Consumer Prices for Surgical Management of End-Stage Hallux Rigidus.
Consumer Prices for Surgical Management of End-Stage Hallux Rigidus.
- 2020
BACKGROUND: Hallux rigidus is the most prevalent arthritic condition of the foot. Treatment of end-stage disease traditionally consists of a first metatarsophalangeal joint (MTPJ) arthrodesis; however, the use of a synthetic cartilage implant is becoming more common. With the high prevalence of disease and implementation of new treatment modalities, health care consumers should be aware of the costs associated with management. The purpose of this study was to determine access to the cost and variability in price of first MTPJ arthrodesis and synthetic cartilage implantation. CONCLUSIONS: There was limited availability of consumer prices for first MTPJ arthrodesis and synthetic implantation, thus impeding health care consumers' decision making. There was a wide range of quotes for both procedures, indicating potential cost savings. LEVELS OF EVIDENCE: IV, basic science. METHODS: Forty academic centers were contacted using a standardized patient script. The patient was a 59-year-old female who had failed conservative treatment of hallux rigidus. Each institution was contacted up to 3 times in an attempt to obtain a full bundled operative quote for a first MTPJ arthrodesis and synthetic cartilage implantation. 9 265). The mean bundled price for synthetic cartilage implantation was RESULTS: Twenty centers (50%) provided a quote for first MTPJ arthrodesis and 15 centers (38%) provided a quote for synthetic cartilage implantation. Only 14 centers (35%) were able to provide a quote for both procedures. The mean bundled price for MTPJ arthrodesis was
English
1938-6400
*Arthrodesis/ec [Economics]
*Cartilage/tr [Transplantation]
*Costs and Cost Analysis/ec [Economics]
*Hallux Rigidus/ec [Economics]
*Hallux Rigidus/su [Surgery]
*Orthopedic Procedures/ec [Economics]
*Prosthesis Implantation/ec [Economics]
Female
Humans
Metatarsophalangeal Joint/su [Surgery]
Middle Aged
Prosthesis Implantation/mt [Methods]
MedStar Union Memorial Hospital
Orthopaedic Surgery
Journal Article
BACKGROUND: Hallux rigidus is the most prevalent arthritic condition of the foot. Treatment of end-stage disease traditionally consists of a first metatarsophalangeal joint (MTPJ) arthrodesis; however, the use of a synthetic cartilage implant is becoming more common. With the high prevalence of disease and implementation of new treatment modalities, health care consumers should be aware of the costs associated with management. The purpose of this study was to determine access to the cost and variability in price of first MTPJ arthrodesis and synthetic cartilage implantation. CONCLUSIONS: There was limited availability of consumer prices for first MTPJ arthrodesis and synthetic implantation, thus impeding health care consumers' decision making. There was a wide range of quotes for both procedures, indicating potential cost savings. LEVELS OF EVIDENCE: IV, basic science. METHODS: Forty academic centers were contacted using a standardized patient script. The patient was a 59-year-old female who had failed conservative treatment of hallux rigidus. Each institution was contacted up to 3 times in an attempt to obtain a full bundled operative quote for a first MTPJ arthrodesis and synthetic cartilage implantation. 9 265). The mean bundled price for synthetic cartilage implantation was RESULTS: Twenty centers (50%) provided a quote for first MTPJ arthrodesis and 15 centers (38%) provided a quote for synthetic cartilage implantation. Only 14 centers (35%) were able to provide a quote for both procedures. The mean bundled price for MTPJ arthrodesis was
English
1938-6400
*Arthrodesis/ec [Economics]
*Cartilage/tr [Transplantation]
*Costs and Cost Analysis/ec [Economics]
*Hallux Rigidus/ec [Economics]
*Hallux Rigidus/su [Surgery]
*Orthopedic Procedures/ec [Economics]
*Prosthesis Implantation/ec [Economics]
Female
Humans
Metatarsophalangeal Joint/su [Surgery]
Middle Aged
Prosthesis Implantation/mt [Methods]
MedStar Union Memorial Hospital
Orthopaedic Surgery
Journal Article