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Impact of total knee replacement practice: cost effectiveness analysis of data from the Osteoarthritis Initiative.


ABSTRACT: Objectives To evaluate the impact of total knee replacement on quality of life in people with knee osteoarthritis and to estimate associated differences in lifetime costs and quality adjusted life years (QALYs) according to use by level of symptoms.Design Marginal structural modeling and cost effectiveness analysis based on lifetime predictions for total knee replacement and death from population based cohort data.Setting Data from two studies-Osteoarthritis Initiative (OAI) and the Multicenter Osteoarthritis Study (MOST)-within the US health system.Participants 4498 participants with or at high risk for knee osteoarthritis aged 45-79 from the OAI with no previous knee replacement (confirmed by baseline radiography) followed up for nine years. Validation cohort

SUBMITTER: Ferket BS 

PROVIDER: S-EPMC6284324 | biostudies-literature | 2017 Mar

REPOSITORIES: biostudies-literature