What Is the Long-Term Impact of an Implant Stewardship Program on Orthopaedic Trauma Implant Pricing?. Issue 5 (May 2021)
- Record Type:
- Journal Article
- Title:
- What Is the Long-Term Impact of an Implant Stewardship Program on Orthopaedic Trauma Implant Pricing?. Issue 5 (May 2021)
- Main Title:
- What Is the Long-Term Impact of an Implant Stewardship Program on Orthopaedic Trauma Implant Pricing?
- Authors:
- Morellato, John
O'Hara, Nathan N.
Baker, Mitchell
O'Toole, Robert V.
Pollak, Andrew N. - Abstract:
- Abstract : Objectives: To analyze the effectiveness of an implant stewardship program on implant cost containment and to estimate surgeons' responsiveness to implant price changes. Design: Interrupted time series. Setting: Level I trauma center. Patients/Participants: Monitored usage of 5 trauma constructs by 10 surgeons over a 5-year period. Intervention: Red-Yellow-Green (RYG) implant pricing comparison chart. Main Outcome Measurements: Primary outcomes were changes in the mean price, minimum price, and the number of price changes. The secondary outcome was surgeons' responsiveness to RYG/cost changes. Results: The study consisted of 2468 procedures. A mean construct price decrease of $66 per year [95% confidence interval (CI), $−170 to $−151], with distal femoral plates demonstrating the largest mean annual price decline ($486; 95% CI, $−540 to $−432). The minimum construct price decreased by $131 per year (95% CI, $−155 to $−111), with the largest reductions observed for distal femoral plates (−$436 per year; 95% CI, $−516 to $−354) and external fixators (−$122 per year; 95% CI, $−258 to $−136). The median price decrease was $407 (range: $6 to $2491) or 12.5% of the previous price. Positive changes in RYG levels increased surgeons' usage of tibial nails by 115%, femoral nails by 106%, and external fixators by 104%. Surgeons' implant selection was insensitive to RYG changes for distal femoral plates [RYG elasticity ( E RYG ): −0.74] and proximal tibia plates ( E RYG :Abstract : Objectives: To analyze the effectiveness of an implant stewardship program on implant cost containment and to estimate surgeons' responsiveness to implant price changes. Design: Interrupted time series. Setting: Level I trauma center. Patients/Participants: Monitored usage of 5 trauma constructs by 10 surgeons over a 5-year period. Intervention: Red-Yellow-Green (RYG) implant pricing comparison chart. Main Outcome Measurements: Primary outcomes were changes in the mean price, minimum price, and the number of price changes. The secondary outcome was surgeons' responsiveness to RYG/cost changes. Results: The study consisted of 2468 procedures. A mean construct price decrease of $66 per year [95% confidence interval (CI), $−170 to $−151], with distal femoral plates demonstrating the largest mean annual price decline ($486; 95% CI, $−540 to $−432). The minimum construct price decreased by $131 per year (95% CI, $−155 to $−111), with the largest reductions observed for distal femoral plates (−$436 per year; 95% CI, $−516 to $−354) and external fixators (−$122 per year; 95% CI, $−258 to $−136). The median price decrease was $407 (range: $6 to $2491) or 12.5% of the previous price. Positive changes in RYG levels increased surgeons' usage of tibial nails by 115%, femoral nails by 106%, and external fixators by 104%. Surgeons' implant selection was insensitive to RYG changes for distal femoral plates [RYG elasticity ( E RYG ): −0.74] and proximal tibia plates ( E RYG : −0.21). Conclusions: The implant stewardship program was associated with substantial implant price reductions. Surgeons' implant selection was especially sensitive to price changes for intramedullary nails and external fixators. Abstract : Supplemental Digital Content is Available in the Text. … (more)
- Is Part Of:
- Journal of orthopaedic trauma. Volume 35:Issue 5(2021)
- Journal:
- Journal of orthopaedic trauma
- Issue:
- Volume 35:Issue 5(2021)
- Issue Display:
- Volume 35, Issue 5 (2021)
- Year:
- 2021
- Volume:
- 35
- Issue:
- 5
- Issue Sort Value:
- 2021-0035-0005-0000
- Page Start:
- Page End:
- Publication Date:
- 2021-05
- Subjects:
- implant stewardship program -- implant cost containment -- implant expenditure -- implant price changes -- implant price reductions -- implant-related costs
Orthopedics -- Periodicals
Wounds and injuries -- Periodicals
Orthopedics -- Periodicals
Wounds and Injuries -- therapy -- Periodicals
Periodicals
617.47044 - Journal URLs:
- http://journals.lww.com/jorthotrauma/pages/default.aspx ↗
http://www.jorthotrauma.com ↗
http://cufts2.lib.sfu.ca/CJDB/BVAS/journal/149202 ↗
http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&PAGE=toc&D=ovft&AN=00005131-000000000-00000 ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/BOT.0000000000001967 ↗
- Languages:
- English
- ISSNs:
- 0890-5339
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 5027.675000
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 25740.xml