SynthesisJournal of orthopaedic surgery and research2025
Economic evaluation of robotic-assisted versus manual unicompartmental knee arthroplasty: a systematic review of Markov models and clinical studies.
Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- Global research landscape and trends in robot-assisted unicompartmental knee arthroplasty: a bibliometric analysis.Journal of robotic surgery · 2026Review
- Mako robot-assisted unicompartmental knee arthroplasty mitigates the impact of surgeon handedness.Journal of robotic surgery · 2026Article
- Robotic-assisted unicompartmental knee arthroplasty is associated with lower odds of prolonged hospitalization and no higher odds of high-charge admission during the index hospitalization.Archives of orthopaedic and trauma surgery · 2026Article
- Systematic review of health economic evaluation of robot-assisted hip and knee arthroplasty.Health economics review · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis systematic review aimed to compare the cost-effectiveness of robotic-assisted unicompartmental knee arthroplasty (rUKA) with manual UKA (mUKA) for patients who have isolated unicompartmental knee osteoarthritis (OA).
methodsA systematic review was conducted following PRISMA guidelines, searching databases including PubMed, Scopus, Embase, and Web of Science up to January 2025. Studies comparing the cost-effectiveness of rUKA and mUKA, including cohort studies, case-control studies, clinical trials, and Markov models, were eligible for inclusion in this study. There were no restrictions. Independent reviewers conducted the screening, data extraction, and quality assessment of the studies, and any resolved conflicts were discussed and referred to the corresponding reviewer for resolution. The National Institute of Health (NIH) tools were utilized for quality assessment of the cohort studies and RCTs. Qualitative synthesis was performed due to methodological heterogeneity. Also, the protocol of this study was registered prospectively on the PROSPERO with registration number CRD420250645008.
resultsEight studies, including four Markov and four non-Markov from the US and UK, were included in the study. The rUKA procedure showed higher initial costs but improved quality-adjusted life years (QALYs) and lower revision rates compared to mUKA. Incremental cost-effectiveness ratios (ICERs) ranged from £1,238 (approximately $1672) to $47,180 per QALY, consistently below country-specific thresholds, indicating cost-effectiveness, particularly in high-volume centers. Long-term follow-up further supported rUKA, with notable cost savings.
conclusionsDespite higher upfront costs, rUKA appears to be cost-effective compared to mUKA, driven by reduced revisions and enhanced outcomes, especially in high-volume settings and over extended follow-up periods.
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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.