Economic evaluation of different suture closure methods: Barbed versus traditional interrupted sutures

摘要: Healthcare systems are receiving increasing pressures from payers, such as the Centers for Medicare and Medicaid (CMS), to reduce costs associated with procedures, implementation of Affordable Care Act, high addressed through pay-for-performance programs. Thus, multiple areas total knee arthroplasty (TKA) surgery under scrutiny, including surgical times, material costs, complications readmissions. Suture type has been determined be a factor that may influence closure well direct costs. Therefore, purpose this review was compare: (I) cost using barbed vs. conventional interrupted sutures; (II) additional differences in complications, if any; (III) extrapolate savings on hospital national level; (IV) discuss role these findings effect bundled payments. It found main factors affecting overall between standard suture were time. Many studies have demonstrated greater due shorter operative despite higher The majority also similar complication rates types, thus unlikely affect difference. However, best our knowledge, there no TKA literature evaluating lengths stay readmission rates. it is unclear how will translate reimbursements they might play Several other specialties demonstrate decreased infection use sutures, which, true can extrapolated 3 million dollars revision Further topic needed define relationships.