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
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Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
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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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