Cost-Effectiveness of Bariatric Surgery Prior to Total Knee Arthroplasty in the Morbidly Obese by Alexander S. McLawhorn, Daniel Southren, Y. Claire Wang,

Slides:



Advertisements
Similar presentations
Total Hip Arthroplasty for Primary Osteoarthritis in Patients Fifty-five Years of Age or Older by Keijo T. Mäkelä, Antti Eskelinen, Pekka Pulkkinen, Pekka.
Advertisements

Periprosthetic Humeral Fractures After Shoulder Arthroplasty by Sanjay Kumar, John W. Sperling, George H. Haidukewych, and Robert H. Cofield J Bone Joint.
Total Knee Arthroplasty in Juvenile Rheumatoid Arthritis by David H. Palmer, Kevin J. Mulhall, Corey A. Thompson, Erik P. Severson, Edward R.G. Santos,
Distal Radial Fractures in Older Men by Carl M. Harper, Shannon K. Fitzpatrick, David Zurakowski, and Tamara D. Rozental J Bone Joint Surg Am Volume 96(21):
Total Knee Arthroplasty in a Patient with Erdheim-Chester Disease with Massive Joint Destruction by Andre F. Steinert, Stefan Reppenhagen, Bernd Baumann,
Avoiding Complications in the Treatment of Humeral Fractures by Jeffrey O. Anglen, Michael T. Archdeacon, Lisa K. Cannada, and Dolfi Herscovici J Bone.
Morbid Obesity: A Significant Risk Factor for Failure of Two-Stage Revision Total Hip Arthroplasty for Infection by Matthew T. Houdek, Eric R. Wagner,
Effectiveness and Safety of Tranexamic Acid in Reducing Blood Loss in Total Knee Arthroplasty: A Meta-Analysis by Zhi-Gao Yang, Wei-Ping Chen, and Li-Dong.
Prospective Comparison of 1.5 and 3.0-T MRI for Evaluating the Knee Menisci and ACL by Pieter Van Dyck, Filip M. Vanhoenacker, Valérie Lambrecht, Kristien.
The Cost-Effectiveness of Surgical Treatment of Medial Unicompartmental Knee Osteoarthritis in Younger Patients by Joseph F. Konopka, Andreas H. Gomoll,
Intermediate-Term Follow-up After Ankle Distraction for Treatment of End-Stage Osteoarthritis by Mai P. Nguyen, Douglas R. Pedersen, Yubo Gao, Charles.
Computer Navigation for Total Knee Arthroplasty Reduces Revision Rate for Patients Less Than Sixty-five Years of Age by Richard N. de Steiger, Yen-Liang.
by Atul F. Kamath, David G. Lewallen, and Arlen D. Hanssen
Cost-Effectiveness Analysis of Fixation Options for Intertrochanteric Hip Fractures by Eric Swart, Eric C. Makhni, William Macaulay, Melvin P. Rosenwasser,
Associations Between Preoperative Physical Therapy and Post-Acute Care Utilization Patterns and Cost in Total Joint Replacement by Richard Snow, Jaymes.
Future Clinical and Economic Impact of Revision Total Hip and Knee Arthroplasty by Steven M. Kurtz, Kevin L. Ong, Jordana Schmier, Fionna Mowat, Khaled.
Detection of Orthopaedic Implants in Vivo by Enhanced- Sensitivity, Walk-Through Metal Detectors by Miguel A. Ramirez, Edward K. Rodriguez, David Zurakowski,
The Cost-Effectiveness of Computer-Assisted Navigation in Total Knee Arthroplasty by Erik J. Novak, Marc D. Silverstein, and Kevin J. Bozic J Bone Joint.
Results of Preoperative Pulmonary Function Testing of Adolescents with Idiopathic Scoliosis by Peter O. Newton, Frances D. Faro, Sohrab Gollogly, Randal.
Total Knee Arthroplasty with Retention of Both Cruciate Ligaments. A Nine to Eleven-Year Follow-up Study* by J.-M. CLOUTIER, P. SABOURET, and A. DEGHRAR.
Scoliosis in Patients with Duchenne Muscular Dystrophy by Lori A. Karol J Bone Joint Surg Am Volume 89(suppl 1): February 1, 2007 ©2007 by The Journal.
The Seven-Year Wear of Highly Cross-Linked Polyethylene in Total Hip Arthroplasty by Geraint E.R. Thomas, David J. Simpson, Shahid Mehmood, Adrian Taylor,
The Fellowship Match Process: The History and a Report of the Current Experience by Lisa K. Cannada, Scott J. Luhmann, Serena S. Hu, and Robert H. Quinn.
