Utilization of technology-assisted total hip arthroplasty in the United States from 2005 to 2018

Autor: Shane Korber, MD, Joseph K. Antonios, MD, Lakshmanan Sivasundaram, MD, Cory K. Mayfield, MD, Hyunwoo Paco Kang, MD, Brian C. Chung, BS, Daniel A. Oakes, MD, Nathanael D. Heckmann, MD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Arthroplasty Today, Vol 12, Iss , Pp 36-44 (2021)
Druh dokumentu: article
ISSN: 2352-3441
DOI: 10.1016/j.artd.2021.08.020
Popis: Background: Successful outcomes in total hip arthroplasty (THA) rely in part on accurate component positioning, which may be optimized through the use of computer navigation and robot-assistance. Therefore, we queried a large national database to characterize national trends in technology-assisted THA utilization, determine whether these technologies were associated with increased hospital charges, and identify demographic factors associated with technology-assisted THA. Methods: Using the Nationwide Inpatient Sample database, patients that underwent conventional THA, computer-navigated THA, and robot-assisted THA from 2005 to 2018 were identified. Patient and hospital demographics, charge data, and payer characteristics were collected. Temporal trends in utilization were reported. Univariate analyses were performed to compare differences between groups with multiple logistic regression analysis to account for confounders. Results: In total, 3,428,208 patients undergoing THA from 2005 to 2018 were identified, of which 63,136 (1.8%) used computer navigation and 32,660 (1.0%) used robot-assistance. National utilization of computer navigation in THA increased from 0.1% to 1.9% between 2005 and 2018, while utilization of robot-assisted THA increased from
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