Systematic review of health economic evaluation of robot-assisted hip and knee arthroplasty
Abstract
The effectiveness of robot-assisted arthroplasty has been paid more attention, however, the question whether robotic technology could serve as a cost-effectiveness tool dealing with the ever-increasing knee and hip arthroplasty demand is still unclear. Health economic evaluations (HEEs) are comparative analyses of alternative interventions in terms of their costs and consequences. With increasing publications on the HEE of robot-assisted arthroplasty, there is a need to systematically clarify their framework and methodology. This review aimed to identify recent economic evaluations studies and to discuss their methods, cost and outcome, and reported conclusions. A systematic review of English language literature was conducted in PubMed, EMBASE, and the Web of Science and Cochrane Library from studies published up to February 2025. Two reviewers independently performed screening, full-text inclusion, and data extraction. The study quality of all included studies was assessed by the latest version Consolidated Health Evaluation Reporting Standards (CHEERS2022). The search identified 478 publications, of which twenty-five studies met the inclusion criteria. Sixteen studies were conducted in the United States. Among these, thirteen evaluated total knee arthroplasty, six examined unicompartmental knee arthroplasty, and five focused on total hip arthroplasty. Economic modelling was the predominant study design, applied in thirteen studies, while ten were observational in nature…
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