G-2 COST-EFFECTIVENESS OF UNICOMPARTMENTAL VS TOTAL KNEE ARTHROPLASTY IN OLDER AND YOUNGER PATIENTS IN THE UNITED STATES

Tuesday, October 22, 2013: 10:45 AM
Key Ballroom 5-6 (Hilton Baltimore)
Applied Health Economics (AHE)

Hassan M.K. Ghomrawi, PhD1, Ashley A. Eggman, MS1, Sophia Paul2 and Andrew Pearle, MD3, (1)Weill Cornell Medical College, New York, NY, (2)Hospital for Special Surgery, New York, NY, (3)Hopsital for Special Surgery, New York, NY
Purpose: Unicompartmental knee arthroplasty (UKA) is an alternative to total knee arthroplasty (TKA) in patients with unicompartmental knee osteoarthritis. UKA has higher revision rates 5-10 years postoperatively, yet requires little rehabilitation, has fewer complications, and may offer patients higher function. Two prior cost-effectiveness (CE) analyses limited to older patients (age 65+) found little benefit to UKA. With rising demand expected among patients <65 who would favor better function and quicker return to work (50% of 3.4 million in 2030), we evaluated CE of UKA vs. TKA in younger and older patients.

Method: We developed a Markov, state-transition model to determine the CE of UKA vs. TKA in hypothetical younger (age 45) and older (age 65) patients. Patients transition to either a full- or limited-function state postoperatively based on their Western Ontario and McMaster Universities Osteoarthritis Index score. The limited-function state is associated with lower quality-of-life (QOL) and increased costs compared to full-function. Patients in either state may experience an implant failure. We assumed that limited-function state patients fail at a higher rate than full-function state and UKA patients only have home health rehabilitation while TKA patients could also have either inpatient rehabilitation or skilled nursing facilities options. Failure rates were calculated from 20-year follow-up data in the Swedish national registry. Procedure and complication costs were based on DRG and ICD-9 codes. Inpatient rehabilitation, outpatient healthcare utilization and return to work costs were derived from the literature. QOL data and transition probability to limited-function state were also from the literature.  We report costs, quality-adjusted life years (QALYs), and ICERs over the lifetime of the patient from a societal perspective in US dollars (discounted at 3% annually).

Result: UKA dominated TKA in both younger and older patients in the base case  In the younger patients only, TKA has an ICER <$100,000/QALY when the annual revision rate for UKA increased from 1.0% in the base case to 2.45% beginning at age 66 .  Results were not sensitive to lowering TKA rehab costs. Increasing UKA’s transition probability to the limited-function state to equal that of TKA produced an ICER >$100,000/QALY.

Conclusion: Unlike previous studies, we found UKA had substantial economic value in older and younger patients. Our results indicate that UKA should be recommended for eligible patients regardless of age.