Health technology assessment through Six Sigma Methodology to assess cemented and uncemented protheses in total hip arthroplasty.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
CitationLatessa I, Ricciardi C, Jacob D, Jónsson H Jr, Gambacorta M, Improta G, Gargiulo P. Health technology assessment through Six Sigma Methodology to assess cemented and uncemented protheses in total hip arthroplasty. Eur J Transl Myol. 2021 Mar 9;31(1):9651. doi: 10.4081/ejtm.2021.9651.
AbstractThe purpose of this study is to use Health Technology Assessment (HTA) through the Six Sigma (SS) and DMAIC (Define, Measure, Analyse, Improve, Control) problem-solving strategies for comparing cemented and uncemented prostheses in terms of the costs incurred for Total hip arthroplasty (THA) and the length of hospital stay (LOS). Multinomial logistic regression analysis for modelling the data was also performed. Quantitative parameters extracted from gait analysis, electromyography and computed tomography images were used to compare the approaches, but the analysis did not show statistical significance. The variables regarding costs were studied with the Mann-Whitney and Kruskal-Wallis tests. No statistically significant difference between cemented and uncemented prosthesis for the total cost of LOS was found, but the cost of the surgeon had an influence on the overall expenses, affecting the cemented prosthetic approach. The material costs of surgery for the uncemented prosthesis and the cost of theatre of surgery for the cemented prosthesis were the most influential. Multinomial logistic regression identified the Vastus Lateralis variable as statistically significant. The overall accuracy of the model is 93.0%. The use of SS and DMAIC cycle as tools of HTA proved that the cemented and uncemented approaches for THA have similar costs and LOSy.
DescriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Download
- Systematic review of the outcome of cemented versus uncemented total hip arthroplasty following pelvic irradiation.
- Authors: Walters S, Prasad A, Guevel B, Sarraf KM, Achan P, Dawson-Bowling S, Millington S, Hanna SA
- Issue date: 2019 Dec
- [A comparative study on short-term effectiveness between cemented and uncemented total hip arthroplasty for osteonecrosis of femoral head after renal transplantation].
- Authors: Yu L, Qi C, Yu T, Meng Q, Zhao X, Liu K, Cai Y
- Issue date: 2013 Dec
- Early postoperative mortality similar between cemented and uncemented hip arthroplasty: a register study based on Finnish national data.
- Authors: Ekman E, Palomäki A, Laaksonen I, Peltola M, Häkkinen U, Mäkelä K
- Issue date: 2019 Feb
- Uncemented and cemented primary total hip arthroplasty in the Swedish Hip Arthroplasty Register.
- Authors: Hailer NP, Garellick G, Kärrholm J
- Issue date: 2010 Feb
- Radiographic evaluation of early periprosthetic acetabular bone contrast and prosthetic head acetabular coverage after uncemented and cemented total hip prosthesis in dogs.
- Authors: Mostafa AA, Lucas K, Nolte I, Wefstaedt P
- Issue date: 2016 Dec 3