A Retrospective Review of Relative Value Units in Revision Total Knee Arthroplasty: A Dichotomy Between Surgical Complexity and Reimbursement

Patel, Arpan; Oladipo, Victoria; Kerzner, Benjamin; McGlothlin, Jonathan D; Levine, Brett R.

doi:10.1016/j.arth.2022.02.033

Cited by 11 publications

(5 citation statements)

References 21 publications

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“…In conclusion, the downward trend in physician reimbursement for orthopedic TJA procedures continues to be alarming [ 1 , [4] , [5] , [6] , 10 , [21] , [22] , [23] , [24] , [25] ]. We forecast that as early as 2030, orthopedic surgeons will be reimbursed $13.93/h for primary THA and $14.97/h for primary TKA (in 2023 USD).…”

Section: Discussionmentioning

confidence: 99%

The Trend of Medicare Reimbursement for Total Joint Arthroplasty: Using Mathematical Models to Predict Possible Per-Hour Rate Out to 2030

Catton,

Puddy,

Tyagi

et al. 2024

Arthroplasty Today

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Section: Discussionmentioning

confidence: 99%

The Trend of Medicare Reimbursement for Total Joint Arthroplasty: Using Mathematical Models to Predict Possible Per-Hour Rate Out to 2030

Catton,

Puddy,

Tyagi

et al. 2024

Arthroplasty Today

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“…More than 200,000 revision surgeries are expected in the United States alone in 2030 [66]. Beside the important clinical implications to the affected patients, the costs of revision surgeries are a significant concern for the healthcare system, including the removal of the previous prosthesis, the implantation of a new prosthesis, hospital costs, and post‐operative rehabilitation [52, 53]. The complexity of the surgery increases operating room time and hospital stay and entails higher complication rates compared to primary surgeries.…”

Section: Discussionmentioning

confidence: 99%

The reimbursement system can influence the treatment choice and favor joint replacement versus other less invasive solutions in patients affected by osteoarthritis

De Marziani,

Boffa,

Di Martino

et al. 2023

J. exp. orthop.

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Purpose The aim of this study was to assess how physicians perceive the role of the reimbursement system and its potential influence in affecting their treatment choice in the management of patients affected by osteoarthritis (OA). Methods A survey was administered to 283 members of SIAGASCOT (Italian Society of Arthroscopy, Knee, Upper Limb, Sport, Cartilage and Orthopaedic Technologies), a National scientific orthopaedic society. The survey presented multiple choice questions on the access allowed by the current Diagnosis-Related Groups (DRG) system to all necessary options to treat patients affected by OA and on the influence toward prosthetic solutions versus other less invasive options. Results Almost 70% of the participants consider that the current DRG system does not allow access to all necessary options to best treat patients affected by OA. More than half of the participants thought that the current DRG system favors the choice of prosthetic solutions (55%) and that it can contribute to the increase in prosthetic implantation at the expense of less invasive solutions (54%). The sub-analyses based on different age groups, professional roles, and places of work allowed to evaluate the response in each specific category, confirming the findings for all investigated aspects. Conclusions This survey documented that the majority of physicians consider that the reimbursement system can influence the treatment choice when managing OA patients. The current DRG system was perceived as unbalanced in favor of the choice of the prosthetic solution, which could contribute to the increase in prosthetic implantation at the expense of other less invasive options for OA management.

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“…The cost of a debridement, antibiotics, and implant retention (DAIR) procedure is estimated to be roughly $15,000, with initial procedure costs of $10,000 and failure-related additional treatment costs of $22,000 [ 6 ]. Given the complexity and cost, one may imagine that surgeons are compensated accordingly for the increased time and effort required to perform these cases; however, in practice, the complexity does not correlate with reimbursement rates [ 7 , 8 ]. Patel et al.…”

mentioning

confidence: 99%

“…For the TKA group, tibial component, all-component, and spacer revisions were reimbursed significantly less dollars per minute as compared to pTKA. Modular component/DAIR and all-component revisions had fewer dollars per RVU than primary TKA [ 7 ]. Quan et al.…”

mentioning

confidence: 99%

The Economics of Revision Arthroplasty for Periprosthetic Joint Infection

Roof,

Aggarwal,

Schwarzkopf

2023

Arthroplasty Today

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A Retrospective Review of Relative Value Units in Revision Total Knee Arthroplasty: A Dichotomy Between Surgical Complexity and Reimbursement

Cited by 11 publications

References 21 publications

The Trend of Medicare Reimbursement for Total Joint Arthroplasty: Using Mathematical Models to Predict Possible Per-Hour Rate Out to 2030

The Trend of Medicare Reimbursement for Total Joint Arthroplasty: Using Mathematical Models to Predict Possible Per-Hour Rate Out to 2030

The reimbursement system can influence the treatment choice and favor joint replacement versus other less invasive solutions in patients affected by osteoarthritis

The Economics of Revision Arthroplasty for Periprosthetic Joint Infection

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