Shoulder1.com: Great Information, Real Community, Better Living.
 Register
 Login
 Main Page
 Shoulder News
Feature Story
Shoulder Technology
Real Life Recoveries
 Education Center
Conditions
Procedures
 Shoulder  Hero™
Dr. Evan Flatow:
Innovating Shoulder Surgery
About Heroes
 Join the Discussion in  Our Forums
 Community
Shoulder1 Forums
Patient Stories
Shoulder Journals
 Reference
Ask an Expert
FAQ's
Locate a Doctor
Reference Library
Anatomy
Video Library
 Bookmark Us
 
advertisement
Search the Body1 Network
June 27, 2017  
SHOULDER NEWS: Feature Story

  • Print this Article
  • Email this Article
  • Links/Reprints
  • treatment

    Understanding the Full Impact of Treatments is Important for Patients with Rotator Cuff Injury


    January 14, 2014

    Source: American Academy of Orthopaedic Surgeons

    Each year, close to 2 million people in the United States visit their doctor for shoulder pain associated with a rotator cuff injury. Approximately one-third of rotator cuff tears will require surgery, with the remaining injuries benefiting from nonsurgical treatment including pain medication and rehabilitation exercises. To help physicians determine the best treatment for each patient, the American Academy of Orthopaedic Surgeons (AAOS) recently released Appropriate Use Criteria (AUC) covering five different treatments for rotator cuff injuries.

    For patients who do require surgery, a new study published in the Journal of Bone and Joint Surgery (JBJS)suggests surgical treatment for rotator cuff tears reduces indirect costs, including ability to work and fewer missed work days. The authors of "The Societal and Economic Value of Rotator Cuff Repair," estimate these surgeries result in a lifetime societal savings in the U.S. of approximately $3.44 billion annually.

    "A torn rotator cuff will weaken your shoulder and may make daily activities painful and more difficult, but the decision-making process as to when surgery is warranted is not always black and white," said Richard C. Mather, MD, assistant professor, department of orthopaedic surgery at Duke University Medical Center and a study author. "This study and the new appropriate use criteria add tools for both patients and physicians to inform and improve their care both in the short and long terms."

    Despite tearing their rotator cuffs, Wesley Linton and Michaela "Pinky" Puno are able to keep doing what they love, work and support their families. Linton, a firefighter in Winston Salem, North Carolina, can rescue victims from fires, complete 50 push-ups with no pain and lift patients needing assistance. Puno, an amateur ballroom dancer, can continue improving her technique, practice two hours a day and dance competitively. Both patients are able to live full lives thanks to the rotator cuff surgery they had to ease their shoulder pain.

    The prevalence of rotator cuff tears increases with age and yet, many people desire to stay in the workforce longer, which makes examining the cost-savings of rotator cuff surgeries an important issue. The new study offers a comprehensive look at the societal impact of rotator cuff disease and its treatments. Comparing surgical and non-surgical treatment options, the study's investigators found rotator cuff repair is cost effective across all patient age groups. Additionally, societal savings offset the direct costs of treatment in patients younger than age 61, resulting in an average net savings to society of $13,771 per patient. This number significantly increased to $77,662 for patients younger than 40 years.

    "Rotator cuff injuries can affect anyone, but risk increases with age. The societal burden of rotator cuff tears is potentially significant, considering their impact on people's ability to work and remain productive," said Lane Koenig, health economist at KNG Health Consulting and a study author. "Fortunately, what this research enables us to do is quantify this value. It truly offers a new perspective to the body of information available about this condition."

    To conduct the study, researchers reviewed literature and Medicare claims data. The collected data were applied to a Markov Decision Model where they estimated lifetime direct and indirect costs associated with surgical and continued non-operative treatment for rotator cuff tears by comparing costs for probability of employment, household income, missed workdays and disability payments among patients ages 30-80. Additionally, AAOS developed appropriate use criteria for rotator cuff injuries to help clinicians identify when surgery is appropriate for each patient.

    Discuss in the Shoulder1 forums

    Photo: Life Mental Health

    Last updated: 14-Jan-14

    Comments

  • Add Comment
  •    
    Interact on Shoulder1

    Discuss this topic with others.
     
    Feature Archives

    Protein Appears to Protect Against Bone Loss in Arthritis

    Risk Factors Identified for Little League Shoulder

    Orthopedic outcomes affected by activity level

    Understanding the Full Impact of Treatments is Important for Patients with Rotator Cuff Injury

    Joint Replacement Surgery Could Become A Thing Of The Past With New Theory On Genesis Of Osteoarthritis

    Next 5 Features ...

    More Features ...
       
     
    Related Multimedia

    Arthroscopic Rotator Cuff Repair

     
    Related Content
    SLAP Lesion (Biceps Tendon Tear)

    Rotator Cuff Tear

    HAGL Lesion

    Adhesive Capsulitis (Frozen Shoulder)

    The Delicate Joint

    More Features ...
     
    Home About Us Press Jobs Advertise With Us Contact Us
    advertisement
    © 2017 Body1 All rights reserved.
    Disclaimer: The information provided within this website is for educational purposes only and is not a substitute for consultation with your physician or healthcare provider. The opinions expressed herein are not necessarily those of the Owners and Sponsors of this site. By using this site you agree to indemnify, and hold the Owners and Sponsors harmless, from any disputes arising from content posted here-in.