ArticleHealth affairs (Project Hope)2014
Survey finds few orthopedic surgeons know the costs of the devices they implant.
Article in Health affairs (Project Hope), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
53 citing papers in PubMed, 190 citations in OpenAlex.
- Orthopedic and Trauma Physicians' Ability to Identify Selected SUT Reimbursement Amounts in Türkiye: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- The Price Is Right: Assessing Surgical Cost Awareness of Residents and Staff Across Surgical Specialties at a Single Training Hospital.Military medicine · 2026Article
- Increased Surgical Costs Do Not Result in Improved Patient-Reported Outcomes: A Study of 173 Patients Who Underwent Thumb Carpometacarpal Joint Arthroplasty.Hand (New York, N.Y.) · 2026Article
- Implant prices and physician reimbursement have declined more than total costs and hospital payments in total shoulder arthroplasty.JSES international · 2026Article
- Rethinking rehabilitation resources: an amuse-bouche to supply chain management.Frontiers in rehabilitation sciences · 2026Article
- Design and implementation of a composite performance score to drive cost efficiency in robotic-assisted surgery: the Orlando Score.Journal of robotic surgery · 2025Article
- Effects of Standardized Pricing for Distal Radius Implants.The archives of bone and joint surgery · 2025Article
- Mo Passer (Mufasa): A Cost-Effective Alternative Suture-Passer Technique for Patella Fracture Fixation.Cureus · 2024Article
- Review of Outcomes of Intramedullary Fibular Nails in the Management of Ankle Fractures in Adults.Cureus · 2024Review
- Comparing Multipin Clamps With Outriggers With Standard Clamps for Lower Extremity Periarticular External Fixation: Similar Radiographic and Clinical Outcomes.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- Does Transparency of Ankle Implant Costs Influence Surgeon Behavior?Foot & ankle orthopaedics · 2024Article
- Surgical Setting in Achilles Tendon Repair: How Does It Relate to Costs and Complications?Foot & ankle orthopaedics · 2023Article
- Unveiling the Economic Toll of Surgical Learning Curve in Elderly Hip Fractures.Journal of clinical medicine · 2023Article
- Implant cost variation in surgically treated distal radius fractures.Journal of orthopaedics · 2023Article
- Article
- Implant Charge Differences Between Distal Radius Fixation Constructs (CPT 25607, 25608, and 25609).Hand (New York, N.Y.) · 2022Article
- Supply chain management and health services research: Aligning strange bedfellows.Health services research · 2022Article
- Comparison of direct surgical cost for humeral shaft fracture fixation: open reduction internal fixation versus intramedullary nailing.JSES international · 2021Article
- Intramedullary fixation of fibula fractures: A systematic review.Journal of clinical orthopaedics and trauma · 2021Review
- Sustainability of paediatric radiology in Italy.Pediatric radiology · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 8 institutions in 1 country.
Funding
Abstract
Orthopedic procedures represent a large expense to the Medicare program, and costs of implantable medical devices account for a large proportion of those procedures' costs. Physicians have been encouraged to consider cost in the selection of devices, but several factors make acquiring cost information difficult. To assess physicians' levels of knowledge about costs, we asked orthopedic attending physicians and residents at seven academic medical centers to estimate the costs of thirteen commonly used orthopedic devices between December 2012 and March 2013. The actual cost of each device was determined at each institution; estimates within 20 percent of the actual cost were considered correct. Among the 503 physicians who completed our survey, attending physicians correctly estimated the cost of the device 21 percent of the time, and residents did so 17 percent of the time. Thirty-six percent of physicians and 75 percent of residents rated their knowledge of device costs "below average" or "poor." However, more than 80 percent of all respondents indicated that cost should be "moderately," "very," or "extremely" important in the device selection process. Surgeons need increased access to information on the relative prices of devices and should be incentivized to participate in cost containment efforts.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.