Evidence map›Paper›PMID 21865060›Full record

SynthesisJournal of shoulder and elbow surgery2012

Economic evaluations in shoulder pathologies: a systematic review of the literature.

Ifedayo O Kuye, Nitin B Jain, Lauren Warner, James H Herndon, Jon J P Warner

Registry-linked trialAbstract readComparative StudySystematic Review
In one paragraph

Synthesis in Journal of shoulder and elbow surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04146987 (Cost-Effectiveness of Rotator Cuff Repair Surgery by Open and Arthroscopic Techniques. Randomized Clinical Trial), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04146987 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Cost-Effectiveness of Rotator Cuff Repair Surgery by Open and Arthroscopic Techniques. Randomized Clinical Trial

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2020 to 2022Enrolled100ConditionsRotator Cuff Injuries, Shoulder Pain, Shoulder Impingement, Shoulder InjuriesArmsRotator cuff repair surgery
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Trends and Themes in the Study of Value in Orthopedic Surgery: A Systematic Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2025
    Review
  3. Effects of Standardized Pricing for Distal Radius Implants.The archives of bone and joint surgery · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Cost Drivers Associated With Anterior Shoulder Stabilization Surgery.Orthopaedic journal of sports medicine · 2020
    Article
  10. Cost Analysis in Shoulder Surgery: A Systematic Review.Orthopaedic journal of sports medicine · 2020
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Ifedayo O KuyeHarvard Shoulder Service, Department of Orthopedics, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114, USA.
Nitin B Jain
Lauren Warner
James H Herndon
Jon J P Warner
Colgate University · USHarvard University · USMassachusetts General Hospital · US

Funding

Rotator Cuff Tears: Optimizing Diagnosis and Treatment StrategiesK23AR059199 · NIAMS · VANDERBILT UNIVERSITY · PI JAIN, NITIN B · 2010 to 2014
$650k
NIAMS NIH HHS 1K23AR059199NIAMS NIH HHS K23 AR059199
6 · The paper itself

Abstract

backgroundEconomic evaluations provide decision makers with a tool for reducing health care costs because they assess both the costs and consequences of health care interventions. This study reviewed the quality of published economic evaluations for shoulder pathologies. MATERIALS AND

methodA MEDLINE search was conducted to identify articles published from 1980 to 2010 that contained "cost" or "economic" combined with terms for several shoulder disorders and treatments. We selected studies that fit the definition of 1 of the 4 routinely performed economic evaluations: cost-minimization, cost-effectiveness, cost-utility, and cost-benefit analyses. Study quality was determined by measuring adherence to 6 established health economic principles, as described in the literature.

resultsThe search retrieved 942 studies. Of these, 32 were determined to be economic evaluations, and 53% of the economic evaluations were published from 2005 to 2010. Only 8 of the 32 studies (25%) adhered to all 6 health economic principles. Publication in a nonsurgical journal (P < .05) or in more recent years (P < .01) was significantly associated with higher quality.

conclusionFuture health care resource allocation will likely be based on the economic feasibility of treatments. Although the number and quality of economic evaluations of shoulder disorders have risen in recent years, the current state of the literature is poor. Given that availability of such data may factor in private and public reimbursement decisions, there is a clear demand for more rigorous economic evaluations.

Indexed as

Cost of IllnessHealth Care CostsAdultAgedCost-Benefit AnalysisCost SavingsFemaleHumansJoint DiseasesMaleMiddle AgedRadiographyRetrospective StudiesShoulder DislocationShoulder FracturesShoulder Impingement Syndrome

Identifiers

PMID21865060
PMCPMC3783003
OpenAlexW2030823747

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.