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Current Status of Cost Utility Analyses in Total Joint Arthroplasty: A Systematic Review

Published on May 1, 2015in Clinical Orthopaedics and Related Research4.154
· DOI :10.1007/s11999-014-3964-4
Benedict U. Nwachukwu23
Estimated H-index: 23
(HSS: Hospital for Special Surgery),
Kevin J. Bozic55
Estimated H-index: 55
(UCSF: University of California, San Francisco)
+ 4 AuthorsDouglas E. Padgett31
Estimated H-index: 31
Abstract
Background Total joint arthroplasty (TJA), although considered to be highly beneficial, is associated with substantial costs to the US healthcare system. Cost utility analysis has become an increasingly important means to objectively evaluate the value of a healthcare intervention from the perspective of both extending the quantity and improving the quality of life. Relatively little is known about the overall cost utility analysis evidence base in TJA.
  • References (67)
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References67
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The ratio of $50,000 per quality-adjusted life-year (QALY) gained by using a given health care intervention has long served as a benchmark for the value of U.S. health care. But evidence suggests that it is too low and might best be thought of as an implied lower boundary.
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50 CitationsSource
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#1David RuizH-Index: 2
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#1J.M. Hussman (Sunnybrook Research Institute)H-Index: 1
#2Krista L. Lanctôt (Sunnybrook Research Institute)H-Index: 53
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Last. Jakob KjellbergH-Index: 18
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