摘要
一位新闻记者-机器人与机器学习的工作人员新闻编辑每日新闻-外科新研究-关节置换术是一篇报道的主题。根据NewsRx编辑在美国印第安纳波利斯的新闻报道，研究表明：“机器人辅助全膝关节成形术(TKA)已经被开发出来，通过提高手术精度和软组织平衡，从而减少异常值，改善TKA后的功能结果。DePuy Synthes VELYS?机器人辅助解决方案(VRAS)是机器人TKA市场的最新竞争者之一。”这项研究的财政支持来自DePuy Synthes。我们的新闻记者从研究中获得了一句话：“目前，有大量证据调查与VRAS使用相关的早期患者和经济结果。对Premier Healthcare数据库进行了分析，以确定2021年9月1日至2月28日期间使用VRAS的Roboti C辅助TKA队列的患者。”2023.主要结果是TKA后90天内所有原因和膝关节相关的全环境复诊。次要结果包括住院复诊次数(READMISS ION)、手术室时间、出院状态和住院费用。使用精细分层方法平衡两个队列之间的基线covariate差异，并使用广义线性模型进行分析。队列包括866个VRA和128643个VRA。与手动TKA队列相比，VRAS队列中Bot H全因和膝关节相关全因随访率显著低（13.86%vs . 17.19%；平均差异(MD)：-3.34[95%CI：-5.65至-1.03]和2.66%vs 4.81%；MD：-2.15[-3.23至-1.08]。90天随访时的P值<0.01)。VRAS与手工TKA相比，KNE相关住院再入院的发生率也明显降低(53%)。VRAS与手工TKA患者90天随访时的总体护理费用没有显著差异。平均而言，VRAS的手术室时间比手工TKA高(138 vs 134分钟)。两组患者的出院状况和翻修率相似,使用VRAS治疗TKA患者术后90天随访VISIT和膝关节相关再入院率较低。
Abstract
By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News-New research on Surgery - Arthroplasty is the subject of a report. According to news reporting out of Indianapolis, Un ited States, by NewsRx editors, research stated, "Robotic-assisted total knee ar throplasty (TKA) has been developed to improve functional outcomes after TKA by increasing surgical precision of bone cuts and soft tissue balancing, thereby re ducing outliers. The DePuy Synthes VELYS? Robotic Assisted Solution (VRAS), is o ne of the latest entrants in the robotic TKA market." Financial support for this research came from DePuy Synthes. Our news journalists obtained a quote from the research, "Currently, there is li mited evidence investigating early patient and economic outcomes associated with the use of VRAS. The Premier Healthcare Database was analyzed to identify patie nts undergoing manual TKA with any implant system compared to a cohort of roboti c-assisted TKAs using VRAS between September 1, 2021, and February 28, 2023. The primary outcome was all cause and knee related all-setting revisits within 90-d ays post TKA. Secondary outcomes included number of inpatient revisits (readmiss ion), operating room time, discharge status, and hospital costs. Baseline covari ate differences between the two cohorts were balanced using fine stratification methodology and analyzed using generalized linear models. The cohorts included 8 66 VRAS and 128,643 manual TKAs that had 90-day follow-up data. The rates of bot h all-cause and knee-related allsetting follow up visits were significantly low er in the VRAS cohort compared to the manual TKA cohort (13.86% vs . 17.19%; Mean Difference (MD): -3.34 [95% CI: -5.65 to -1.03] and 2.66% vs. 4.81% ; MD: -2.15 [-3.23 to -1.08], respectively , p-value <0.01) at 90-day follow-up. The incidence of kne e-related inpatient readmission was also significantly lower (53%) for VRAS compared to manual TKA. There was no significant difference between tot al cost of care at 90-day follow-up between VRAS and manual TKA cases. On averag e, the operating room time was higher for VRAS compared to manual TKA (138 vs. 1 34 minutes). In addition, the discharge status and revision rates were similar b etween the cohorts. The use of VRAS for TKA is associated with lower follow up v isits and knee related readmission rates in the first 90 days postoperative."
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