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Value-based healthcare analysis of shoulder surgery for patients with symptomatic rotator cuff tears – Calculating the impact of arthroscopic cuff repair.
- Source :
- Shoulder & Elbow; 2022 Supplement 1, Vol. 14, p59-70, 12p
- Publication Year :
- 2022
-
Abstract
- Background: Surgical repair of full-thickness rotator cuff tears in symptomatic patients is known to offer significant benefits. Despite this there remains a lack of universal appreciation that such surgery offers high clinical value, with some commissioners even limiting access to it. The value-based healthcare agenda provides a means to design, deliver and measure the impact of healthcare to a defined segment of patients. The aim of this study was to measure the value of surgically repairing primary symptomatic full-thickness rotator cuff tears when outcomes and costs were assessed over an entire care pathway. Methods: A prospective study of patients undergoing rotator cuff tears repair was undertaken. Patients were managed using a standardised integrated care pathway. Subsequent outcomes and costs were measured over the whole care pathway. Outcomes were assessed from both traditional and patient centric re-formatted prisms. Results: Significant improvement in clinical outcomes where recognised when assessed from either the traditional or re-formatted prisms. Economic review of this approach revealed the pathway generated a sustainable and notable positive margin. Discussion: This study evidences how a well-designed value-based healthcare shoulder approach can be delivered and measured. It demonstrates rotator cuff surgery to be a high value treatment for patients with symptomatic rotator cuff tears. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17585732
- Volume :
- 14
- Database :
- Complementary Index
- Journal :
- Shoulder & Elbow
- Publication Type :
- Academic Journal
- Accession number :
- 157954360
- Full Text :
- https://doi.org/10.1177/1758573220928258