NDLI: Updating Cost Effectiveness Analyses in Orthopedic Surgery: Resilience of the \$50,000 per QALY Threshold.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Nwachukwu, Benedict U. Bozic, Kevin J.
Spatial Coverage	United States
Description	Author Affiliation: Nwachukwu BU ( Hospital for Special Surgery, New York, New York. Electronic address: nwachukwub@hss.edu.); Bozic KJ ( University of California at San Francisco, San Francisco, California.)
Abstract	UNLABELLED: Attention is being paid in the United States (U.S.) to defining and measuring the value of interventions in healthcare. Traditionally, \$50,000 per QALY gained has been the accepted 'cost-effectiveness threshold' with which cost effectiveness is defined. The validity of this threshold has been called into question largely due to inexact origins; absence of inflationary adjustments and lack of consideration for high gross domestic product of the U.S. POPULATION: There is an opportunity to reassess how we interpret cost utility analyses and the ratios published therein. Orthopedic surgery has typically lagged behind other fields of medicine in self-advocacy and the adoption/implementation of health economic theory. We argue for tiered QALY thresholds of \$50,000, \$100,000 and \$150,000 corresponding respectively to Governmental, Societal and Health systems analysis perspectives.
File Format	HTM / HTML
ISSN	08835403
Issue Number	7
Volume Number	30
e-ISSN	15328406
Journal	The Journal of Arthroplasty
Language	English
Publisher	Elsevier
Publisher Date	2015-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Cost-benefit Analysis Orthopedic Procedures Orthopedics Economics Methods Quality-adjusted Life Years Health Policy Humans Models, Economic Quality Of Life United States Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine

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