National Trends in Surgery for Rotator Cuff Disease in Korea

Jo, Young-Hoon; Lee, Kwang Hyun; Kim, Sung Jae; Kim, Jae-Dong; Lee, Bong Gun

doi:10.3346/jkms.2017.32.2.357

Cited by 26 publications

(31 citation statements)

References 27 publications

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“…Rotator cuff disease ranks among the most prevalent of musculoskeletal (MSK) conditions [ 3 – 6 ]. Management of this disease is complex, and a multitude of treatment options exist for patients [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluating quality of care for patients with rotator cuff disorders

Eubank

Lafave

Wiley

et al. 2018

BMC Health Serv Res

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BackgroundMeasuring quality in healthcare is vital in evaluating patient outcomes and system performance. The availability of reliable and valid information about the quality of care for patients presenting with rotator cuff disorders (RCD) in Alberta, Canada is scarce. The objective of this study is to measure quality of care for patients with RCD in order to identify areas of improvement.MethodsThis study employs descriptive survey research design. Between March 2015 and November 2016, a convenience sample of patients presenting with chronic, full-thickness rotator cuff tears to two sport medicine centres in Calgary and Edmonton, Alberta completed two questionnaires: the Healthcare Access and Patient Satisfaction Questionnaire (HAPSQ) and the Rotator Cuff Quality-of-Life Index (RC-QOL). Data collected using both questionnaires were used to make judgments about quality of care. Quality of care was evaluated using six dimensions of quality defined by the Alberta Quality Matrix for Health: accessibility, acceptability, efficiency, effectiveness, appropriateness, and safety. Data was also used to compare current patient clinical pathways to ideal clinical pathway algorithms and used to make judgments about the appropriateness and safety of healthcare practices.ResultsOne hundred seventy-one patients participated in the study. The longest mean waiting times for medical services in Alberta were for magnetic resonance imaging (MRI) received in the public sector (103 days) and consultation by orthopaedic surgeon (172 days). Patient satisfaction with respect to quality of care was lowest for emergency room physician and highest for orthopaedic surgeon visits. Patients were treated by a mean of 2.5 physicians (SD: 0.77, range: 2–7). The total aggregate average cost per patient was $4541.19. The mean RC-QOL score for all patients was 42 (SD: 22). Only 54 patients (64%) requiring surgery were able to consult with a surgeon within benchmark timeframes. A comparison of current to ideal clinical pathway algorithms found that 38 patients (22%) experienced indirect clinical pathways, whereby care was fragmented and patients received care from multiple and often, redundant healthcare professionals.ConclusionThere is a discrepancy between current and ideal clinical pathways whereby some patients are experiencing quality of care that is inefficient, disjointed, and less than ideal.

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Section: Introductionmentioning

confidence: 99%

Evaluating quality of care for patients with rotator cuff disorders

Eubank

Lafave

Wiley

et al. 2018

BMC Health Serv Res

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“…The annual percentage changes (APCs) in the age-adjusted incidence rates of isolated SLAP repair from 2008 to 2017 were calculated using joinpoint regression analysis (Joinpoint Regression Program, version 4.3.1.0; National Cancer Institute, Bethesda, MD, USA). 14,16 All other data sets were analyzed using SAS statistical software version 9.13 (SAS Institute, Cary, NC, USA). Univariate analysis was conducted using t-test.…”

Section: Discussionmentioning

confidence: 99%

“…In Korea, the National Health Insurance covers 100% of the population, including 97% of health insurance and 3% of medical aid. 14 All healthcare providers submit claims data for inpatient and outpatient management, including diagnostic codes (classified according to the International Classification of Diseases, 10th revision [ICD-10]), procedure codes, and demographic information, to the HIRA to request reimbursement for medical costs from the National Health Insurance service. Hence, medical data of almost all outpatients or hospitalized patients in Korea are prospectively recorded in the HIRA database.…”

Section: Methodsmentioning

confidence: 99%

“…We studied patients who underwent isolated SLAP repair from 2008 to 2017. Although ICD-10 codes S434, M411, and S4610 could be used as diagnostic codes for SLAP lesion, 14 there was no clear diagnostic ICD-10 code for isolated SLAP lesion during the study period. Therefore, identifying isolated SLAP repair using a diagnostic code was insufficient because other diagnostic codes were possibly entered in numerous isolated SLAP repair cases.…”

Section: Methodsmentioning

confidence: 99%

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National Trends in the Repair of Isolated Superior Labral Tear from Anterior to Posterior in Korea

