of these studies showed that total knee arthroplasty (TKA), and total hip arthroplasty (THA) showed evidence of cost-effectiveness and improvement in quality of life of the patients when compared to non-operative and non-surgical procedures. On the other hand, even though delaying TKA and THA may lead to some cost savings in the short-run, the results from the study showed that this was not a cost-effective option. Conclusions TKA and THA are cost-effective and should be recommended for the management of patients with end stage/severe knee and hip OA. However, there needs to be additional studies to assess the cost-effectiveness of other surgical interventions in order for definite conclusions to be reached.
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spelling doaj.art-3c41a76b06304101b8c1d323dbb09b8d2022-12-21T19:34:41ZengBMCBMC Musculoskeletal Disorders1471-24742017-05-0118111710.1186/s12891-017-1540-2Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literatureHanin Kamaruzaman0Philip Kinghorn1Raymond Oppong2Malaysian Health Technology Assessment Section, Ministry of HealthHealth Economics Unit, Institute of Applied Health Research, University of BirminghamHealth Economics Unit, Institute of Applied Health Research, University of BirminghamAbstract Background The primary purpose of this study is to assess the existing evidence on the cost-effectiveness of surgical interventions for the management of knee and hip osteoarthritis by systematically reviewing published economic evaluation studies. Methods A systematic review was conducted for the period 2004 to 2016. Electronic databases were searched to identify both trial and model based economic evaluation studies that evaluated surgical interventions for knee and hip osteoarthritis. Results A total of 23 studies met the inclusion criteria and an assessment of these studies showed that total knee arthroplasty (TKA), and total hip arthroplasty (THA) showed evidence of cost-effectiveness and improvement in quality of life of the patients when compared to non-operative and non-surgical procedures. On the other hand, even though delaying TKA and THA may lead to some cost savings in the short-run, the results from the study showed that this was not a cost-effective option. Conclusions TKA and THA are cost-effective and should be recommended for the management of patients with end stage/severe knee and hip OA. However, there needs to be additional studies to assess the cost-effectiveness of other surgical interventions in order for definite conclusions to be reached.http://link.springer.com/article/10.1186/s12891-017-1540-2OsteoarthritisCost-effectivenessCostsReview
spellingShingle Hanin Kamaruzaman
Philip Kinghorn
Raymond Oppong
Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literature
BMC Musculoskeletal Disorders
Osteoarthritis
Cost-effectiveness
Costs
Review
title Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literature
title_full Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literature
title_fullStr Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literature
title_full_unstemmed Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literature
title_short Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literature
title_sort cost effectiveness of surgical interventions for the management of osteoarthritis a systematic review of the literature
topic Osteoarthritis
Cost-effectiveness
Costs
Review
url http://link.springer.com/article/10.1186/s12891-017-1540-2
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AT raymondoppong costeffectivenessofsurgicalinterventionsforthemanagementofosteoarthritisasystematicreviewoftheliterature