The Effects of Arthroscopy for Symptomatic Femoroacetabular Impingement on Quality of Life and Economic Outcomes

In collaboration with Dr. Richard Mather III, we examined the societal and economic impact of hip arthroscopy in patients with femoroacetabular impingement (FAI) syndrome under 50 years old. This study used a Markov decision model to assess the cost-effectiveness of hip arthroscopy compared to non-operative treatment. To populate the Markov decision model, we used literature review to determine utilities and other model assumptions. Direct cost estimates were calculated using a private insurance claims dataset within the PearlDriver Patient Records Database and indirect cost estimates were derived from the National Health Interview Survey and patient-reported outcomes collected from two FAI surgeons. Using the information collected, we calculated the incremental cost effectiveness ratio for the two treatment strategies. One, two and three-way sensitivity analyses were performed for all variables and a Monte Carlo simulation was used to assess uncertainty in the model assumptions. Our analysis found that hip arthroscopy provides economic benefits and reduces economic burden on society through indirect cost savings.

Services : Health Economics & Outcomes Research Expertise: ,