Rising trends in surgery for rotator cuff disease in Western Australia

Thorpe, Alison; Hurworth, Mark; O’Sullivan, Peter; Mitchell, Tim; Smith, Anne

doi:10.1111/ans.13691

Cited by 36 publications

(22 citation statements)

References 34 publications

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“…Unnecessary imaging is concerning given increasing popularity of surgery for RCRP. Western Australia data indicate that rates and costs of surgeries for RCRP doubled and tripled, respectively, from 2001 to 2016 [19]. We estimated that based on new RCRP, managed at a rate of 2.26 per 1000 encounters, 143 million GP encounters in 2015-16 and a Medicare Benefits Schedule (MBS) rebate for shoulder ultrasound of $109.10; there is a potential cost saving of up to $18.7 million if GPs follow recommended care.…”

Section: Gp Management Of Rcrpmentioning

confidence: 99%

“…They may be more likely to seek care and have a greater expectation of intervention in managing their pain, than to take a wait-and-see approach. The increase in management rate of RCRP by GPs parallels the increase in surgery rates for RCRP over the past decade [19][20][21][22].…”

Section: Gp Management Of Rcrp From 2001 To 2016mentioning

confidence: 99%

“…Given it is less expensive and there are less serious risks, it is logical that exercise is recommended prior to surgery. Despite this, single state data from Western Australia showed a doubling and tripling in population-adjusted rates and costs of surgeries for RCRP between 2001 and 2013 respectively [19] and there are similar reports of increasing surgical rates in the United Kingdom (UK) and America [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

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General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care

et al. 2020

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ObjectiveTo describe general practitioner's (GP's) current management of rotator cuff related shoulder pain (RCRP) in Australia and identify if this is consistent with recommended care and best available evidence. The secondary aim was to determine if GP management of RCRP changed over time. MethodsData about management of RCRP by Australian GPs was extracted from the Bettering the Evaluation of Care of Health program database over its final five years (April 2011-March 2016. Patient and GP characteristics and encounter management data were extracted. Results are reported using descriptive statistics with point estimates and 95% confidence intervals. A secondary analysis over a 16 year period (2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016) examined management data for RCRP in four year periods.

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Section: Gp Management Of Rcrpmentioning

confidence: 99%

Section: Gp Management Of Rcrp From 2001 To 2016mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care

et al. 2020

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“…Against best available evidence, 69% and 82% of Australian general practitioners would refer patients for an X-ray or ultrasound (respectively) on first presentation with rotator cuff tendinopathy 7. Shoulder arthroscopy rates have increased by 55% between 2001 and 2013 despite a lack of supporting evidence 8. In the US Veterans Health Administration system, 4% of individuals with knee osteoarthritis undergo knee arthroscopy annually, although there is limited clinical benefit 9.…”

Section: Introductionmentioning

confidence: 99%

Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review

et al. 2017

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“…One of the criteria for surgery is symptomatic full-thickness tears, or partial-thickness tears that are symptomatically resistant to non-surgical intervention [10, 11]. The incidence of rotator cuff surgery, based on surgery for both non-traumatic and traumatic tears, is increasing worldwide [12, 13], and The National Patient Register in Denmark recorded 730 rotator cuff repairs in 2006 and 990 in 2012, which represents a 35% increase [14]. …”

Section: Introductionmentioning

confidence: 99%

Progressive early passive and active exercise therapy after surgical rotator cuff repair – study protocol for a randomized controlled trial (the CUT-N-MOVE trial)

Kjær

Magnusson

Warming

et al. 2018

Trials

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BackgroundRotator cuff tear is a common cause of shoulder disability and results in patients predominantly complaining of pain and loss of motion and strength. Traumatic rotator cuff tears are typically managed surgically followed by ~ 20 weeks of rehabilitation. However, the timing and intensity of the postoperative rehabilitation strategy required to reach an optimal clinical outcome is unknown. Early controlled and gradually increased tendon loading has been suggested to positively influence tendon healing and recovery. The aim of this trial is therefore to examine the effect of a progressive rehabilitation strategy on pain, physical function and quality of life compared to usual care (that limits tendon loading in the early postoperative phase) in patients who have a rotator cuff repair of a traumatic tear.MethodsThe current study is a randomized, controlled, outcome-assessor blinded, multicenter, superiority trial with a two-group paralleled design. A total of 100 patients with surgically repaired traumatic rotator cuff tears will be recruited from up to three orthopedic departments in Denmark, and randomized to either a progressive early passive and active movement program or a limited early passive movement program (usual care). The primary outcome measure will be the change from pre-surgery to 12 weeks post-surgery in the Western Ontario Rotator Cuff Index questionnaire. Secondary outcomes include the Disabilities Arm, Shoulder and Hand questionnaire (DASH), range of motion, strength and tendon healing characteristics from ultrasound measurements at 12 months follow up.DiscussionWe hypothesized that patients who receive the progressive rehabilitation strategy will benefit more with respect to pain reduction, physical function and quality of life than those who receive care as usual. If this is confirmed our study can be used clinically to enhance the recovery of patients with traumatic rotator cuff tear.Trial registrationClinicalTrials.gov, NCT02969135. Registered on 15 November 2016.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2839-5) contains supplementary material, which is available to authorized users.

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Rising trends in surgery for rotator cuff disease in Western Australia

Cited by 36 publications

References 34 publications

General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care

General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care

Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review

Progressive early passive and active exercise therapy after surgical rotator cuff repair – study protocol for a randomized controlled trial (the CUT-N-MOVE trial)

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