Venous Thromboembolic Disease After Total Hip and Knee Arthroplasty by Steven B. Haas, Robert L. Barrack, Geoffrey Westrich, and Paul F. Lachiewicz J Bone.
Hypertrophy of Ligamentum Flavum in Lumbar Spinal Stenosis Associated with Increased Proteinase Inhibitor Concentration by Jong-Beom Park, Jin-Kyung Lee,
Relationship Between Rates and Outcomes of Operative Treatment for Lumbar Disc Herniation and Spinal Stenosis by ROBERT B. KELLER, STEVEN J. ATLAS, DAVID.
Complications Associated with Pedicle Screws* by JOHN E. LONSTEIN, FRANCIS DENIS, JOSEPH H. PERRA, MANUEL R. PINTO, MICHAEL D. SMITH, and ROBERT B. WINTER.
Patient Outcomes after Reoperation on the Lumbar Spine* by GEOFFREY STEWART, and BARTON L. SACHS J Bone Joint Surg Am Volume 78(5): May 1, 1996 ©1996.
Allograft-Prosthesis Composite for Revision of Catastrophic Failure of Total Elbow Arthroplasty by Pierre Mansat, Robert A. Adams, and Bernard F. Morrey.
Validation of Two and Three-Dimensional Radiographic Techniques for Measuring Polyethylene Wear After Total Hip Arthroplasty by Andrew J. Hui, Richard.
Current Concepts Review - Decision Analysis* by JOSEPH BERNSTEIN J Bone Joint Surg Am Volume 79(9): September 1, 1997 ©1997 by The Journal of Bone.
Development of a Patient-Reported Measure of Function of the Knee* by JAMES J. IRRGANG, LYNN SNYDER-MACKLER, ROBERT S. WAINNER, FREDDIE H. FU, and CHRISTOPHER.
The Use of Fibrin Tissue Adhesive to Reduce Blood Loss and the Need for Blood Transfusion After Total Knee Arthroplasty. A Prospective, Randomized, Multicenter.
Early Return to Surgery for Evacuation of a Postoperative Hematoma After Primary Total Knee Arthroplasty by Daniel D. Galat, Scott C. McGovern, Arlen D.
Consumer Choice Between Hospital-Based and Freestanding Facilities for Arthroscopy by James C. Robinson, Timothy T. Brown, Christopher Whaley, and Kevin.
Ensuring Appropriate Timing of Antimicrobial Prophylaxis by Andrew D. Rosenberg, Daniel Wambold, Linede Kraemer, Maureen Begley- Keyes, Scott L. Zuckerman,
Evaluation of the Role for Synovial Aspiration in the Diagnosis of Aseptic Loosening After Total Knee Arthroplasty by Peter N. Chalmers, David Walton,
The Influence of Insurance Status on Access to and Utilization of a Tertiary Hand Surgery Referral Center by Ryan P. Calfee, Chirag M. Shah, Colin D. Canham,
Association Between Decreased Bone Mineral Density and Severity of Distal Radial Fractures by Robert A.E. Clayton, Mark S. Gaston, Stuart H. Ralston, Charles.
The Risk of Cancer Following Total Hip or Knee Arthroplasty by Ravi Tharani, Frederick J. Dorey, and Thomas P. Schmalzried J Bone Joint Surg Am Volume.
Total Knee Arthroplasty in Patients with Ankylosing Spondylitis by Javad Parvizi, Gavan P. Duffy, and Robert T. Trousdale J Bone Joint Surg Am Volume 83(9):
The Natural Progression of Synovial Fluid White Blood-Cell Counts and the Percentage of Polymorphonuclear Cells After Primary Total Knee Arthroplasty by.
The Trends in Treatment of Femoral Neck Fractures in the Medicare Population from 1991 to 2008 by Benjamin J. Miller, Xin Lu, and Peter Cram J Bone Joint.
Functional Outcomes After Total Shoulder Arthroplasty in Obese Patients by Xinning Li, Phillip N. Williams, Joseph T. Nguyen, Edward V. Craig, Russell.
Patellar Resurfacing in Primary Total Knee Replacement by R.W.D. Pilling, E. Moulder, V. Allgar, J. Messner, Z. Sun, and A. Mohsen J Bone Joint Surg Am.
Ilizarov Hip Reconstruction for the Late Sequelae of Infantile Hip Infection by S. Robert Rozbruch, Dror Paley, Anil Bhave, and John E. Herzenberg J Bone.
