Evidence map›Paper›PMID 42668622›Full record

ArticleArthroplasty today2026

Hospital Bed Capacity Influences Patient Charges in Outpatient Robotic Total Knee Arthroplasty: A Propensity-Matched Study.

Monica Misch, Reza Katanbaf, Chase W Smitterberg, Michael A Mont, Ronald E Delanois, James Nace

Abstract read
In one paragraph

Article in Arthroplasty today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Monica MischThe Rubin Institute for Advanced Orthopedics, Lifebridge Health, Sinai Hospital of Baltimore, Baltimore, MD, USA.
Reza KatanbafThe Rubin Institute for Advanced Orthopedics, Lifebridge Health, Sinai Hospital of Baltimore, Baltimore, MD, USA.
Chase W SmitterbergThe Rubin Institute for Advanced Orthopedics, Lifebridge Health, Sinai Hospital of Baltimore, Baltimore, MD, USA.
Michael A MontThe Rubin Institute for Advanced Orthopedics, Lifebridge Health, Sinai Hospital of Baltimore, Baltimore, MD, USA.
Ronald E DelanoisDepartment of Orthopaedics, Greater Baltimore Medical Center, Towson, MD, USA.
James NaceThe Rubin Institute for Advanced Orthopedics, Lifebridge Health, Sinai Hospital of Baltimore, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The rise of robotic-assisted total knee arthroplasty (RA-TKA) surgeries has correlated with increased outpatient procedures aimed at improving efficiency and outcomes. However, patient charges vary widely due to differences in reimbursement structures, resource utilization, and the higher supply costs associated with robotics. Little is known about the impact of institutional characteristics, specifically hospital bed capacity, limiting understanding of charge variability and cost-control strategies. This study aims to examine whether hospital size affects patient charges for RA-TKA, focusing on (1) total charges and (2) operating room (OR) charges. Methods: Outpatient RA-TKA cases from January 1, 2017, to December 31, 2021, were identified from a national database. Hospitals were categorized by bed capacity: <300 beds and ≥ 300 beds. A 1:1 propensity score match controlled for demographics, clinical characteristics, and insurance status, resulting in 464 patients per group. Outcomes included total patient charges and OR (anesthesia, OR block time, and postanesthesia care) charges. Statistical analyses included Results: Hospitals with ≥300 beds showed significantly higher mean total charges ($65,315.6) compared to hospitals with <300 beds ($53,427.5) ( Conclusions: Larger hospitals were associated with significantly higher total and OR patient charges for robotic RA-THA, even after matching for clinical and insurance-related factors. These findings suggest that hospital size may be associated with variation in charge profiles beyond patient and payer characteristics.

Indexed as

Hospital bed capacityPatient chargesRobotic-assisted total knee arthroplastyTotal knee arthroplasty

Identifiers

PMID42668622
PMCPMC13524744

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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.