PMID- 38135778
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231225
IS  - 2197-1153 (Print)
IS  - 2197-1153 (Electronic)
IS  - 2197-1153 (Linking)
VI  - 10
IP  - 1
DP  - 2023 Dec 23
TI  - The reimbursement system can influence the treatment choice and favor joint 
      replacement versus other less invasive solutions in patients affected by 
      osteoarthritis.
PG  - 146
LID - 10.1186/s40634-023-00699-5 [doi]
LID - 146
AB  - PURPOSE: The aim of this study was to assess how physicians perceive the role of 
      the reimbursement system and its potential influence in affecting their treatment 
      choice in the management of patients affected by osteoarthritis (OA). METHODS: A 
      survey was administered to 283 members of SIAGASCOT (Italian Society of 
      Arthroscopy, Knee, Upper Limb, Sport, Cartilage and Orthopaedic Technologies), a 
      National scientific orthopaedic society. The survey presented multiple choice 
      questions on the access allowed by the current Diagnosis-Related Groups (DRG) 
      system to all necessary options to treat patients affected by OA and on the 
      influence toward prosthetic solutions versus other less invasive options. 
      RESULTS: Almost 70% of the participants consider that the current DRG system does 
      not allow access to all necessary options to best treat patients affected by OA. 
      More than half of the participants thought that the current DRG system favors the 
      choice of prosthetic solutions (55%) and that it can contribute to the increase 
      in prosthetic implantation at the expense of less invasive solutions (54%). The 
      sub-analyses based on different age groups, professional roles, and places of 
      work allowed to evaluate the response in each specific category, confirming the 
      findings for all investigated aspects. CONCLUSIONS: This survey documented that 
      the majority of physicians consider that the reimbursement system can influence 
      the treatment choice when managing OA patients. The current DRG system was 
      perceived as unbalanced in favor of the choice of the prosthetic solution, which 
      could contribute to the increase in prosthetic implantation at the expense of 
      other less invasive options for OA management.
CI  - (c) 2023. The Author(s).
FAU - De Marziani, Luca
AU  - De Marziani L
AD  - Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Via 
      Giulio Cesare Pupilli, Bologna, 1 - 40136, Italy.
FAU - Boffa, Angelo
AU  - Boffa A
AUID- ORCID: 0000-0002-1523-6900
AD  - Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Via 
      Giulio Cesare Pupilli, Bologna, 1 - 40136, Italy. angeloboffa@libero.it.
FAU - Di Martino, Alessandro
AU  - Di Martino A
AD  - Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Via 
      Giulio Cesare Pupilli, Bologna, 1 - 40136, Italy.
FAU - Andriolo, Luca
AU  - Andriolo L
AD  - Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Via 
      Giulio Cesare Pupilli, Bologna, 1 - 40136, Italy.
FAU - Reale, Davide
AU  - Reale D
AD  - Ortopedia e Traumatologia, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
FAU - Bernasconi, Alessio
AU  - Bernasconi A
AD  - Orthopaedics and Traumatology Unit, Department of Public Health, University 
      Federico II of Naples Federico II, Naples, Italy.
FAU - Corbo, Valentina Rita
AU  - Corbo VR
AD  - Foot and Ankle Specialistic Unit, IRCCS Galeazzi Sant'Ambrogio, Milan, Italy.
FAU - de Caro, Francesca
AU  - de Caro F
AD  - Department of Orthopaedic Surgery, Istituto Di Cura Citta Di Pavia, Pavia, Italy.
FAU - Delcogliano, Marco
AU  - Delcogliano M
AD  - Servizio di Ortopedia e Traumatologia dell'Ospedale Regionale di Bellinzona e 
      Valli, Ente Ospedaliero Cantonale, Ticino, Switzerland.
FAU - di Laura Frattura, Giorgio
AU  - di Laura Frattura G
AD  - Division of Orthopedics and Trauma Surgery, Geneva University Hospitals, Geneva, 
      Switzerland.
FAU - Di Vico, Giovanni
AU  - Di Vico G
AD  - Department of Orthopaedics and Trauma Surgery, Clinica San Michele, Maddaloni, 
      Italy.
FAU - Manunta, Andrea Fabio
AU  - Manunta AF
AD  - UOC di Clinica Ortopedica AOU Sassari, Sassari, Italy.
FAU - Russo, Arcangelo
AU  - Russo A
AD  - Humanitas Castelli, Bergamo, Italy.
FAU - Filardo, Giuseppe
AU  - Filardo G
AD  - Applied and Translational Research (ATR) Center, IRCCS Istituto Ortopedico 
      Rizzoli, Bologna, Italy.
AD  - Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, 
      Switzerland.
AD  - Faculty of Biomedical Sciences, Universita della Svizzera Italiana, Lugano, 
      Switzerland.
LA  - eng
PT  - Journal Article
DEP - 20231223
PL  - United States
TA  - J Exp Orthop
JT  - Journal of experimental orthopaedics
JID - 101653750
PMC - PMC10746689
OTO - NOTNLM
OT  - Arthroplasty
OT  - DRG
OT  - Diagnosis-Related Groups
OT  - Osteoarthritis
OT  - Prosthesis
OT  - Reimbursement
COIS- All authors declare no support from any organisation for the submitted work.
EDAT- 2023/12/23 12:42
MHDA- 2023/12/23 12:43
PMCR- 2023/12/23
CRDT- 2023/12/22 23:28
PHST- 2023/08/26 00:00 [received]
PHST- 2023/11/16 00:00 [accepted]
PHST- 2023/12/23 12:43 [medline]
PHST- 2023/12/23 12:42 [pubmed]
PHST- 2023/12/22 23:28 [entrez]
PHST- 2023/12/23 00:00 [pmc-release]
AID - 10.1186/s40634-023-00699-5 [pii]
AID - 699 [pii]
AID - 10.1186/s40634-023-00699-5 [doi]
PST - epublish
SO  - J Exp Orthop. 2023 Dec 23;10(1):146. doi: 10.1186/s40634-023-00699-5.