Cost-Effectiveness of Reverse Total Shoulder Arthroplasty Versus Arthroscopic Rotator Cuff Repair for Symptomatic Large and Massive Rotator Cuff Tears
Fuente
Este artículo es originalmente publicado en:
https://www.ncbi.nlm.nih.gov/pubmed/27132772
http://www.arthroscopyjournal.org/article/S0749-8063(16)00115-8/abstract
De:
Makhni EC1, Swart E2, Steinhaus ME3, Mather RC 3rd4, Levine WN5, Bach BR Jr6, Romeo AA6, Verma NN6.
Arthroscopy. 2016 Sep;32(9):1771-80. doi: 10.1016/j.arthro.2016.01.063. Epub 2016 Apr 28.
Todos los derechos reservados para:
Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
Abstract
PURPOSE:
To compare the cost-effectiveness within the United States health care system of arthroscopic rotator cuff repair versus reverse total shoulder arthroplasty in patients with symptomatic large and massive rotator cuff tears without cuff-tear arthropathy.
CONCLUSIONS:
Arthroscopic rotator cuff repair-despite high rates of tendon retearing-for patients with large and massive rotator cuff tears may be a more cost-effective initial treatment strategy when compared with primary reverse total shoulder arthroplasty and when assuming no detrimental impact of previous surgery on outcomes after arthroplasty. Clinical judgment should still be prioritized when formulating treatment plans for these patients. LEVEL OF EVIDENCE: Level II, economic decision analysis.
Resumen
Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
- PMID: 27132772 DOI: 10.1016/j.arthro.2016.01.063
- [PubMed – in process]
