Cost-Effectiveness of Hip Arthroscopy for Treatment of Femoroacetabular Impingement Syndrome and Labral Tears: A Systematic Review
Authors: Go CC, Kyin C, Chen JW, Domb BG, Maldonado DR
Background
Hip arthroscopy is effective for treating femoroacetabular impingement (FAI) and labral tears, but its cost-effectiveness relative to nonoperative treatment is not fully established.
Methods
Systematic review of cost-effectiveness studies comparing hip arthroscopy to conservative management, focusing on cost per quality-adjusted life-year (QALY).
Key Findings
- Hip arthroscopy has higher initial costs than nonoperative treatments but provides greater long-term improvements in quality of life.
- Cost-effectiveness is contingent upon patient selection and the durability of clinical benefit.
Conclusions
Hip arthroscopy can be a cost-effective intervention, particularly when benefits are sustained over time.
What Does This Mean for Providers?
- Use patient-specific factors (activity demands, symptom chronicity, expected longevity of benefit) to identify candidates most likely to derive durable improvements from surgery.
- Incorporate cost-effectiveness data into shared decision-making discussions to balance upfront costs against long-term functional gains.
- Recognize that in certain populations, arthroscopy may be economically justified despite higher initial expense.