Value-based shoulder surgery: Practicing outcomes-driven, cost-conscious care

Journal of Shoulder and Elbow Surgery

Volumn 22, Issue 7, 2013, Pages 1000-1009

  Black, Eric M ^a   Higgins, Laurence D ^a   Warner, Jon J P ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

Cost; Outcomes; Shoulder surgery; Value

Indexed keywords

COST EFFECTIVENESS ANALYSIS; EVIDENCE BASED MEDICINE; HEALTH CARE DELIVERY; HUMAN; MEDICAL PRACTICE; MEDICAL SPECIALIST; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT SATISFACTION; PRIORITY JOURNAL; REVIEW; SHOULDER DISEASE; SHOULDER SURGERY;

COST SAVINGS; COST-BENEFIT ANALYSIS; FEMALE; HEALTH CARE COSTS; HUMANS; MALE; MODELS, ECONOMIC; ORTHOPEDIC PROCEDURES; OUTCOME ASSESSMENT (HEALTH CARE); PHYSICIAN'S PRACTICE PATTERNS; SHOULDER JOINT; UNITED STATES;

EID: 84879265595     PISSN: 10582746     EISSN: 15326500     Source Type: Journal    
DOI: 10.1016/j.jse.2013.02.008     Document Type: Review

References (69)

