Evaluating the References of Insurance Policies for Computer-Assisted Navigation in Total Knee Arthroplasty Compared With the American Academy of Orthopaedic Surgeons Clinical Practice Guideline.

IF 1.1 4区医学 Q3 ORTHOPEDICS Orthopedics Pub Date : 2024-11-08 DOI:10.3928/01477447-20241104-03

Eric H Lin, Jacob L Kotlier, Amir Fathi, Cailan L Feingold, Nathanael D Heckmann, Joseph N Liu, Frank A Petrigliano

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Abstract

Background: This study aimed to investigate the quality and quantity of sources cited by insurance payers for computer-assisted navigation (CAN) in total knee arthroplasty (TKA) and to compare these sources with those cited by the American Academy of Orthopaedic Surgeons (AAOS) Clinical Practice Guideline (CPG).

Materials and methods: References were included from insurance payer policies on CAN that discussed the use of CAN in TKA, while every reference from the AAOS CPG for surgical navigation in TKA was included.

Results: Fifty-four unique articles from insurance payers met criteria, with 68.5% being primary journal articles and 18.5% being reviews. The quality of cited studies was relatively evenly distributed between level of evidence (LOE) I/II (42.6%) and LOE III and below (50.0%). The 14 references cited in the AAOS CPG were 100% primary articles and 100% LOE I/II. Only 16.3% of cited insurance references were AAOS CPG articles. Nine of the 14 AAOS CPG studies were not cited by any of the insurance payer policies.

Conclusion: Compared with the AAOS CPG, insurance policies cited older articles with lower LOE. We recommend continued updating of the AAOS CPG and insurance policies as more research into the use of CAN in TKA is published. [Orthopedics. 202x;4x(x):xx-xx.].

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与美国矫形外科医师学会临床实践指南相比，评估全膝关节置换术中计算机辅助导航的保险政策参考性。

背景：本研究旨在调查保险支付方引用的有关全膝关节置换术（TKA）中计算机辅助导航（CAN）的资料来源的质量和数量，并将这些资料来源与美国矫形外科医师学会（AAOS）临床实践指南（CPG）中引用的资料来源进行比较：纳入保险支付方关于 CAN 的政策中讨论 CAN 在 TKA 中使用的参考文献，同时纳入 AAOS CPG 中关于 TKA 中手术导航的所有参考文献：54篇来自保险支付方的文章符合标准，其中68.5%为主要期刊论文，18.5%为综述。引用研究的质量在证据等级（LOE）I/II（42.6%）和 LOE III 及以下（50.0%）之间分布相对均匀。AAOS CPG引用的14篇参考文献100%为主要文章，100%为LOE I/II级。引用的保险参考文献中只有 16.3% 是 AAOS CPG 文章。在 14 篇 AAOS CPG 研究中，有 9 篇未被任何保险支付方政策引用：结论：与 AAOS CPG 相比，保险条款引用了 LOE 较低的旧文章。我们建议，随着有关在 TKA 中使用 CAN 的更多研究的发表，应继续更新 AAOS CPG 和保险政策。[骨科。202x;4x(x):xx-xx]。

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来源期刊

Orthopedics 医学-整形外科

CiteScore

2.20

自引率

0.00%

发文量

160

审稿时长

3 months

期刊介绍： For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.