Evidence map›Paper›PMID 30552070›Full record

ArticleJournal of shoulder and elbow surgery2019

The procedure value index: a new method for quantifying value in shoulder arthroplasty.

Derek D Berglund, Tsun Yee Law, Samuel Rosas, Jennifer Kurowicki, M Russell Giveans, Dragomir Mijic, Jonathan C Levy

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of shoulder and elbow surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Value-Based Healthcare Initiatives in Practice: A Systematic Review.Journal of healthcare management / American College of Healthcare Executives · 2021
    Pooled it
  3. Article
  4. Measuring Value in Elective Spine Surgery.Spine surgery and related research · 2022
    Review
  5. Article
  6. Review
  7. 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

7 authors.

Derek D BerglundHoly Cross Orthopedic Institute, Fort Lauderdale, FL, USA.
Tsun Yee LawHoly Cross Orthopedic Institute, Fort Lauderdale, FL, USA.
Samuel RosasHoly Cross Orthopedic Institute, Fort Lauderdale, FL, USA; School of Medicine, Wake Forest University, Winston-Salem, NC, USA.
Jennifer KurowickiHoly Cross Orthopedic Institute, Fort Lauderdale, FL, USA; School of Health and Medical Sciences, Seton Hall University, Nutley, NJ, USA.
M Russell GiveansHoly Cross Orthopedic Institute, Fort Lauderdale, FL, USA.
Dragomir MijicHoly Cross Orthopedic Institute, Fort Lauderdale, FL, USA.
Jonathan C LevyHoly Cross Orthopedic Institute, Fort Lauderdale, FL, USA. Electronic address: jonlevy123@yahoo.com.

Funding

Integrative Training in Trauma and Regenerative MedicineT32GM099606 · NIGMS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HOTH, JAMES JASON · 2013 to 2017
$1.0M
NIGMS NIH HHS T32 GM099606
6 · The paper itself

Abstract

backgroundThe purpose of this study was to introduce the procedure value index (PVI) and apply this value instrument to shoulder arthroplasty. The PVI uses the value equation in units of minimal clinically important difference (MCID) to provide an objective system of quantifying value-driven care. Secondarily, we describe the PVI for both primary anatomic total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA) to highlight value differences between these patient populations.

methodsPatients undergoing primary shoulder arthroplasty with minimum 2-year follow-up were identified retrospectively. MCIDs were determined for the Simple Shoulder Test (SST) score, American Shoulder and Elbow Surgeons (ASES) score, visual analog scale (VAS) score for pain, and Single Assessment Numeric Evaluation (SANE) score. Cost data were reported as total hospitalization costs, total charges, and total reimbursements. The PVI was calculated as the ratio of outcome improvement in units of MCID over the cost of care. Mean PVIs for TSA and RSA were compared.

resultsFive hundred thirty-four patients met the inclusion criteria. MCIDs for the SST, ASES, VAS pain, and SANE scores were 3.61, 29.49, 3.28, and 37.05, respectively. With the exception of the ASES score, improvements in units of MCID were not different between TSA and RSA. However, total hospitalization costs and charges were significantly higher for RSA (P < .001). PVIs based on total hospitalization costs and total charges for the SST, ASES, and VAS pain scores were significantly greater for TSA (P < .05). No other PVI was significantly different.

conclusionsThe PVI was greater for TSA when total hospitalization costs and total charges were considered. The PVI helps highlight value differences in shoulder arthroplasty.

Indexed as

Health Care CostsMinimal Clinically Important DifferenceAgedAged, 80 and overArthroplasty, Replacement, ShoulderFees and ChargesFemaleHospitalizationHumansMaleMiddle AgedPain MeasurementRetrospective StudiesShoulder JointTreatment Outcomeanatomic total shoulder arthroplasty (TSA)costminimal clinically important difference (MCID)Procedure value index (PVI)reverse total shoulder arthroplasty (RSA)value

Identifiers

PMID30552070
PMCPMC6383649

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Registered trials

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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.