1. American Academy of Orthopedic Surgeons. AAOS comparative effectiveness research position statement. Available from. Accessed Oct 15,2012. http://www.aaos.org/about/papers/position/1178.asp.
2. American Academy of Orthopedic Surgeons. Appropriate use criteria. Available from: Accessed Oct 15,2012. http://www.aaos.org/research/Appropriate_Use/auc_new.asp.
3. American Academy of Orthopedic Surgeons United States bone and joint decade: the burden of musculoskeletal diseases in the United States 2011, American Academy of Orthopaedic Surgeons, Rosemont, IL.
4. Adla D.N., Rowsell M., Pandey R. Cost-effectiveness of open versus arthroscopic rotator cuff repair. J Shoulder Elbow Surg 2010, 19:258-261. 10.1016/j.jse.2009.05.004.
5. Alexander I. The impact of future trends in electronic data collection on musculoskeletal research and evidence-based orthopaedic care. Arthroscopy 2003, 19:1007-1011. 10.1016/j.arthro.2003.09.024.
6. Arslanian C., Bond M. Computer assisted outcomes research in orthopedics: total joint replacement. J Med Syst 1999, 23:239-247.
7. Barber F.A., Click S.D., Weideman C.A. Arthroscopic or open Bankart procedures: what are the costs?. Arthroscopy 1998, 14:671-674.
8. Bate P., Robert G. Experience-based design: from redesigning the system around the patient to co-designing services with the patient. Qual Saf Health Care 2006, 15:307-310. 10.1136/qshc.2005.016527.
9. Blomquist J., Solheim E., Liavaag S., Schroder C.P., Espehaug B., Havelin L.I. Shoulder instability surgery in Norway: the first report from a multicenter register, with 1-year follow-up. Acta Orthop 2012, 83:165-170. 10.3109/17453674.2011.641102.
10. Bozic K.J., Wright J.G. Value-based healthcare and orthopaedic surgery. Clin Orthop Relat Res 2012, 470:1004-1005. 10.1007/s11999-012-2267-x.
11. Brand R.A. Ernest Amory Codman, MD, 1869-1940. Clin Orthop Relat Res 2009, 467:2763-2765. 10.1007/s11999-009-1047-8.
12. Brook R.H. Assessing the appropriateness of care-its time has come. JAMA 2009, 302:997-998. 10.1001/jama.2009.1279.
13. Buchbinder R., Youd J.M., Green S., Stein A., Forbes A., Harris A., et al. Efficacy and cost-effectiveness of physiotherapy following glenohumeral joint distension for adhesive capsulitis: a randomized trial. Arthritis Rheum 2007, 57:1027-1037. 10.1002/art.22892.
14. Centers for Medicare Medicaid Services, editor. Medicare: physician quality reporting system overview. Available from: Accessed Oct 12,2012. http://www.medicare.gov/find-a-doctor/%28S%28qsuddyukjjazx5243zyxyv55%29%29/staticpages/data/pqrs/physician-quality-reporting-system.aspx.
15. Centers for Medicare Medicaid Services, Office of the Actuary, National Health Statistics Group. National health expenditure projections 2010-2020. 2011:1-22.
16. Churchill R.S., Ghorai J.K. Total cost and operating room time comparison of rotator cuff repair techniques at low, intermediate, and high volume centers: mini-open versus all-arthroscopic. J Shoulder Elbow Surg 2010, 19:716-721. 10.1016/j.jse.2009.10.011.
17. Coe M.P., Greiwe R.M., Joshi R., Snyder B.M., Simpson L., Tosteson A.N., et al. The cost-effectiveness of reverse total shoulder arthroplasty compared with hemiarthroplasty for rotator cuff tear arthropathy. JShoulder Elbow Surg 2012, 21:1278-1288. 10.1016/j.jse.2011.10.010.
18. Colvin A.C., Egorova N., Harrison A.K., Moskowitz A., Flatow E.L. National trends in rotator cuff repair. J Bone Joint Surg Am 2012, 94:227-233. 10.2106/JBJS.J.00739.
19. Cordasco F.A., McGinley B.J., Charlton T. Rotator cuff repair as an outpatient procedure. J Shoulder Elbow Surg 2000, 9:27-30.
20. DiGioia A., Lorenz H., Greenhouse P.K., Bertoty D.A., Rocks S.D. Apatient-centered model to improve metrics without cost increase: viewing all care through the eyes of patients and families. J Nurs Adm 2010, 40:540-546. 10.1097/NNA.0b013e3181fc1.
21. DiGioia A.M., Greenhouse P.K. Care experience-based methodologies: performance improvement roadmap to value-driven health care. Clin Orthop Relat Res 2012, 470:1038-1045. 10.1007/s11999-011-2051-3.
22. Genuario J.W., Donegan R.P., Hamman D., Bell J.E., Boublik M., Schlegel T., et al. The cost-effectiveness of single-row compared with double-row arthroscopic rotator cuff repair. J Bone Joint Surg Am 2012, 94:1369-1377. 10.2106/JBJS.J.01876.
