Qais Naziri1,2, Steven A Burekhovich1, Patrick J Mixa3, Robert Pivec1, Jared M Newman1, Neil V Shah1, Preetesh D Patel3, Akhilesh Sastry4. 1. Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, 450 Clarkson Ave, MSC 30, Brooklyn, NY, 11203, USA. 2. Department of Orthopaedic Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA. 3. Department of Orthopaedic Surgery, University of Maryland Medical Center, 22 South Greene Street, Baltimore, MD, 21201, USA. 4. Department of Orthopaedic Surgery, Portsmouth Regional Hospital, 333 Borthwick Ave, Portsmouth, NH, 03801, USA.
Abstract
OBJECTIVE: Recent technological advancements have led to the utilization of robotic-assisted knee arthroplasty (raKA) in the operating room. METHODS: All patients who underwent knee arthroplasty from 2009 to 2013 in NYS SPARCS were reviewed. raKAs and non-raKAs were compared for utilization and institutional trends. RESULTS: Robotic-assistance increased by 500%. 80% of raKAs were performed in teaching hospitals. The trend increase was greater in teaching hospitals. Blood transfusion rates differed between raKA and non-raKA (6.6% vs. 10.9%, p < 0.001). CONCLUSION: raKA utilization increased in NYS, moreso within teaching hospitals. raKA transfusion rates were lower but higher in teaching hospitals, potentially related to learning curve.
OBJECTIVE: Recent technological advancements have led to the utilization of robotic-assisted knee arthroplasty (raKA) in the operating room. METHODS: All patients who underwent knee arthroplasty from 2009 to 2013 in NYS SPARCS were reviewed. raKAs and non-raKAs were compared for utilization and institutional trends. RESULTS: Robotic-assistance increased by 500%. 80% of raKAs were performed in teaching hospitals. The trend increase was greater in teaching hospitals. Blood transfusion rates differed between raKA and non-raKA (6.6% vs. 10.9%, p < 0.001). CONCLUSION: raKA utilization increased in NYS, moreso within teaching hospitals. raKA transfusion rates were lower but higher in teaching hospitals, potentially related to learning curve.
Entities:
Keywords:
Robotic surgery; Robotic-assisted surgery; Statewide Planning and Research Cooperative System (SPARCS), New York State (NYS); Total knee arthroplasty; Unicompartmental knee arthroplasty; Utilization trends
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