J Orthop Sports Med 2020; 2 (2): 61-88 DOI: 10.26502/josm.511500023 Journal of Orthopaedics and Sports Medicine 61 Review Article Evolution of Studies on Orthopaedic Surgery Regarding Cost Management Tools: A Systematic Literature Review Isabel Cristina Panziera Marques * , Alba Katarine Marques de Carvalho Management and Economics Department, University Beira Interior (UBI), Pólo IV, Estrada do Sineiro, 6200-209, Covilhã, Portugal * Corresponding Author: Isabel Cristina Panziera Marques, Management and Economics Department, University Beira Interior (UBI), Pólo IV, Estrada do Sineiro, 6200-209, Covilhã, Portugal, Tel. +351 963 739 830; E-mail: isabel.marques@ubi.pt Received: 24 March 2020; Accepted: 31 March 2020; Published: 08 April 2020 Citation: Isabel Cristina Panziera Marques, Alba Katarine Marques de Carvalho. Evolution of studies on orthopaedic surgery regarding cost management tools: a systematic literature review. Journal of Orthopaedics and Sports Medicine 2 (2020): 61-88. Abstract Objective: The subject of hospital management is relevant given the importance of these institutions in the social and economic sphere, as well as for their managers, considering that in the hospital context, which involves high costs, scarce resources, pressure for quality and good service, information on costs and performance is useful for efficient management. This systematic literature review (SLR) aims to extend knowledge of the evidence linking costing mechanisms to the performance results of health institutions, analysing articles written in the last 10 years dealing with surgery in the specialization of orthopaedics, filling an important gap in the literature. Methods: Rigorous criteria for selection of articles is followed by use of the PRISMA meta-analysis, which gives an important overview of the types of studies made, as well as classification according to the cost management tools, leading to mapping costing methods and performance analysis. Results: Studies were classified by measurement methods, costs of decision-making and control and elements of strategic cost management, showing that the greatest number of studies originate in the USA (69, 23%) and use the variable of statistical analysis (53, 85%) in the majority of strategic management