TY  - BOOK
AU  - Haislup, Brett
TI  - The Cost of Robot-assisted Total Hip Arthroplasty: Comparing Safety and Hospital Charges to Conventional Total Hip Arthroplasty
SN  - 1067-151X
PY  - 2021///
KW  - *Arthroplasty, Replacement, Hip
KW  - *Robotics
KW  - Arthroplasty, Replacement, Hip/ae [Adverse Effects]
KW  - Hospital Charges
KW  - Hospitals
KW  - Humans
KW  - Length of Stay
KW  - Postoperative Complications/ep [Epidemiology]
KW  - Retrospective Studies
KW  - Risk Factors
KW  - Treatment Outcome
KW  - MedStar Union Memorial Hospital
KW  - Orthopaedic Surgery
KW  - Journal Article
N2  - DISCUSSION: In a statistically matched cohort, the risk of perioperative complication in patients who underwent RA-THA versus C-THA patients were similar. However, RA-THA was costlier despite shorter LOS; INTRODUCTION: Utilization of robotic assistance is increasing for total hip arthroplasty (THA). However, few studies have directly examined the efficacy of this technique at reducing complications. This research aims to compare the rates of perioperative complications of robotic-assisted THA (RA-THA) with conventional THA (C-THA); LEVEL OF EVIDENCE: Level III, retrospective cohort analysis; METHODS: This study screened more than 35 million hospital discharges between 2010 to 2014 using the National Inpatient Sample. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) procedure codes were used to identify 292,836 patients who underwent C-THA (ICD 81.51) and 946 patients who underwent RA-THA (ICD 81.51 and ICD 17.41, 17.49). Perioperative complications were identified using ICD-9-CM diagnosis codes. Patient mortality was determined using the Uniform Bill patient disposition. The RA-THA cohort was statistically matched 1:1 to C-THA about patient age, sex, race, comorbidities, hospital type, and calendar year. Mean cost and length of stay (LOS) for each cohort were calculated and compared using the Kruskal-Wallis H test. Logistic regression was used to compare the risks of major and minor complications between the cohorts; RESULTS: We matched 758 (80.13%) RA-THA patients with 758 patients who underwent C-THA. No patient in our sample died. When compared with the conventional group, multivariate analysis revealed that the risk of major complications was similar in RA-THA patients (odds ratio = 0.698, 95% confidence interval = 0.282 to 1.727). In addition, although the rate of minor complications was higher in the RA-THA cohort (21.6% versus 12.5%, P = 0.004), no difference was observed on multivariate analysis (odds ratio = 1.248, 95% confidence interval = 0.852 to 1.829). The average inpatient hospital cost of a RA-THA was
UR  - https://dx.doi.org/10.5435/JAAOS-D-20-00715
ER  -