Factors Affecting the Cost and Profitability of Arthroscopic Rotator Cuff Repair

2019 ◽  
Vol 35 (1) ◽  
pp. 38-42 ◽  
Author(s):  
Vani J. Sabesan ◽  
Rajin Shahriar ◽  
Kiran Chatha ◽  
Danielle L. Malone ◽  
Alexandria Sherwood ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Factors Affecting ◽  
Arthroscopic Rotator Cuff ◽  
The Cost ◽  
Cuff Repair

scholarly journals Factors affecting return to work following arthroscopic rotator cuff repair: A retrospective observational study in an occupational medicine clinic and single-surgeon practice

2021 ◽  
Author(s):  
Ijaz Khan ◽  
Manaal Fatima ◽  
Corey Scholes ◽  
Vikram Kandhari ◽  
K.M. Ponnanna ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Return To Work ◽  
Rotator Cuff Repair ◽  
Activity Level ◽  
Arthroscopic Rotator Cuff Repair ◽  
Factors Affecting ◽  
Significant Difference ◽  
Arthroscopic Rotator Cuff ◽  
Chi Square Analysis ◽  
Cuff Repair

Background: Return to work (RTW) following arthroscopic rotator cuff repair (aRCR) within New South Wales (NSW), Australia, under compensable schemes has not been reported. Aims: Determine factors affecting RTW status and time in patients treated with aRCR under state-based compensation schemes, compared to those outside such schemes. Methods: Patients undergoing aRCR by one surgeon with minimum 1-year follow-up were grouped into those under (CP) or outside (non-CP) workers or vehicle accident compensation schemes, matched by age and gender. RTW status and time were assessed using chi-square analysis and multivariable linear regression. Results: Of 1054 available patients, 90 CP patients were identified with 29 consented and matched to non-CP (N=29). A higher proportion of CP patients (17.2 vs 0%, P<0.001) never returned to work and a lower proportion resumed pre-injury duties at first RTW (3 vs 52%, P<0.01). Median time to first RTW did not differ between CP and non-CP groups (5.1 vs 4.4, P=0.86). Smoking (P=0.007) and post-injury activity level (P=0.004) were significantly associated with longer time to first RTW, whereas compensation status was not. Conclusions: CP patients undergoing aRCR in NSW are at risk of not returning to work. For those that return, there is no significant difference compared to non-CP in time to first RTW. Particularly, patient and management factors associated with extended time to first RTW have been identified. Interventions aimed at modifiable factors such as smoking cessation and increasing preoperative activity may improve future outcomes.

scholarly journals Factors Affecting Return to Work in Patients Undergoing Arthroscopic Rotator Cuff Repair

2019 ◽  
Vol 4 (0) ◽  
pp. n/a
Author(s):  
Takaki Imai ◽  
Masafumi Gotoh ◽  
Keita Hagie ◽  
Keiji Fukuda ◽  
Misa Ogino ◽  
...  
Keyword(s):  
Rotator Cuff ◽  
Return To Work ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Factors Affecting ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Cost-effectiveness and satisfaction following arthroscopic rotator cuff repair

2019 ◽  
Vol 101-B (7) ◽  
pp. 860-866 ◽  
Author(s):  
J. A. Nicholson ◽  
H. K. C. Searle ◽  
D. MacDonald ◽  
J. McBirnie
Keyword(s):  
Cost Effectiveness ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Significant Difference ◽  
The Mean ◽  
One Year ◽  
Arthroscopic Rotator Cuff ◽  
The Cost ◽  
Cuff Repair

Aims The aim of this study was to investigate the influence of age on the cost-effectiveness of arthroscopic rotator cuff repair. Patients and Methods A total of 112 patients were prospectively monitored for two years after arthroscopic rotator cuff repair using the Disabilities of the Arm, Shoulder and Hand questionnaire (DASH), the Oxford Shoulder Score (OSS), and the EuroQol five-dimension questionnaire (EQ-5D). Complications and use of healthcare resources were recorded. The incremental cost-effectiveness ratio (ICER) was used to express the cost per quality-adjusted life-year (QALY). Propensity score-matching was used to compare those aged below and above 65 years of age. Satisfaction was determined using the Net Promoter Score (NPS). Linear regression was used to identify variables that influenced the outcome at two years postoperatively. Results A total of 92 patients (82.1%) completed the follow-up. Their mean age was 59.5 years (sd 9.7, 41 to 78). There were significant improvements in the mean DASH (preoperative 47.6 vs one-year 15.3; p < 0.001) and OSS scores (26.5 vs 40.5; p < 0.001). Functional improvements were maintained with no significant change between one and two years postoperatively. The mean preoperative EQ-5D was 0.54 increasing to 0.81 at one year (p < 0.001) and maintained at 0.86, two years postoperatively. There was no significant difference between those aged below or above 65 years of age with regards to postoperative shoulder function or EQ-5D gains. Smoking was the only characteristic that significantly adversely influenced the EQ-5D at two years postoperatively (p = 0.005). A total of 87 were promoters and five were passive, giving a mean NPS of 95 (87/92). The total mean cost per patient was £3646.94 and the mean EQ-5D difference at one year was 0.2691, giving a mean ICER of £13 552.36/QALY. At two years, this decreased further to £5694.78/QALY. This was comparable for those aged below or above 65 years of age (£5209.91 vs £5525.67). Smokers had an ICER that was four times more expensive. Conclusion Arthroscopic rotator cuff repair results in excellent patient satisfaction and cost-effectiveness, regardless of age. Cite this article: Bone Joint J 2019;101-B:860–866.

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