M E Steinhaus1, S S Shim2, N Lamba3, E C Makhni4, R K Kadiyala2. 1. Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 E. 70th Street, New York, NY, 10021, United States. 2. Department of Orthopaedic Surgery, Columbia University Medical Center, 622 W. 168th Street, New York, NY, 10032, United States. 3. Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, United States. 4. Department of Orthopaedic Surgery, Henry Ford Health System, W. Grand Blvd., Detroit, MI, 48202, United States.
Abstract
BACKGROUND: As demand for total shoulder arthroplasty (TSA) rises, containing costs will become increasingly important. We hypothesize that performing ambulatory TSA procedures results in significant cost savings. METHODS: A model was created to evaluate cost savings. Hospital stay length and cost, pain control method and cost, and number of annual outpatient TSA procedures were estimated based on literature. RESULTS: Estimated cost savings per patient were $747 to $15,507 (base case $5594), total annual savings of $4.1M to $349M (base case $82M), and ten-year savings of $51M to $5.4B (base case $1.1B). CONCLUSION: Ambulatory TSA procedures result in significant cost savings.
BACKGROUND: As demand for total shoulder arthroplasty (TSA) rises, containing costs will become increasingly important. We hypothesize that performing ambulatory TSA procedures results in significant cost savings. METHODS: A model was created to evaluate cost savings. Hospital stay length and cost, pain control method and cost, and number of annual outpatient TSA procedures were estimated based on literature. RESULTS: Estimated cost savings per patient were $747 to $15,507 (base case $5594), total annual savings of $4.1M to $349M (base case $82M), and ten-year savings of $51M to $5.4B (base case $1.1B). CONCLUSION: Ambulatory TSA procedures result in significant cost savings.
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