Evidence map›Paper›PMID 27826595›Full record

ArticleOrthopaedic journal of sports medicine2016

Direct Cost Analysis of Outpatient Arthroscopic Rotator Cuff Repair in Medicare and Non-Medicare Populations.

Steven J Narvy, Tracey C Didinger, David Lehoang, C Thomas Vangsness, James E Tibone, George F Rick Hatch, Reza Omid, Felipe Osorno, Seth C Gamradt

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.5field-weighted citation impact, top 11% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
  2. Article
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  4. Article
  5. Article
  6. Rotator Cuff Tears Are Related to the Side Sleeping Position.Arthroscopy, sports medicine, and rehabilitation · 2024
    Article
  7. Article
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  9. Strain distribution in the bursal rotator cuff based on whole-muscle and muscle subregion-specific loading: A cadaveric study.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Evidence-based Risk Stratification for Sport Medicine Procedures During the COVID-19 Pandemic.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2020
    Article
  16. Patient Perceptions of Surgeon Reimbursement for Rotator Cuff Repair.Orthopaedic journal of sports medicine · 2018
    Article
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

9 authors at 2 institutions in 1 country.

Steven J NarvyDepartment of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Tracey C DidingerDepartment of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
David LehoangDepartment of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
C Thomas VangsnessDepartment of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
James E TiboneDepartment of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
George F Rick HatchDepartment of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Reza OmidDepartment of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Felipe OsornoKeck Hospital of University of Southern California, Los Angeles, California, USA.
Seth C GamradtDepartment of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
University of Southern California · USKeck Hospital of USC · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProviding high-quality care while also containing cost is a paramount goal in orthopaedic surgery. Increasingly, insurance providers in the United States, including government payers, are requiring financial and performance accountability for episodes of care, including a push toward bundled payments. HYPOTHESIS: The direct cost of outpatient arthroscopic rotator cuff repair was assessed to determine whether, due to an older population, rotator cuff surgery was more costly in Medicare-insured patients than in patients covered by other insurers. We hypothesized that operative time, implant cost, and overall higher cost would be observed in Medicare patients. STUDY

designCohort study; Level of evidence, 3.

methodsBilling and operative reports from 184 outpatient arthroscopic rotator cuff repairs performed by 5 fellowship-trained arthroscopic surgeons were reviewed. Operative time, number and cost of implants, hospital reimbursement, surgeon reimbursement, and insurance type were determined from billing records and operative reports. Patients were stratified by payer (Medicare vs non-Medicare), and these variables were compared.

resultsThere were no statistically significant differences in the number of suture anchors used, implant cost, surgical duration, or overall cost of arthroscopic rotator cuff repair between Medicare and other insurers. Reimbursement was significantly higher for other payers when compared with Medicare, resulting in a mean per case deficit of $263.54 between billing and reimbursement for Medicare patients.

conclusionOperating room time, implant cost, and total procedural cost was the same for Medicare patients as for patients with private payers. Further research needs to be conducted to understand the patient-specific factors that affect the cost of an episode of care for rotator cuff surgery.

Indexed as

arthroscopycost analysiseconomicsrotator cuff

Identifiers

PMID27826595
PMCPMC5084526
OpenAlexW2545370633

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.