Oh²,

Jeong

et al. 2020

J Korean Med Sci

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Background: The optimal treatment for superior labral tear from anterior to posterior (SLAP) lesions is controversial. Thus, we aimed to investigate the national surgical trends in isolated SLAP repair in Korea. Methods: We analyzed a nationwide database from the Korean Health Insurance Review and Assessment Service from 2008 to 2017. We investigated the trends in SLAP repair by time, sex, age, and the type of health care institution. Results: From 2008 to 2017, 27,850 isolated SLAP repairs were identified. Age-adjusted incidence rate of isolated SLAP repair increased by 692% from 1.07/100,000 in 2008 to 8.48/100,000 in 2012 (P = 0.005). However, the incidence rate declined significantly after 2012 (P = 0.032) and was 5.28/100,000 in 2017. Sex-specific incidence rate of isolated SLAP repair was 2.3 times higher in men than in women. The decline since 2012 was most evident in patients aged ≥ 40 years (P = 0.01); however, the incidence rates of isolated SLAP repair during the study period were similar between patients aged ≥ 40 years and those aged < 40 years. Moreover, hospitals with 30-100 beds had the greatest change in the number of isolated SLAP repair cases. Conclusion: In Korea, the incidence of isolated SLAP repair increased dramatically until 2012; since then, it has declined. Although the decrease in isolated SLAP repair later in the study was evident in those aged ≥ 40 years, the incidence rate was still relatively high in patients aged ≥ 40 years.

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“…In Korea, over a period of 5 years (from 2010 to 2014), the number of patients with shoulder disease increased by an average of 4.6%, and medical expenses increased by an average of 13.3% annually. The number of shoulder surgeries (acromioplasty and ruptured rotator cuff repairs) reached 56,000 cases by 2014 [ 4 ] ( http://www.medipana.com/news/news_viewer.asp?NewsNum=165805&MainKind=A , http://www.akomnews.com/?p=330302 ).…”

Section: Introductionmentioning

confidence: 99%

A novel taping therapy for pain after arthroscopic shoulder surgery: study protocol for a randomised controlled pilot trial

Moon

Kim

Kwon

et al. 2018

Trials

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BackgroundIn recent years, the number of arthroscopic shoulder surgeries has increased given that the intervention is minimally invasive. However, postoperative pain is one of the most common symptoms of patients who undergo arthroscopic surgery. Although pharmacological treatments and brachial plexus blocks for reducing pain are currently used, the adherence rate of interventions is low, and adverse effects often occur. Chimsband, made up of silver and optic fibres, is a novel taping therapy that stimulates patients’ acupoints and is expected to relieve pain with few adverse effects. The aim of this study is to explore the effectiveness of Chimsband to relieve pain following arthroscopic shoulder surgery.Methods/designThis is a randomised, parallel, controlled, exploratory clinical trial. Thirty participants who undergo arthroscopic shoulder surgery will be randomly allocated to an intervention or a control group. Both groups will receive 10 sessions of interferential current therapy within a period of 2 weeks, while the intervention group will additionally receive taping therapy after undergoing physical therapy. Two follow-up visits will be scheduled after the last treatment session. The primary outcome variable will be the difference in the visual analogue scale (VAS) scores between baseline and first follow-up evaluation after the end of 10 treatment sessions. The secondary outcomes will be VAS at the end of the second week, shoulder pain and disability index, range of motion, VAS while sleeping, questionnaire of blood stasis pattern identification at two follow-up visits, and number of bands used per visit. Outcomes will be evaluated at baseline, 2 weeks from visit 1 (+ within 6 days) after commencement, and at 4 weeks from visit 1 (+ within 6 days) follow-up.DiscussionThis study will be the first clinical trial to explore the effect and safety of Chimsband on postoperative shoulder pain. It would provide clinical evidence to conduct further taping therapy studies for relieving musculoskeletal pain.Trial registrationKorean Clinical Trial Registry, KCT0002355. Registered on 13 June 2017.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2866-2) contains supplementary material, which is available to authorized users.

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National Trends in Surgery for Rotator Cuff Disease in Korea

Cited by 26 publications

References 27 publications

Evaluating quality of care for patients with rotator cuff disorders

Evaluating quality of care for patients with rotator cuff disorders

National Trends in the Repair of Isolated Superior Labral Tear from Anterior to Posterior in Korea

A novel taping therapy for pain after arthroscopic shoulder surgery: study protocol for a randomised controlled pilot trial

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