23. Gjertsen J.E., Engesaeter L.B., Furnes O., Havelin L.I., Steindal K., Vinje T., et al. The Norwegian Hip Fracture Register: experiences after the first 2 years and 15,576 reported operations. Acta Orthop 2008, 79:583-593. 10.1080/17453670810016588.
24. Gjertsen J.E., Lie S.A., Vinje T., Engesæter L.B., Hallan G., Matre K., et al. More re-operations after uncemented than cemented hemiarthroplasty used in the treatment of displaced fractures of the femoral neck: an observational study of 11,116 hemiarthroplasties from a national register. J Bone Joint Surg Br 2012, 94:1113-1119. 10.1302/0301-620X.94B8.29155.
25. Goldstein J. Private practice outcomes: validated outcomes data collection in private practice. Clin Orthop Relat Res 2010, 468:2640-2645. 10.1007/s11999-010-1397-2.
26. Granan L.P., Bahr R., Steindal K., Furnes O., Engebretsen L. Development of a national cruciate ligament surgery registry: the Norwegian National Knee Ligament Registry. Am J Sports Med 2008, 36:308-315. 10.1177/0363546507308939.
27. Granan L.-P., Forssblad M., Lind M., Engebretsen L. The Scandinavian ACL registries 2004-2007: baseline epidemiology. Acta Orthop 2009, 80:563-567. 10.3109/17453670903350107.
28. Green L.B., Pietrobon R., Paxton E., Higgins L.D., Fithian D. Sources of variation in readmission rates, length of stay, and operative time associated with rotator cuff surgery. J Bone Joint Surg Am 2003, 85:1784-1789.
29. Hammond J.W., Queale W.S., Kim T.K., McFarland E.G. Surgeon experience and clinical and economic outcomes for shoulder arthroplasty. JBone Joint Surg Am 2003, 85:2318-2324.
30. Huckman R.S., Porter M.E., Gordon R., Kindred N. Dartmouth Hitchcock Medical Center: spine care - case # 9-609-016 2010, Harvard Business School Press, Boston.
31. Jain N., Pietrobon R., Hocker S., Guller U., Shankar A., Higgins L.D. Therelationship between surgeon and hospital volume and outcomesfor shoulder arthroplasty. J Bone Joint Surg Am 2004, 86:496-505.
32. Jain N.B., Hocker S., Pietrobon R., Guller U., Bathia N., Higgins L.D. Total arthroplasty versus hemiarthroplasty for glenohumeral osteoarthritis: role of provider volume. J Shoulder Elbow Surg 2005, 14:361-367. 10.1016/j.jse.2004.10.007.
33. Jain N.B., Pietrobon R., Guller U., Ahluwalia A.S., Higgins L.D. Influenceof provider volume on length of stay, operating room time, and discharge status for rotator cuff repair. J Shoulder Elbow Surg 2005, 14:407-413. 10.1016/j.jse.2004.09.003.
34. Kennedy A., Bakir C., Brauer C.A. Quality indicators in pediatricorthopaedic surgery: a systematic review. Clin Orthop Relat Res 2012, 470:1124-1132. 10.1007/s11999-011-2060-2.
35. Kim S.H., Wise B.L., Zhang Y., Szabo R.M. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am 2011, 93:2249-2254. 10.2106/JBJS.J.01994.
36. Kizer K.W. The volume-outcome conundrum. N Engl J Med 2003, 349:2159-2161. 10.1056/NEJMe038166.
37. Kolling C., Simmen B.R., Labek G., Goldhahn J. Key factorsforasuccessful National Arthroplasty Register. J Bone Joint SurgBr 2007, 89:1567-1573. 10.1302/0301-620X.89B12.19409.
38. Kuye I.O., Jain N.B., Warner L., Herndon J.H., Warner J.J.P. Economic evaluations in shoulder pathologies: a systematic review of the literature. J Shoulder Elbow Surg 2012, 21:367-375. 10.1016/j.jse.2011.05.019.
39. Lubowitz J.H., McIntyre L.F., Provencher M.T., Poehling G.G. AAOSrotator cuff clinical practice guideline misses the mark. Arthroscopy 2012, 28:589-592. 10.1016/j.arthro.2012.03.021.
40. Lubowitz J.H., Provencher M.T., Poehling G.G. The current issue: clinical shoulder, knee, wrist, hip, and cost-effectiveness analysis. Arthroscopy 2011, 27:1313-1316. 10.1016/j.arthro.2011.07.006.
41. Mallon W. Ernest Amory Codman: the end result of a life in medicine 2000, W. B. Saunders, Philadelphia.
42. Marjoua Y., Butler C.A., Bozic K.J. Public reporting of cost and quality information in orthopaedics. Clin Orthop Relat Res 2012, 470:1017-1026. 10.1007/s11999-011-2077-6.
43. Mather R.C., Watters T.S., Orlando L.A., Bolognesi M.P., Moorman C.T. Cost effectiveness analysis of hemiarthroplasty and total shoulder arthroplasty. J Shoulder Elbow Surg 2010, 19:325-334. 10.1016/j.jse.2009.11.057.
44. Maund E., Craig D., Suekarran S., Neilson A., Wright K., Brealey S., et al. Management of frozen shoulder: a systematic review and cost-effectiveness analysis. Health Technol Assess 2012, 16:1-264. 10.3310/hta16110.
