Health care costs after total knee arthroplasty for satisfied and dissatisfied patients

Abstract

Health care costs after total knee arthroplasty for satisfied and dissatisfied patients Background: Evidence suggests that up to 21% of patients are dissatisfied after total knee arthroplasty (TKA), but the link between dissatisfaction and use of health care resources is unknown. The objective of this study was to compare costs after TKA between satisfied and dissatisfied patients.Methods: This was a secondary analysis of a randomized clinical trial among patients who underwent primary TKA at our institution between 2015 and 2018. We esti mated rates of satisfaction with pain relief and with return to function 1 year postop eratively. Patients prospectively reported use of health care resources 6 weeks, and 3, 6, 9 and 12 months after surgery. We compared costs between satisfied and dissatis fied patients from a public payer and a societal perspective. Results:We included 156 patients in our analysis, of whom 42 (26.9%) were dissatis fied with pain, and 57 (36.5%) were dissatisfied with function. There was no signifi cant difference in costs between patients dissatisfied with pain or function compared to satisfied patients from a health care payer perspective.

Effectiveness of Virtual Reality-Based Early Postoperative Rehabilitation after Total Knee Arthroplasty: A Systematic Review with Meta-Analysis of Randomized Controlled Trials

“…A recent study showed that approximately 21% of patients with recent TKA are dissatisfied with the therapy when it does not resolve knee pain and function. Dissatisfied patients incurred a mean cost of $21,156.18, and when the therapy is effective, and knee pain is reduced, increasing their satisfaction, the mean cost is downgraded to $13,453.84 [82]. VRBR has been shown to be effective in managing knee pain after TKA, showing high satisfaction and adherence to the therapy.…”

What’s New in Adult Reconstructive Knee Surgery

“…A secondary analysis of a randomized clinical trial (RCT) evaluating health-care resource utilization up to 12 months after primary TKA, among dissatisfied and satisfied patients, showed that patients dissatisfied with their return to function incurred a mean cost of $19,007.70, compared with $13,523.83 for satisfied patients (p = 0.07). Although the cost difference was not significant, its magnitude deserves attention 2 . Data from the New Zealand Joint Registry indicated that patients undergoing TKA have a mortality rate 8% higher than that of the general population 3 .…”

Genicular artery embolization for treatment of knee osteoarthritis pain: Systematic review and meta-analysis

“…While a variety of non-pharmacological and pharmacological treatments for knee OA are available, these conservative measures are often clinically ineffective with regards to pain and fail to modify the disease process [ 6 ]. While total knee arthroplasty (TKA) is the standard of care for individuals with severe knee OA, only 9%–33% of patients with severe knee OA are willing to consider TKA [ [7] , [8] , [9] ] and approximately 20% of patients who undergo TKA report dissatisfaction with the procedure [ 10 ] due to persistent pain mostly thought to be related to synovitis [ 11 , 12 ]. Thus, there is potential benefit to a large cadre of patients in enhancing the armamentarium of available minimally invasive procedures for knee OA.…”