Comparison of current relative value unit-based prices and utility between common surgical procedures, including orthopedic surgeries, in South Korea

Choi, Yoon Hyo; Kwon, Tae Hun; Chung, Chin Youb; Jeong, Naun; Lee, Kyoung Min

doi:10.1186/s12962-024-00538-z

Cost Effectiveness and Resource Allocation

Table 1 Physician fee schedule and QALY gains of common operations

From: Comparison of current relative value unit-based prices and utility between common surgical procedures, including orthopedic surgeries, in South Korea

Operation	Mean RVU	QALY gains (Baseline QALY)	Time horizon (year)	Incremental QALY (QALY/year)	References
Operation	Mean RVU	QALY gains (Baseline QALY)	Time horizon (year)	Incremental QALY (QALY/year)	Author	Diagnosis (Study design)
Common operative procedures
Cataract surgery	3493.94	2.52	14	0.18	Brown [19]	Cataract (Cohort)
Transluminal coronary angioplasty	19,572.6	0.26	5	0.05	Brandão [20]	Multivessel CAD (RCT)
Coronary artery bypass graft	36,932.31	0.23	5	0.05	Brandão [20]	Multivessel CAD (RCT)
Laparoscopic cholecystectomy	11,627.31	1.74	24	0.07	Sutherland [21]	Cholecystitis (Cohort)
Open cholecystectomy	25,518.26	0.35 (0.77)^a	5	0.07	Mestral [22]	Cholecystitis (Markov)
Repair of inguinal hernia	6027.75	0.20	1	0.20	Palmqvist [23]	Inguinal hernia (Cohort)
Total Hip replacement arthroplasty	10,348.39	0.37	1	0.37	Rolfson [24]	Osteoarthritis (Cohort)
Total knee replacement arthroplasty	9118.73	1.33	5	0.27	Dakin [25]	Osteoarthritis (Cohort)
Laparoscopic appendectomy	3575.70	0.0773	1	0.08	Sceats [26]	Appendicitis (Markov ;20 year old)
Total Laparoscopic hysterectomy	8531.71	0.08 (0.82)^a	1	0.08	Lundin [27]	Endometrial cancer (RCT)
Tonsillectomy and/or adenoidectomy	1075.21	0.33 (0.63)^a	1	0.33	Bagwell [28]	Obstructive sleep apnea (Decision analytic)
Partial mastectomy	4498.70	0.923 (0.89)a	5	0.18	Polsky [29]	Breast cancer (Cohort)
Modified radical mastectomy	15,755.97	0.672 (0.89)^a	5 (Survival 2.7 year)^b	0.13	Polsky [29]	Breast cancer (Cohort)
Transurethral prostatectomy	7179.56	0.1	20	0.01	DiSantostefano [30]	BPH (Markov; 65y old)
Extensive prostatectomy	13,599.39	0.38	10	0.04	Sanghera [31]	Prostate cancer (Markov; > 65y old)
Other orthopedic procedures
ACL reconstruction	5379.05	0.03	2	0.015	Lubowitz [16]	ACL rupture (Cohort)
Total shoulder arthroplasty	9560.55	1.02	2	0.51	Renfree [32]	Shoulder arthropathy (Cohort)
Lumbar spine fusion	8077.98	0.14	1	0.14	Passias [33]	Spondylolisthesis (Cohort)

RVU work relative value unit, QALY quality-adjusted life years. CAD Coronary artery disease. BPH Benign prostate hyperplasia. Baseline QALY was cited from
^aTengs [34] and the survival year of modified radical mastectomy was cited from
^bJohnstone [35]

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ISSN: 1478-7547

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