ArticleOrthopaedic journal of sports medicine2019
Disparities in Cost and Access by Caseload for Arthroscopic Rotator Cuff Repair: An Analysis of 18,616 Cases.
Article in Orthopaedic journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- How Social Determinants of Health Affect Outcomes Following Rotator Cuff Repair.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Younger Age, Female Sex, Low Income, and Poor Mental Health Are Patient-Perceived Risk Factors for Poor Access to Care for Rotator Cuff Tears.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Socioeconomic Disparities and Procedural Complexity Influence Charges in Primary Patellar Instability Treatment: A Nationwide Analysis.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Evaluating Cost Disparities and Utilization of Shoulder Arthroscopy: A National Analysis of Racial, Ethnic, and Socioeconomic Determinants.Orthopaedic journal of sports medicine · 2025Article
- Trends and predictors of reporting social determinants of health in shoulder surgery.JSES international · 2024Article
- Socioeconomic Status and Time to Treatment in Patients With Traumatic Rotator Cuff Tears.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- The effects of social determinants of health on rotator cuff repair utilization and outcomes: a systematic review.JSES reviews, reports, and techniques · 2024Review
- National Patterns in Utilization of Knee and Hip Arthroscopy: An Analysis of Racial, Ethnic, and Geographic Disparities in the United States.Orthopaedic journal of sports medicine · 2023Article
- The Primary Cost Drivers of Outpatient Distal Radius Fracture Fixation: A Cost-Minimalization Analysis of 15,379 Cases.Journal of wrist surgery · 2023Article
- An Analysis of Shoulder Surgeon Volume on Surgeon Competency, Hospital Costs, and Adverse Events: A Systematic Review.Indian journal of orthopaedics · 2023Article
- Low socioeconomic status worsens access to care and outcomes for rotator cuff repair: a scoping review.JSES reviews, reports, and techniques · 2022Article
- Predictors of Surgery and Cost of Care Associated with Patellar Instability in the Pediatric and Young Adult Population.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Analysis of Charges and Payments for Outpatient Arthroscopic Meniscectomy From 2005 to 2014: Hospital Reimbursement Increased Steadily as Surgeon Payments Declined.Orthopaedic journal of sports medicine · 2021Article
- Cost analysis and complication rate comparing open, mini-open, and all arthroscopic rotator cuff repair.JSES reviews, reports, and techniques · 2021Article
- Increased Total Cost and Lack of Diagnostic Utility for Emergency Department Visits After ACL Injury.Orthopaedic journal of sports medicine · 2021Article
- Socioeconomic and Demographic Disparities in Early Surgical Stabilization Following Emergency Department Presentation for Shoulder Instability.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Cost Comparison of Open and Arthroscopic Treatment Options for SLAP Tears.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Cost Drivers Associated With Anterior Shoulder Stabilization Surgery.Orthopaedic journal of sports medicine · 2020Article
- High-Volume and Privately Owned Ambulatory Surgical Centers Reduce Costs in Achilles Tendon Repair.Orthopaedic journal of sports medicine · 2020Article
- The Use of Oral Analgesics and Pain Self-Efficacy Are Independent Predictors of the Quality of Life of Individuals with Rheumatoid Arthritis.Pain research & management · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgeon caseload has been shown to affect both health and economic outcomes in arthroscopic rotator cuff repair. Although previous studies have investigated disparities in access to care, little is known about disparities between low- and high-volume surgeons and facilities. PURPOSE: To identify where disparities may exist regarding access to high-volume surgeons and facilities. STUDY
designCross-sectional study.
methodsUnivariate analysis was performed to analyze differences in the caseload between low- and high-volume surgeons and facilities. Cutoff values were set at 50 cases per year for high-volume surgeons and 125 cases annually for high-volume facilities. Multiple linear regression was then used to develop a cost model incorporating all variables significant under univariate analysis. We collected 18,616 cases with Current Procedural Terminology code 29827 ("arthroscopic rotator cuff repair") from the 2014 Florida State Ambulatory Surgery and Services Databases.
resultsA greater proportion of the caseload for low-volume surgeons and facilities was composed of patients who were of lower socioeconomic status, had government-subsidized insurance, or lived in areas with low-income ZIP codes. Low-volume surgeons and facilities also had higher total charges, higher postoperative admission rates, and lower distal clavicle excision rates (
conclusionThere are disparities in access to high-volume surgeons and facilities for patients undergoing arthroscopic rotator cuff repair in Florida. Patients with a lower socioeconomic status, government-subsidized insurance, and low income all faced decreased access to these high-volume groups. High-volume surgeons and facilities were associated with lower total charges, higher rates of distal clavicle excision, and lower readmission rates. Low-volume facilities added a significant amount of cost, even when controlling for all other significant variables. It is important for providers to be aware of these disparities and work to address them in their own practices.
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