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An Analysis Of Shoulder Surgeon Volume On Competency, Hospital Costs And Adverse Events: A Systematic Review

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An Analysis Of Shoulder Surgeon Volume On Competency, Hospital Costs And Adverse Events: A Systematic Review

Moin Khan, MD, MSc, FRCSC, CANADA Haseeb Ahmed Faisal, BHSc(Cand), CANADA Ajaykumar Shanmugaraj, BSc, CANADA Shahrukh Khan, BHSc, CANADA Loiy Alkhatib , MD, UNITED ARAB EMIRATES Mahdi Alsaffar, KUWAIT Timothy Leroux, MD, MEd, FRCSC, CANADA

McMaster University , Hamilton, Ontario, CANADA

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Shoulder Rotator Cuff

Diagnosis / Condition

Tears

Treatment / Technique

Repair / Reconstruction

Sports Medicine

Economic Analysis

Summary: The aim of this systematic review is to provide the most up to date assessment of the impact of shoulder surgeon volume of common shoulder procedures on hospital/surgical efficiency, adverse events, and hospital costs. It is hypothesized that a higher surgeon volume will lead to better hospital/surgeon efficiency, lower rates of adverse events and lower hospital costs.

Purpose

The purpose of this systematic review is to assess the impact of shoulder surgeon volume of common shoulder procedures on hospital/surgeon efficiency, adverse events, and hospital costs.

Methods

Four online databases (PubMed, Embase, MEDLINE and CENTRAL) were searched for literature on the influence of surgeon volume on outcomes for shoulder surgery, from data inception to October 1, 2020. The Methodological Index for Non-Randomized Studies tool was used to assess study quality. Data are presented descriptively.

Results

12 studies encompassing 150898 patients were included in this review. The distribution of surgery type was rotator cuff repair (53.7%; n = 81066), shoulder arthroplasty (35.7%; n = 53833), and ORIF (10.6%; n = 15999). Higher surgeon volume for rotator cuff repairs was associated with lower surgical time, length of stay, costs, and reoperation/readmission rates (p < 0.01). For shoulder arthroplasty, higher surgeon volume was associated with lower length of stay, costs, surgical time, non-routine disposition, blood loss, reoperation/readmission, and complications (p < 0.08). As for ORIF, higher surgeon volume was associated with lower length of stay, costs, and complications (p < 0.01).

Conclusion

A high-surgeon volume leads to improved results for hospital/surgeon efficiency, adverse events, and hospital costs across various orthopaedic procedures. Hospitals and physicians can use this information to develop and adhere to policies and practices that contribute to more efficient and better-quality care for patients.

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Minimal Clinically Important Difference (MCID) of the Oxford Shoulder Score for Arthroscopic Rotator Cuff Repair at 5 Years Post-Operatively ePoster Presentation Merrill Lee, MBBS, MRCS(Edin), SINGAPORE Khai Cheong Wong, MBChB, MRCS (Eng), SINGAPORE Gek Hsiang Lim, MSc, SINGAPORE Benjamin Fu Hong Ang, MBBS, MRCS, MMed(Orth), FRCS(Orth), SINGAPORE Jerry Chen, MBBS, MRCS(Edin), MMed(Orth), SINGAPORE Paul Chee Cheng Chang, MBBS,FRCS, SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
Comparison of Tear Characteristics, Outcome Parameters and Healing In Traumatic and Non-Traumatic Rotator Cuff Tear: A Prospective Cohort Study ePoster Presentation Souvik Paul, MBBS, MS Orthopedics (AIIMS), DNB, MCh, Dip SICOT, INDIA Tarun Goyal, MBBS, MS, DNB, MCh, FRCS (Edin), INDIA
Extended Skin Cleaning On The Shoulder With Chlorhexidine Reduces The Cutaneous Bacterial Load But Fails To Decrease Suture Contamination In Patients Undergoing Arthroscopy Rotator Cuff Repair ePoster Presentation Chih-Kai Hong, MD, TAIWAN Kai-Lan Hsu, MD, UNITED STATES Fachuan Kuan, MD, TAIWAN Ya-Ting Lee, BS, TAIWAN Pei-Fang Tsai, BS, TAIWAN Po-Lin Chen, MD, PhD, TAIWAN Wei-Ren Su, MD, MSc, TAIWAN
Partial Thickness Rotator Cuff Tears: Retear Rate and Functional Outcome Following an Arthroscopic Tear Completion and Suture-Bridge Technique Suggests a Specific Rehabilitation Plan ePoster Presentation Mark David Haber, MBBS, FRACS, AUSTRALIA Andres Eduardo Rodriguez Borgonovo, MD, AUSTRALIA Noam Rosen, MD, AUSTRALIA Dvir Shalom Ben Shabat, MD, AUSTRALIA
Acromiohumeral Center Edge Angle For Predicting Degenerative Rotator Cuff Tear In Aging Patients: A Retrospective Study ePoster Presentation Sittan Aimprasittichai, MD, THAILAND Nithi Pakmanee, MD, THAILAND Siravich Suvithayasiri, MD, THAILAND Tanadul Jarrusrojwuttikul, MD, THAILAND Sasikarn Wanitchakorn, MD, THAILAND
Progression of Symptomatic Partial-Thickness Rotator Cuff Tears Association With Initial Tear Involvement and Work Level ePoster Presentation Myung-Seo Kim, MD, PhD., KOREA, REPUBLIC OF Sang-Hun Ko, MD, Prof., KOREA, REPUBLIC OF
Utilization of Injectable Biologic Augmentation in Primary Rotator Cuff Repair: Systematic Review ePoster Presentation Olivia Bono, BS, UNITED STATES Bryan Jenkin, BA, UNITED STATES Julaine Forlizzi , MD, UNITED STATES Albert Mousad, BS, UNITED STATES Stephen Le Breton, BS, UNITED STATES Glen Ross, MD, UNITED STATES Sarav Shah, MD, UNITED STATES

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An Analysis Of Shoulder Surgeon Volume On Competency, Hospital Costs And Adverse Events: A Systematic Review

An Analysis Of Shoulder Surgeon Volume On Competency, Hospital Costs And Adverse Events: A Systematic Review

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An Analysis Of Shoulder Surgeon Volume On Competency, Hospital Costs And Adverse Events: A Systematic Review

An Analysis Of Shoulder Surgeon Volume On Competency, Hospital Costs And Adverse Events: A Systematic Review

Purpose

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content