Arthroplasty implants and materials: Cost awareness and value perception.

Arthroplasty procedures are commonly performed and contribute to healthcare expenditures seen in the United States. Surgical team members may make selections among implants and materials without always knowing their relative cost. The current study reports on a survey aimed to investigate the percep...

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Autores principales:	Mursal Gardezi, Taylor D Ottesen, Vineet Tyagi, Josiah J Z Sherman, Jonathan N Grauer, Lee E Rubin
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7d46fc067bba4e52a171dad8cbfd7da8
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spelling	oai:doaj.org-article:7d46fc067bba4e52a171dad8cbfd7da82021-12-02T20:06:27ZArthroplasty implants and materials: Cost awareness and value perception.1932-620310.1371/journal.pone.0255061https://doaj.org/article/7d46fc067bba4e52a171dad8cbfd7da82021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255061https://doaj.org/toc/1932-6203Arthroplasty procedures are commonly performed and contribute to healthcare expenditures seen in the United States. Surgical team members may make selections among implants and materials without always knowing their relative cost. The current study reports on a survey aimed to investigate the perceptions of an academic group about the relative cost and value of commonly used operating room implants and materials related to joint arthroplasty cases using 10 matched pairs of items. Of the 124 persons eligible to take the survey, 102 responded (response rate of 82.3%) including attendings, fellows, residents, physician assistants (PAs), advanced practice registered nurses (APRNs) and registered nurses (RNs). On average for the ten pairs of items, the more expensive items were correctly selected by 90.2+/-13.9% (mean+/- standard deviation) of respondents with a range from 54.9% to 100%. Of note, the cost differences were significantly overestimated for 8/10 item pairs. The majority of respondents perceived the more expensive item as the item with the higher clinical value for 9/10 item pairs. Most arthroplasty attendings (91.3%) indicated willingness to use the less expensive item of two similar items. Nonetheless, 17.9% of fellows, residents, PAs, APRNs and RNs indicated that they would not feel comfortable suggesting using the less expensive item. Although attending arthroplasty surgeons stated a desire to consider costs, a knowledge deficit with regards to identifying the extent of cost differences was identified, and a significant portion of the surgical support team reported being hesitant to suggest less expensive options.Mursal GardeziTaylor D OttesenVineet TyagiJosiah J Z ShermanJonathan N GrauerLee E RubinPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0255061 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Mursal Gardezi Taylor D Ottesen Vineet Tyagi Josiah J Z Sherman Jonathan N Grauer Lee E Rubin Arthroplasty implants and materials: Cost awareness and value perception.
description	Arthroplasty procedures are commonly performed and contribute to healthcare expenditures seen in the United States. Surgical team members may make selections among implants and materials without always knowing their relative cost. The current study reports on a survey aimed to investigate the perceptions of an academic group about the relative cost and value of commonly used operating room implants and materials related to joint arthroplasty cases using 10 matched pairs of items. Of the 124 persons eligible to take the survey, 102 responded (response rate of 82.3%) including attendings, fellows, residents, physician assistants (PAs), advanced practice registered nurses (APRNs) and registered nurses (RNs). On average for the ten pairs of items, the more expensive items were correctly selected by 90.2+/-13.9% (mean+/- standard deviation) of respondents with a range from 54.9% to 100%. Of note, the cost differences were significantly overestimated for 8/10 item pairs. The majority of respondents perceived the more expensive item as the item with the higher clinical value for 9/10 item pairs. Most arthroplasty attendings (91.3%) indicated willingness to use the less expensive item of two similar items. Nonetheless, 17.9% of fellows, residents, PAs, APRNs and RNs indicated that they would not feel comfortable suggesting using the less expensive item. Although attending arthroplasty surgeons stated a desire to consider costs, a knowledge deficit with regards to identifying the extent of cost differences was identified, and a significant portion of the surgical support team reported being hesitant to suggest less expensive options.
format	article
author	Mursal Gardezi Taylor D Ottesen Vineet Tyagi Josiah J Z Sherman Jonathan N Grauer Lee E Rubin
author_facet	Mursal Gardezi Taylor D Ottesen Vineet Tyagi Josiah J Z Sherman Jonathan N Grauer Lee E Rubin
author_sort	Mursal Gardezi
title	Arthroplasty implants and materials: Cost awareness and value perception.
title_short	Arthroplasty implants and materials: Cost awareness and value perception.
title_full	Arthroplasty implants and materials: Cost awareness and value perception.
title_fullStr	Arthroplasty implants and materials: Cost awareness and value perception.
title_full_unstemmed	Arthroplasty implants and materials: Cost awareness and value perception.
title_sort	arthroplasty implants and materials: cost awareness and value perception.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/7d46fc067bba4e52a171dad8cbfd7da8
work_keys_str_mv	AT mursalgardezi arthroplastyimplantsandmaterialscostawarenessandvalueperception AT taylordottesen arthroplastyimplantsandmaterialscostawarenessandvalueperception AT vineettyagi arthroplastyimplantsandmaterialscostawarenessandvalueperception AT josiahjzsherman arthroplastyimplantsandmaterialscostawarenessandvalueperception AT jonathanngrauer arthroplastyimplantsandmaterialscostawarenessandvalueperception AT leeerubin arthroplastyimplantsandmaterialscostawarenessandvalueperception
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Arthroplasty implants and materials: Cost awareness and value perception.

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