45. Meislin R.J., Sperling J.W., Stitik T.P. Persistent shoulder pain: epidemiology, pathophysiology, and diagnosis. Am J Orthop 2005, 34(12Suppl):5-9.
46. Melton L.J. History of the Rochester Epidemiology Project. Mayo ClinProc 1996, 71:266-274. 10.1016/S0025-196(11)63966-9.
47. Mihalko W.M., Greenwald A.S., Lemons J., Kirkpatrick J. Reporting and notification of adverse events in orthopaedics. J Am Acad Orthop Surg 2010, 18:193-198.
48. Neuhauser D. Ernest Amory Codman MD. Qual Saf Health Care 2002, 11:104-105. 10.1136/qhc.11.1.104.
49. Paxton E.W., Inacio M.C.S., Khatod M., Yue E.J., Namba R.S. KaiserPermanente National Total Joint Replacement Registry: aligning operations with information technology. Clin Orthop RelatRes 2010, 468:2646-2663. 10.1007/s11999-010-1463-9.
50. Pedowitz R.A., Yamaguchi K., Ahmad C.S., Burks R.T., Flatow E.L., Green A., et al. American Academy of Orthopaedic Surgeons Clinical Practice Guideline on optimizing the management of rotator cuff problems. J Bone Joint Surg Am 2012, 94:163-167.
51. Porter M.E. A strategy for health care reform-toward a value-based system. N Engl J. Med 2009 Jul 9, 361:109-112. 10.1056/NEJMp0904131.
52. Porter M.E., Baron J.F., Chacko J.M., Tang R. The UCLA Medical Center: kidney transplantation - case # 9-711-410 2010, Harvard Business School Press, Boston.
53. Porter M.E., Jain S.H. ThedaCare: system strategy - case # 9-708-424 2010, Harvard Business School Press, Boston.
54. Porter M.E., Jain S.H. The University of Texas MD Anderson Cancer Center: interdisciplinary cancer care - case # -708-487 2010, Harvard Business School Press, Boston.
55. Porter M.E., Teisberg E.O. Redefining health care: creating value-basedcompetition on results 2006, Harvard Business School Press, Boston.
56. Porter M.E., Teisberg E.O. How physicians can change the future of health care. JAMA 2007, 297:1103-1111. 10.1001/jama.297.10.1103.
57. Rasmussen J.V., Olsen B.S., Fevang B.-T.S., Furnes O., Skytta E.T., Rahme H., et al. A review of national shoulder and elbow joint replacement registries. J Shoulder Elbow Surg 2012, 21:1328-1335. 10.1016/j.jse.2012.03.004.
58. Robinson R. Economic evaluation and health care. What does it mean?. BMJ 1993, 307:670-673.
59. Sherman S.L., Lyman S., Koulouvaris P., Willis A., Marx R.G. Risk factors for readmission and revision surgery following rotator cuff repair. Clin Orthop Relat Res 2008, 466:608-613. 10.1007/s11999-008-0116-8.
60. Singh J.A., Sperling J.W., Cofield R.H. Revision surgery following total shoulder arthroplasty: analysis of 2588 shoulders over three decades (1976 to 2008). J Bone Joint Surg Br 2011, 93:1513-1517. 10.1302/0301-620X.93B11.26938.
61. van den Hout W.B., Vermeulen H.M., Rozing P.M., Vliet Vlieland T.P.M. Impact of adhesive capsulitis and economic evaluation of high-grade and low-grade mobilisation techniques. Aust J Physiother 2005, 51:141-149. 10.1016/S0004-9514(05)70020-9.
62. Virta L., Joranger P., Brox J.I., Eriksson R. Costs of shoulder pain and resource use in primary health care: a cost-of-illness study in Sweden. BMC Musculoskelet Disord 2012, 13:17. 10.1186/1471-2474-13-17.
63. Vitale M.A., Vitale M.G., Zivin J.G., Braman J.P., Bigliani L.U., Flatow E.L. Rotator cuff repair: an analysis of utility scores and cost-effectiveness. J Shoulder Elbow Surg 2007, 16:181-187. 10.1016/j.jse.2006.06.013.
64. Wang C., Ghalambor N., Zarins B., Warner J.J.P. Arthroscopic versus open Bankart repair: analysis of patient subjective outcome and cost. Arthroscopy 2005, 21:1219-1222. 10.1016/j.arthro.2005.07.004.
65. Weingarten S. Translating practice guidelines into patient care: guidelines at the bedside. Chest 2000, 118(2 Suppl):4S-7S.
66. Weinstein J.N., Brown P.W., Hanscom B., Walsh T., Nelson E.C. Designing an ambulatory clinical practice for outcomes improvement: from vision to reality-the Spine Center at Dartmouth-Hitchcock, year one. Qual Manag Health Care 2000, 8:1-20.
67. Werner R.M., Asch D.A. The unintended consequences of publicly reporting quality information. JAMA 2005, 293:1239-1244. 10.1001/jama.293.10.1239.
68. Wright J.G., Katz J.N., Losina E. Clinical trials in orthopaedics research. Part I. Cultural and practical barriers to randomized trials in orthopaedics. J Bone Joint Surg Am 2011, 93:e15. 10.2106/JBJS.J.00229.
69. Wright R.W., Baumgarten K.M. Shoulder outcomes measures. J Am Acad Orthop Surg 2010, 18:436-444.