Computer-assisted navigation in ACL reconstruction is attractive but not yet cost efficient
| LEADER | caa a22 4500 | ||
|---|---|---|---|
| 001 | 605458693 | ||
| 003 | CHVBK | ||
| 005 | 20210128100230.0 | ||
| 007 | cr unu---uuuuu | ||
| 008 | 210128e20150401xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00167-013-2831-2 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-013-2831-2 | ||
| 245 | 0 | 0 | |a Computer-assisted navigation in ACL reconstruction is attractive but not yet cost efficient |h [Elektronische Daten] |c [Jennifer Margier, Sandra Tchouda, Jean-Jacques Banihachemi, Jean-Luc Bosson, Stéphane Plaweski] |
| 520 | 3 | |a Purpose: Conventional reconstruction of the anterior cruciate ligament (ACL) has a high success rate. Computer-assisted navigation systems (CANSs) have been developed to further improve the accuracy of tunnel positioning. What is the economic impact from the hospital perspective? Methods: Patients having a first ACL reconstruction procedure were included in a prospective multicentre open controlled study comparing two groups: CANS versus conventional surgery. The primary clinical efficacy criterion was the objective International Knee Documentation Committee score at 1-2-year follow-up. Costs were collected retrospectively nationwide. Results: No significant differences were found for the clinical effectiveness between conventional surgery (100 patients) and CANS (114 patients) at follow-up: ORadjusted 1.01 [0.36-2.84] (n.s). Junior surgeons achieved a significant mean decrease in operating time during the study period: 30% in the CANS group compared with 10% in the control group (p<0.01). The average cost of surgery was 704€ for the control group and 1,158€ for the CANS group (p<0.01). The cost of the operating room accounts for >70% of the total cost. The surgeon's status and the technical CANS learning effect influenced this cost. The cost differential between the two groups decreased with ‘CANS' expertise: 238€ and 271€ in ‘expert' centres versus 427€ to 731€ in other centres. Conclusion: While our study demonstrates the feasibility and the potential interest of CANS for training in ACL reconstruction, from a hospital perspective it is not cost efficient at present. Level of evidence: Economic and decision analysis—developing an economic or decision model, Level II. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Orthopaedics |2 nationallicence | |
| 690 | 7 | |a Health economics |2 nationallicence | |
| 690 | 7 | |a Knee joint surgery |2 nationallicence | |
| 690 | 7 | |a Computer-assisted navigation |2 nationallicence | |
| 690 | 7 | |a Anterior cruciate ligament reconstruction |2 nationallicence | |
| 690 | 7 | |a Robotics |2 nationallicence | |
| 700 | 1 | |a Margier |D Jennifer |u Cellule d'évaluation médico-économique des innovations, Pavillon Taillefer, CHU de Grenoble, 38043, Grenoble, France |4 aut | |
| 700 | 1 | |a Tchouda |D Sandra |u Cellule d'évaluation médico-économique des innovations, Pavillon Taillefer, CHU de Grenoble, 38043, Grenoble, France |4 aut | |
| 700 | 1 | |a Banihachemi |D Jean-Jacques |u Laboratoire TIMC-IMAG-CNRS, UMR CNRS Université Alpes-Grenoble UMR 5525, CHU Grenoble, 38043, Grenoble, France |4 aut | |
| 700 | 1 | |a Bosson |D Jean-Luc |u Laboratoire TIMC-IMAG-CNRS, UMR CNRS Université Alpes-Grenoble UMR 5525, CHU Grenoble, 38043, Grenoble, France |4 aut | |
| 700 | 1 | |a Plaweski |D Stéphane |u Clinique Universitaire de Chirurgie Orthopédique et de Traumatologie du Sport, Urgences Hôpital Sud, CHU de Grenoble, Grenoble, France |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/4(2015-04-01), 1026-1034 |x 0942-2056 |q 23:4<1026 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-013-2831-2 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-013-2831-2 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Margier |D Jennifer |u Cellule d'évaluation médico-économique des innovations, Pavillon Taillefer, CHU de Grenoble, 38043, Grenoble, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Tchouda |D Sandra |u Cellule d'évaluation médico-économique des innovations, Pavillon Taillefer, CHU de Grenoble, 38043, Grenoble, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Banihachemi |D Jean-Jacques |u Laboratoire TIMC-IMAG-CNRS, UMR CNRS Université Alpes-Grenoble UMR 5525, CHU Grenoble, 38043, Grenoble, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Bosson |D Jean-Luc |u Laboratoire TIMC-IMAG-CNRS, UMR CNRS Université Alpes-Grenoble UMR 5525, CHU Grenoble, 38043, Grenoble, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Plaweski |D Stéphane |u Clinique Universitaire de Chirurgie Orthopédique et de Traumatologie du Sport, Urgences Hôpital Sud, CHU de Grenoble, Grenoble, France |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/4(2015-04-01), 1026-1034 |x 0942-2056 |q 23:4<1026 |1 2015 |2 23 |o 167 | ||