Risk Factors for Infection After Knee Arthroplasty by Esa Jämsen, Heini Huhtala, Timo Puolakka, and Teemu Moilanen J Bone Joint Surg Am Volume 91(1):38-47.
Knee Injury in Patients Experiencing a High-Energy Traumatic Ipsilateral Hip Dislocation by Gary L. Schmidt, Robert Sciulli, and Gregory T. Altman J Bone.
Metal Release in Patients Who Have Had a Primary Total Hip Arthroplasty. A Prospective, Controlled, Longitudinal Study* by JOSHUA J. JACOBS, ANASTASIA.
Comparison of Patient and Doctor Responses to a Total Hip Arthroplasty Clinical Evaluation Questionnaire by Margaret A. McGee, Donald W. Howie, Philip.
Early Quadriceps Strength Loss After Total Knee Arthroplasty by Ryan L. Mizner, Stephanie C. Petterson, Jennifer E. Stevens, Krista Vandenborne, and Lynn.
The Association Between Body Mass Index and the Outcomes of Total Knee Arthroplasty by Paul Baker, Tim Petheram, Simon Jameson, Mike Reed, Paul Gregg,
Variability in Spine Surgery Procedures Performed During Orthopaedic and Neurological Surgery Residency Training by Alan H. Daniels, Christopher P. Ames,
The Efficacy of Ultrasound in the Evaluation of Dynamic Scapholunate Ligamentous Instability by Khiem D. Dao, Daniel J. Solomon, Alexander Y. Shin, and.
Allogenic Blood Transfusion Following Total Hip Arthroplasty: Results from the Nationwide Inpatient Sample, 2000 to 2009 by Anas Saleh, Travis Small, Aiswarya.
Lateral Unicompartmental Knee Arthroplasty Through a Medial Approach by Alexander P. Sah, and Richard D. Scott J Bone Joint Surg Am Volume 89(9):
Lower-Extremity Peripheral Nerve Blocks in the Perioperative Pain Management of Orthopaedic Patients by Benjamin E. Stein, Umasuthan Srikumaran, Eric W.
Cervical Spine Injury Severity Score by, Paul A. Anderson, Timothy A. Moore, Kirkland W. Davis, Robert W. Molinari, Daniel K. Resnick, Alexander R. Vaccaro,
Revision Total Knee Arthroplasty in a Patient with Bilateral Below-the-Knee Amputation by M.G. Williams, J. Phillips, and K. Eyres JBJS Case Connect Volume.
Estimating the Burden of Total Knee Replacement in the United States by Alexander M. Weinstein, Benjamin N. Rome, William M. Reichmann, Jamie E. Collins,
Arthroscopic Débridement of the Knee for Osteoarthritis in Patients Fifty Years of Age or Older by Eugene K. Wai, Hans J. Kreder, and Jack I. Williams.
Improving Evaluation and Treatment for Osteoporosis Following Distal Radial Fractures by Tamara D. Rozental, Eric C. Makhni, Charles S. Day, and Mary L.
An Association Between Functional Second Metatarsal Length and Midfoot Arthrosis by James S. Davitt, Nancy Kadel, Bruce J. Sangeorzan, Sigvard T. Hansen,
Topics in Medical Economics: Health Care Rationing by Joseph Bernstein J Bone Joint Surg Am Volume 88(11): November 1, 2006 ©2006 by The Journal.
The Effect of Obesity on Direct Medical Costs in Total Knee Arthroplasty by Hilal Maradit Kremers, Sue L. Visscher, Walter K. Kremers, James M. Naessens,
Time Trade-Off as a Measure of Health-Related Quality of Life: Long Bone Nonunions Have a Devastating Impact by Patrick C. Schottel, Daniel P. O’Connor,
Evaluation of a Program for Long-Term Treatment of Duchenne Muscular Dystrophy. Experience at the University Hospitals of Cleveland* by PAUL J. VIGNOS,
Spinal Anesthesia: Should Everyone Receive a Urinary Catheter? by Adam G. Miller, James McKenzie, Max Greenky, Erica Shaw, Kishor Gandhi, William J. Hozack,
Is Early Internal Fixation Preferred to Cast Treatment for Well-Reduced Unstable Distal Radial Fractures? by Karl M. Koenig, Garrett C. Davis, Margaret.
Prophylactic Antibiotics in Hip and Knee Arthroplasty by John Meehan, Amir A. Jamali, and Hien Nguyen J Bone Joint Surg Am Volume 91(10): October.
Presentation transcript:

