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. 2022 Sep;10(9):791-797.
doi: 10.22038/ABJS.2022.51855.2558.

Price Transparency and Consumer Perceptions of Generic and Brand-name Implants in Orthopaedic Surgery

Harrison R Miner  1 , James D Slover  2 , Karl M Koenig  3
Affiliations

Price Transparency and Consumer Perceptions of Generic and Brand-name Implants in Orthopaedic Surgery

Harrison R Miner et al. Arch Bone Jt Surg. 2022 Sep.

Abstract

Background: Some have suggested the use of generic surgical implants to curb rising costs of orthopaedic care. However, there is evidence that patients are reluctant to use generic pharmaceuticals as compared to their brand name equivalents for fear of inferior quality. Public perception of the use of generic implants remains unknown.

Methods: We conducted a cross-sectional survey using Amazon MTurk to identify factors associated with a consumer preference for generic orthopaedic screws and total hip.

Results: While much of the public (52%) sees the value of generic implants, fewer (26%) would prefer them in their own care. Most respondents (75%) trust their surgeon's choice, yet the vast majority (83%) want to be informed about the cost of their implant, even if it makes no difference in what they pay. The agreement that older implants are safer than newer implants (OR 1.9 for screws; 2.5 for hip arthroplasty), and that generics are a better value than brand name implants (OR 3.0 for screws; 4.3 for hip arthroplasty) were independently associated with a preference for generics.

Conclusion: The observation that many people view generic implants as being a good value, yet fewer would prefer to use them in their own care indicates that concerns over quality may initially limit utilization of generic implants. More evidence is needed to reassure most consumers of the safety and effectiveness of generic implants. Additionally, our findings demonstrate a desire for more implant price transparency when undergoing orthopaedic surgery.

Keywords: Arthroplasty; Cost; Generic; Implant; Perception; Value.

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Figures

figure 1
figure 1
General Perceptions about Orthopaedic Implants
Figure 2
Figure 2
Views About Generic Versus Brand-Name For Hip Fracture Screws And Total Hip Implant. Asterix represents a statistically significant difference
See this image and copyright information in PMC

References

    1. Evans JT, Walker RW, Evans JP, Blom AW, Sayers A, Whitehouse MR. How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. Lancet. 2019;393(10172):655–663. - PMC - PubMed
    1. Sculco TP. The economics of new age arthroplasty: can we afford it? Orthopedics. 2010;33(9):628 . - PubMed
    1. Hemalatha Kandula, Monika Darandale. Onkar Sumant. Orthopedic Implants Market. Medical Devices & Supplies. [Accessed NOV, 2007]. Available at: https://www.alliedmarketresearch.com/orthopedic-implants-market.
    1. Atrey A, Heylen S, Gosling O, Porteous MJ, Haddad FS. The manufacture of generic replicas of implants for arthroplasty of the hip and knee: is it regulated and will it save money? Bone Joint J. 2016;98-B(7):892–900. - PubMed
    1. Hustedt J, Goltzer O, Bohl D, Fraser J, Lara N, Spangehl M. Calculating the Cost and Risk of Comorbidities in Total Joint Arthroplasty in the United States. J Arthroplasty. 2017;32(2):355–361. - PubMed

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