Assessing the value of a total joint replacement

David B. Bumpass, Ryan M. Nunley

Research output: Contribution to journalArticlepeer-review

56 Scopus citations


Total joint arthroplasty (TJA) continues to be one of the most successful surgical interventions in medicine. Demand is growing rapidly, placing an increasingly heavy cost burden on national health systems. Despite the popularity of these surgeries, high-quality cost-effectiveness studies evaluating TJA are few in number. This article summarizes the current literature on value in arthroplasty, identifying the various factors affecting costs and outcomes, and suggesting how policy makers can influence utilization of TJA to further improve value to society.

Original languageEnglish
Pages (from-to)274-282
Number of pages9
JournalCurrent Reviews in Musculoskeletal Medicine
Issue number4
StatePublished - Dec 2012


  • Cost effectiveness
  • Cost utility
  • Economic analysis
  • Health policy
  • Infection
  • Revision arthroplasty
  • Total hip arthroplasty
  • Total joint arthroplasty
  • Total knee arthroplasty


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