Cost-Effectiveness of Bariatric Surgery Prior to Total Knee Arthroplasty in the Morbidly Obese by Alexander S. McLawhorn, Daniel Southren, Y. Claire Wang, Robert G. Marx, and Emily R. Dodwell J Bone Joint Surg Am Volume 98(2):e6 January 20, 2016 ©2016 by The Journal of Bone and Joint Surgery, Inc.

A conceptual organization of the Markov decision model is illustrated. Alexander S. McLawhorn et al. J Bone Joint Surg Am 2016;98:e6 ©2016 by The Journal of Bone and Joint Surgery, Inc.

Tornado diagram illustrates the results of the one-way sensitivity analyses for each model variable. Alexander S. McLawhorn et al. J Bone Joint Surg Am 2016;98:e6 ©2016 by The Journal of Bone and Joint Surgery, Inc.

A chart showing the results of two-way sensitivity analysis evaluating the utility of primary total knee arthroplasty (TKA) in morbidly obese patients compared with the probability of weight loss after bariatric surgery. Alexander S. McLawhorn et al. J Bone Joint Surg Am 2016;98:e6 ©2016 by The Journal of Bone and Joint Surgery, Inc.

A graph depicting the ICER for the combined protocol compared with the probability of successful weight loss after bariatric surgery. Alexander S. McLawhorn et al. J Bone Joint Surg Am 2016;98:e6 ©2016 by The Journal of Bone and Joint Surgery, Inc.

A chart showing the acceptability curves generated from the probabilistic sensitivity analysis. Alexander S. McLawhorn et al. J Bone Joint Surg Am 2016;98:e6 ©2016 by The Journal of Bone and Joint Surgery, Inc.

A scatterplot depicting the ICER derived from each iteration of the model from the probabilistic sensitivity analysis. Alexander S. McLawhorn et al. J Bone Joint Surg Am 2016;98:e6 ©2016 by The Journal of Bone and Joint Surgery, Inc.