The cost-effectiveness of different generations ceramic-on-ceramic implants in primary total hip arthroplasty: a matched population-based study.

ABSTRACT:

Background

Ceramic-on-ceramic (CoCs) implants offer potential durability benefits in total hip arthroplasty (THA) but require notably high out-of-pocket copayments in Taiwan. This study assessed the cost-effectiveness of third- (3rd-CoCs) and fourth-generation CoC implants (4th-CoCs) compared with fully covered metal-on-polyethylene (MoPs) from a payer's perspective.

Methods

Using Taiwan's National Health Insurance (NHI) claims data (2009-2019), we identified osteoarthritis patients aged ≥ 50 years undergoing their first primary THA. We applied both exact matching and propensity score matching between patients who received 3rd- and 4th-CoCs and those who received MoPs. Cox regression and generalized linear models were used to assess clinical outcomes and total healthcare cos

SUBMITTER: Huang YH 

PROVIDER: S-EPMC12801667 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature