A systematic review of the effectiveness and cost-effectiveness of metal-on-metal hip resurfacing arthroplasty for treatment of hip disease

Abstract

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Hospital Economics of Primary THA Decreasing Reimbursement and Increasing Cost, 1990 to 2008

“…Prior studies have examined the cost-effectiveness of new technologies for use in THA. Vale et al [18] used clinical effectiveness data and cost data to estimate the costeffectiveness of metal-on-metal resurfacing for treating patients 65 years and older. The authors concluded metalon-metal resurfacing could be cost-effective versus conventional THA if revision rates were 20% lower.…”

Metal on metal hip resurfacing arthroplasty

“…The incremental cost per QALY gained for MOM compared with 'watchful waiting' diminishes until approximately 14.5 years after MOM, beyond which MOM dominates 'watchful waiting' [24]. MOM continued to dominate 'watchful waiting' even at 'watchful waiting' quality of life values of up to 0.963.…”

“…the annual probability that following initial use of a treatment alternative a revision to a second procedure is necessary). A structured literature search was conducted to identify evidence relating to the clinical effectiveness of the three interventions for treatment of hip disease [24]. This included an electronic search of databases and websites.…”

The precision of health state valuation by members of the general public using the standard gamble

“…Vignettes for the exemplar of metal-on-metal hip resurfacing for osteoarthritis (OA) were developed from an uncontrolled study by McMinn et al [16] using the Charnley Hip Score, which includes items on pain and mobility [17]. Patients describe their condition by indicating which statement best describes themselves.…”