einstein (São Paulo). 06/ago/2024;22:eGS0473.
Clinical outcomes and direct cost analysis of rotator cuff repair surgery
DOI: 10.31744/einstein_journal/2024GS0473
Highlights
Rotator cuff repair surgery improves clinical outcomes and quality of life.
Surgical procedures were highly effective with low complication rates.
Arthroscopic surgery was associated with higher costs than open surgery.
ABSTRACT
Objective
The purpose of this study was to evaluate the clinical and functional outcomes in patients who underwent surgical treatment for rotator cuff tears using open and arthroscopic techniques, and to evaluate the direct costs involved.
Methods
Retrospective cohort study with analysis of the data of patients who were referred to two private hospitals in Sao Paulo, Brazil for surgical repair of the rotator cuff from January 2018 to September 2019. Clinical outcomes were assessed using functional scores (SPADI and QuickDASH) and a quality of life questionnaire (EuroQoL). Procedure costs were calculated relative to each hospital’s costliest procedure.
Results
Data from 362 patients were analyzed. The mean patient age was 57 years (SD= 10.46), with a slight male predominance (53.9%). Arthroscopic procedures were more common than open procedures (95.6% versus 4.4%). Significant clinical improvement was reported in 84.8% of the patients. The factors associated with increased surgery costs were arthroscopic technique (increase of 29.2%), age (increase of 0.6% per year), and length of stay (increase of 18.9% per day of hospitalization).
Conclusion
Rotator cuff repair surgery is a highly effective procedure, associated with favorable clinical outcomes and improvement in life quality, and low rates of complications. Arthroscopic surgery tends to be costlier than open surgery.
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