National trends and perioperative outcomes in primary and revision total shoulder arthroplasty

Schwartz, Brian; Savin, David; Youderian, Ari R.; Mossad, David; Goldberg, Benjamin A.

doi:10.1007/s00264-014-2614-5

Cited by 58 publications

(34 citation statements)

References 23 publications

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“…The increase in the utilization of shoulder arthroplasty observed is consistent with studies of other cohorts . Kim et al noted a 2.5‐fold increase in shoulder arthroplasty between 1998 and 2008 utilizing the US Nationwide Inpatient Sample.…”

Section: Discussionsupporting

confidence: 81%

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Yearly Trends in Elective Shoulder Arthroplasty, 2005–2013

Dillon

Chan

Inacio

et al. 2017

Arthritis Care & Research

152

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Section: Discussionsupporting

confidence: 81%

“…Shoulder arthroplasty has been increasingly utilized in the US over the past several decades . This trend will likely continue , and some have projected that the growth in demand for shoulder athroplasty may exceed that of hip and knee arthroplasty in the future .…”

Section: Introductionmentioning

confidence: 99%

Yearly Trends in Elective Shoulder Arthroplasty, 2005–2013

Dillon

Chan

Inacio

et al. 2017

Arthritis Care & Research

152

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“…Numerous authors have documented the efficacy of anatomic TSA. It is one of the most rapidly growing procedures in the US, with over a fourfold increase in revisions and fivefold increase in primaries from 2001 to 2010 77,78. A 1982 review by Neer et al reported high satisfaction in all but 4 patients from a cohort of 194 shoulders managed with a minimally constrained TSA at a minimum 2-year follow-up 79.…”

Section: Introductionmentioning

confidence: 99%

Optimal management of glenohumeral osteoarthritis

Ansok

Muh

2018

ORR

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Glenohumeral osteoarthritis (OA) is defined as progressive loss of articular cartilage, resulting in bony erosion, pain, and decreased function. This article provides a gross overview of this disease, along with peer-reviewed research by experts in the field. The pathology, diagnosis, and classification of this condition have been well described. Treatment begins with non-operative measures, including oral and topical anti-inflammatory agents, physical therapy, and intra- articular injections of either a corticosteroid or a viscosupplementation agent. Operative treatment is based on the age and function of the affected patient, and treatment of young individuals with glenohumeral OA remains controversial. Various methods of surgical treatment, ranging from arthroscopy to resurfacing, are being evaluated. The roles of hemiarthroplasty, total shoulder arthroplasty, and reverse shoulder arthroplasty are similarly reviewed with supporting data.

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“…In 2011, there were approximately 65,000 shoulder arthroplasties performed in the United States,6, 17 and the volume of this procedure is expected to continue to grow 5, 8. As a result, the number of revisions due to failures is also anticipated to increase 5, 19. The overall estimated rate of deep infection after shoulder arthroplasty is approximately 1% 15 .…”

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confidence: 99%

The hospital cost of two-stage reimplantation for deep infection after shoulder arthroplasty

et al. 2017

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BackgroundThe cost of treating infection after hip and knee arthroplasty is well documented in the literature. The purpose of this study was to determine the cost of two-stage reimplantation for deep infection after shoulder arthroplasty.MethodsBetween 2003 and 2012, 57 shoulders (56 patients) underwent a two-stage reimplantation for deep periprosthetic shoulder infection; implants placed at reimplantation included anatomic total shoulder arthroplasty (a-TSA) in 58%, reverse total shoulder arthroplasty (r-TSA) in 40%, and hemiarthroplasty (HA) in 2%. During the same timeframe, 2953 primary shoulder arthroplasties (2589 patients) were performed at the same institution (a-TSA in 55%, r-TSA in 28%, and HA in 17%). Total direct medical costs were calculated by using standardized, inflation-adjusted costs for services and procedures billed during hospitalization and were adjusted to nationally representative unit costs in 2013 inflation-adjusted dollars.ResultsThe mean hospital cost (per shoulder) for two-stage reimplantation was $35,824 (95% CI: 33,363 to 38,285) and was significantly higher than for primary procedures (mean: $16,068; 95% CI: 15,823 to 16,314). Both Part A and Part B costs were significantly higher in two-stage reimplantation (p < 0.001). For part A (hospital services), the mean cost for two-stage reimplantation was $29,851 (95% CI: 27,741 to 31,960), compared to $13,508 (95% CI: 13,302 to 13,715) for primaries. For part B (professional costs), mean costs were $5973 (95% CI: 5493 to 6453) versus 2560 (95% CI: 2512 to 2608) respectively.ConclusionsThe hospital cost of two-stage reimplantation for the treatment of an infected shoulder arthroplasty is about two times higher than the cost of a primary shoulder arthroplasty.

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National trends and perioperative outcomes in primary and revision total shoulder arthroplasty

Abstract: This study demonstrates that the rate of TSA is rapidly increasing in the US, with over a four-fold increase in revisions and five-fold increase in primaries over the ten years studied.

Cited by 58 publications

References 23 publications

Yearly Trends in Elective Shoulder Arthroplasty, 2005–2013

Yearly Trends in Elective Shoulder Arthroplasty, 2005–2013

Optimal management of glenohumeral osteoarthritis

The hospital cost of two-stage reimplantation for deep infection after shoulder arthroplasty

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