Economic and clinical comparison of 2-octyl cyanoacrylate/polymer mesh tape with skin staples in total knee replacement

Abstract

Among patients undergoing TKR, use of the SCS was associated with shorter LOS, less resource intensive discharge status, and lower rates of all-cause readmission as compared with skin staples.

Skin Closure Tape and Surgical Staples in Primary Total Knee Arthroplasty: A Systematic Review and Meta‐Analysis

“…(2) Costs. As it was reported in one study, Sutton et al [16] suggested lower total costs of the SCT than that of the staples ($15593 ± 5.985 vs $16794 ± 9.372). Two studies reporting the material costs [8,17]to be lower for the SCT compared to that of the staples ($3 vs $26) were explored by Takayama et al [17], but Carli et al [8] thought that the material costs were higher for the SCT than that for the staples ($63 vs $45).…”

“…① For all-cause hospital readmission rates, Carli et al [8] reported that SCT had lower readmission rates than staples (1.36% vs 3.09%), but this di erence was not statistically signi cant (P 0.181). However, Sutton et al [16] presented signi cantly lower readmission rates of SCT than staples (5.4% vs 7.4%, P 0.016). Finally, our meta-analysis demonstrates signi cantly lower all-cause hospital readmission rates with SCT than staples (P 0.03).…”

“…Kawakami et al [27] reported that the satisfaction of patients with SCT exceeded 90%. Sutton et al [16] reported that SCTcould reduce the length of hospital stay for patients (2.8 day vs 3.2 day, P � 0.002).…”

“…(2) Readmission Rates. Two studies presented the total readmission rates [8,16], with one study reporting woundrelated readmission rates [8], and there was no significant heterogeneity among the subgroups (P � 0.42, I 2 � 0%). e rest two studies included showed significantly lower total readmission rates with SCT than staples (RR 0.68, 95% CI 0.49-0.95, P � 0.03); the forest diagram of readmission rates is shown in Figure 3.…”

“…e study is conducted during the period from 2017 to 2018, for a total of 4 studies [8,9,16,17] with 3330 knees (1275 knees for males and 2055 knees for women). All the basic information needed of inclusion literature is shown in Table 1.…”