SAN DIEGO, March 14, 2017 /PRNewswire-USNewswire/ -- In the year prior to total knee replacement (TKR) surgery, almost
"As we transition to an era of value based health care, it will be important to consider both the quality of our interventions as well as the cost associated with that care," said study author Nicholas Bedard, MD, an orthopaedic surgeon at the University of Iowa Hospitals & Clinics.
Researchers reviewed Humana Inc. insurance information (both private and Medicare Advantage plans) from 2007 through 2015 on more than 86,000 patients diagnosed with osteoarthritis of the knee, who went on to have TKR within one year. The costs were specifically related to reimbursement for hyaluronic acid (HA) or corticosteroid (CS) injections, physical therapy (PT), braces and wedge insoles, pain medication and non-steroidal anti-inflammatory drugs (NSAIDs). Only three of these treatments—physical therapy, NSAIDs, and the drug tramadol (short-term for severe pain)—are recommended in the AAOS clinical practice guideline (CPG): "Non-arthroplasty Treatment of Osteoarthritis of the Knee."
The total costs associated with outpatient knee osteoarthritis was $43,582,648. Among the other findings:
"We hope that research such as this highlights the high prevalence of low-value interventions in the management of knee osteoarthritis and helps to motivate a transition to higher value care," said Dr. Bedard.
2017 AAOS Annual Meeting Disclosure Statements
The American Academy of Orthopaedic SurgeonsWith more than 39,000 members, the American Academy of Orthopaedic Surgeons (AAOS) is the world's largest association of musculoskeletal specialists. The AAOS provides education programs for orthopaedic surgeons and allied health professionals, champions and advances the highest musculoskeletal care for patients, and is the authoritative source of information on bone and joint conditions, treatments, and related issues.
Visit AAOS at:Newsroom.aaos.org for bone and joint health news, stats, facts, images and interview requests.ANationinMotion.org for inspirational patient stories, and orthopaedic surgeon tips on maintaining bone and joint health, avoiding injuries, treating musculoskeletal conditions and navigating recovery.Orthoinfo.org for patient information on hundreds of orthopaedic diseases and conditions.Facebook.com/AAOS1 Twitter.com/AAOS1
To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/nearly-one-third-of-osteoarthritis-related-costs-incurred-the-year-prior-to-knee-replacement-surgery-are-for-non-recommended-treatments-300422624.html
SOURCE American Academy of Orthopaedic Surgeons
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