ArticleJSES open access2017
The hospital cost of two-stage reimplantation for deep infection after shoulder arthroplasty.
Article in JSES open access, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- One- and two-stage surgical revision of infected shoulder prostheses following arthroplasty surgery: A systematic review and meta-analysis.Scientific reports · 2019Pooled it
- Early infection after aseptic revision shoulder arthroplasty: prevalence and predisposing risk factors.JSES international · 2026Article
- Cutibacterium Adaptation to Life on Humans Provides a Potential C acnes Infection Biomarker.The Journal of investigative dermatology · 2026Article
- Non-cefazolin antibiotic prophylaxis is associated with increased rates of acute infectious, medical, and surgical complications following primary total shoulder arthroplasty: a database study.JSES international · 2025Article
- Risk factors for infection after primary reverse shoulder arthroplasty - A systematic review with meta-analysis.Journal of clinical orthopaedics and trauma · 2025Article
- Prior fragility fractures are associated with a higher risk of 8-year complications following total shoulder arthroplasty.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024Article
- Quantitative Real-Time Polymerase Chain Reaction May Serve as a Useful Adjunct to Conventional Culture in The Detection of Cutibacterium acnes in the Glenohumeral Joint: A Study of 100 Consecutive Patients.The archives of bone and joint surgery · 2024Article
- Management of periprosthetic joint infection of shoulder arthroplasty: Single-stage versus two-stage protocols. A systematic review and meta-analysis of the literature.Shoulder & elbow · 2023Review
- Healthcare costs of failed rotator cuff repairs.JSES reviews, reports, and techniques · 2023Article
- The influence of prior dental pathology on medical complications and peri-prosthetic joint infections following primary shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- The incidence of shoulder arthroplasty infection presents a substantial economic burden in the United States: a predictive model.JSES international · 2023Article
- Prosthetic joint infections of the shoulder: A review of the recent literature.Journal of orthopaedics · 2023Article
- Clinical Outcome of Two-Stage Revision after Periprosthetic Shoulder Infection.Journal of clinical medicine · 2021Article
- Cost Effectiveness of Laminar Flow Systems for Total Shoulder Arthroplasty: Filtering Money from the OR?The archives of bone and joint surgery · 2020Article
- Pearls and Tips in Shoulder Arthroplasty.Clinics in orthopedic surgery · 2019Review
- Shoulder Periprosthetic Joint Infection and All-Cause Mortality: A Worrisome Association.JB & JS open accessArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe cost of treating infection after hip and knee arthroplasty is well documented in the literature. The purpose of this study was to determine the cost of two-stage reimplantation for deep infection after shoulder arthroplasty.
methodsBetween 2003 and 2012, 57 shoulders (56 patients) underwent a two-stage reimplantation for deep periprosthetic shoulder infection; implants placed at reimplantation included anatomic total shoulder arthroplasty (a-TSA) in 58%, reverse total shoulder arthroplasty (r-TSA) in 40%, and hemiarthroplasty (HA) in 2%. During the same timeframe, 2953 primary shoulder arthroplasties (2589 patients) were performed at the same institution (a-TSA in 55%, r-TSA in 28%, and HA in 17%). Total direct medical costs were calculated by using standardized, inflation-adjusted costs for services and procedures billed during hospitalization and were adjusted to nationally representative unit costs in 2013 inflation-adjusted dollars.
resultsThe mean hospital cost (per shoulder) for two-stage reimplantation was $35,824 (95% CI: 33,363 to 38,285) and was significantly higher than for primary procedures (mean: $16,068; 95% CI: 15,823 to 16,314). Both Part A and Part B costs were significantly higher in two-stage reimplantation (p < 0.001). For part A (hospital services), the mean cost for two-stage reimplantation was $29,851 (95% CI: 27,741 to 31,960), compared to $13,508 (95% CI: 13,302 to 13,715) for primaries. For part B (professional costs), mean costs were $5973 (95% CI: 5493 to 6453) versus 2560 (95% CI: 2512 to 2608)
conclusionsThe hospital cost of two-stage reimplantation for the treatment of an infected shoulder arthroplasty is about two times higher than the cost of a primary shoulder arthroplasty.
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