Patients’ Perception of Technology: an Update of Patients’ Understanding of Robotics and Navigation in Total Joint Arthroplasty

Abstract

Background. Given the increasing use of RN in orthopaedics, our aim is to evaluate TJA patients’ understanding of RN technology. Methods. A survey based cross sectional study was conducted in one joint replacement clinic from January-March 2021. Questions pertaining to demographic information, robotics and navigation prevalence, autonomy, benefits, drawbacks, costs, and patient experiences and attitudes were asked. Results. Ninety-seven completed questionnaires were included in our results. 70.1% of patients knew that some orthopaedic surgeons use robotics and navigation systems in surgery. 71.1% had not undergone or did not know a first degree relative who had undergone an orthopaedic surgery performed with RN assistance. 86.6% of patients thought that >10% of operations were performed using a RN system. 58.7%, 49.4% and 49.4% of the patients believed that RN makes surgeries more accurate, easier, and quicker, respectively. 73.2% believed that robotic surgery would increase the price of their surgery. 46.3% answered that RN costs > $ 100,000. 55.7% of the patients responded that they would be willing to pay extra for a RN assisted surgery. 39.2% of patients were unsure of whether they would like to have RN surgery. Conclusions. Patients’ understanding of robotic and navigation in arthroplasty seems to be limited and inconsistent. With increased direct-to-consumer marketing of these technologies, it is critical for physicians and healthcare systems to promote balanced and complete information.