Literature DB >> 34937996

Outpatient versus inpatient total shoulder arthroplasty: A cost and outcome comparison in a comorbidity matched analysis.

Andrew Carbone1, Alexander J Vervaecke2, Ivan B Ye1, Akshar V Patel1, Bradford O Parsons1, Leesa M Galatz1, Jashvant Poeran3, Paul Cagle1.   

Abstract

BACKGROUND: Previous studies comparing total and reverse shoulder arthroplasty (TSA/RSA) are subject to surgeon selection bias. This study objective is to compare the outcomes and cost of outpatient TSA/RSA to inpatient TSA/RSA.
METHODS: 108,889 elective inpatient and outpatient TSA/RSA from Medicare claims data (2016-2018). 90-day readmission and total 90-day costs were compared following propensity score matching.
RESULTS: Younger and healthier patients are receiving outpatient TSA/RSA. Outpatient TSA/RSA was associated with fewer 90-day readmissions (OR 0.48 CI 0.38-0.59, p < 0.001) and lower 90-day costs (-20.1% CI -19.1%; -21.1%, p < 0.001).
CONCLUSIONS: Outpatient TSA/RSA surgery offers lower complication rates and total costs. LEVEL OF EVIDENCE: III. ©2021ProfessorPKSurendranMemorialEducationFoundation.PublishedbyElsevierB.V.

Entities:  

Keywords:  Ambulatory surgery center; Cost analysis; Outpatient; Readmission; Reverse shoulder arthroplasty; Total shoulder arthroplasty

Year:  2021        PMID： 34937996      PMCID： PMC8660698          DOI： 10.1016/j.jor.2021.11.016

Source DB:  PubMed          Journal:  J Orthop        ISSN： 0972-978X


  16 in total

Review 1.  Prevalence and projections of total shoulder and elbow arthroplasty in the United States to 2015.

Authors:  Judd S Day; Edmund Lau; Kevin L Ong; Gerald R Williams; Matthew L Ramsey; Steven M Kurtz
Journal:  J Shoulder Elbow Surg       Date:  2010-06-15       Impact factor: 3.019

2.  Outpatient vs. inpatient reverse total shoulder arthroplasty: outcomes and complications.

Authors:  Brandon J Erickson; Yousef Shishani; Stacy Jones; Tia Sinclair; Justin Griffin; Anthony A Romeo; Reuben Gobezie
Journal:  J Shoulder Elbow Surg       Date:  2020-02-05       Impact factor: 3.019

3.  Neer Award 2016: Outpatient total shoulder arthroplasty in an ambulatory surgery center is a safe alternative to inpatient total shoulder arthroplasty in a hospital: a matched cohort study.

Authors:  Tyler J Brolin; Ryan P Mulligan; Frederick M Azar; Thomas W Throckmorton
Journal:  J Shoulder Elbow Surg       Date:  2016-08-31       Impact factor: 3.019

4.  Tobacco use predicts a more difficult episode of care after anatomic total shoulder arthroplasty.

Authors:  Daniel B Wells; Andrew M Holt; Richard A Smith; Tyler J Brolin; Frederick M Azar; Thomas W Throckmorton
Journal:  J Shoulder Elbow Surg       Date:  2017-07-24       Impact factor: 3.019

5.  Risk factors for and timing of adverse events after total shoulder arthroplasty.

Authors:  Andrew J Lovy; Aakash Keswani; Christina Beck; James E Dowdell; Bradford O Parsons
Journal:  J Shoulder Elbow Surg       Date:  2017-01-19       Impact factor: 3.019

6.  Quantification of patient-level costs in outpatient total shoulder arthroplasty.

Authors:  James M Gregory; Alexander M Wetzig; Colton D Wayne; Lane Bailey; Ryan J Warth
Journal:  J Shoulder Elbow Surg       Date:  2019-01-23       Impact factor: 3.019

7.  Same-day discharge is not inferior to longer length of in-hospital stay for 90-day readmissions following shoulder arthroplasty.

Authors:  Jonathan D Kramer; Priscilla H Chan; Heather A Prentice; Joshua Hatch; Mark T Dillon; Ronald A Navarro
Journal:  J Shoulder Elbow Surg       Date:  2019-12-09       Impact factor: 3.019

8.  Patients With Chronic Obstructive Pulmonary Disease Are at Higher Risk for Pneumonia, Septic Shock, and Blood Transfusions After Total Shoulder Arthroplasty.

Authors:  Ryan Lee; Danny Lee; Ishwarya S Mamidi; William V Probasco; Jessica H Heyer; Rajeev Pandarinath
Journal:  Clin Orthop Relat Res       Date:  2019-02       Impact factor: 4.176

9.  Identifying appropriate candidates for ambulatory outpatient shoulder arthroplasty: validation of a patient selection algorithm.

Authors:  Matthew N Fournier; Tyler J Brolin; Frederick M Azar; Raj Stephens; Thomas W Throckmorton
Journal:  J Shoulder Elbow Surg       Date:  2018-08-10       Impact factor: 3.019

10.  Outpatient total shoulder arthroplasty: A cost-identification analysis.

Authors:  M E Steinhaus; S S Shim; N Lamba; E C Makhni; R K Kadiyala
Journal:  J Orthop       Date:  2018-05-07
View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.