The indirect cost of Patient-Specific Instruments / Emmanuel Thienpont in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.462-470 Titre : The indirect cost of Patient-Specific Instruments Type de document : texte imprimé Auteurs : Emmanuel Thienpont, Auteur ; Frederic PATERNOSTRE, Auteur ; Charles VAN WYMEERSCH, Auteur Année de publication : 2015 Article en page(s) : p.462-470 Langues : Anglais (eng) Mots-clés : Patient specific instruments  indirect costs  cost-effectiveness  total knee arthroplasty  economics. Résumé : Purpose: To calculate the indirect costs of Patient Specific Instruments (PSI) based on an opportunity cost, cost of efforts and a supply chain cost model to compare PSI for value with conventional total knee arthroplasty (TKA). Methods: In 81 patients the total (direct + indirect) cost of PSI-assisted TKA was compared with conventional TKA. Surgical times and coronal mechanical alignment were measured to evaluate the effectiveness of the PSI system. Results: Indirect costs (459 euro) make up 40% of the total cost that can run up to 1142 euro for a patient operated with PSI guides. No difference in surgical times or coronal alignment was observed in between both groups. Conclusion: Considering the total cost of PSI no value was found for the use of PSI in primary TKA as measured by surgical times or for obtaining a neutral mechanical axis in the coronal plane. Permalink : ./index.php?lvl=notice_display&id=40922 [article] The indirect cost of Patient-Specific Instruments [texte imprimé] / Emmanuel Thienpont, Auteur ; Frederic PATERNOSTRE, Auteur ; Charles VAN WYMEERSCH, Auteur . - 2015 . - p.462-470. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.462-470 Mots-clés : Patient specific instruments  indirect costs  cost-effectiveness  total knee arthroplasty  economics. Résumé : Purpose: To calculate the indirect costs of Patient Specific Instruments (PSI) based on an opportunity cost, cost of efforts and a supply chain cost model to compare PSI for value with conventional total knee arthroplasty (TKA). Methods: In 81 patients the total (direct + indirect) cost of PSI-assisted TKA was compared with conventional TKA. Surgical times and coronal mechanical alignment were measured to evaluate the effectiveness of the PSI system. Results: Indirect costs (459 euro) make up 40% of the total cost that can run up to 1142 euro for a patient operated with PSI guides. No difference in surgical times or coronal alignment was observed in between both groups. Conclusion: Considering the total cost of PSI no value was found for the use of PSI in primary TKA as measured by surgical times or for obtaining a neutral mechanical axis in the coronal plane. Permalink : ./index.php?lvl=notice_display&id=40922

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