Business Articles in Shoulder and Elbow Surgery Support Outpatient Total Shoulder Arthroplasty and Identify Factors Impacting Surgery Cost
Review of Shoulder and Elbow Related Business Publications
DOI:
https://doi.org/10.55576/job.v2i3.20Keywords:
orthopaedic, business, outpatient, shoulder, elbow, total shoulder, rotator cuff, arthroscopy, arthroplastyAbstract
Objectives: Review business related shoulder and elbow articles in tope general orthopaedic journals and compare to top shoulder and elbow subspecialty journals.
Design: Literature review.
Intervention: General orthopaedic vs subspecialty journals.
Main outcome measurement: Publication type, subject, methods
Results: There were a total of 21 shoulder and elbow related business articles across JBJS, B&JJ, CORR, and AAOS during the study time period. That accounts for 0.3% of total publications (21/6098) and 8% of the business publications (21/261) in these journals over this 5 year span. Shoulder and elbow business publications accounted for a wide range of editorial space, ranging from 0% of CORR business publications to 11% of BJ&J publications.
Across the five shoulder and elbow surgery journals of interest, there were 57 business related articles published for the 5-year duration. The Journal of Shoulder and Elbow Surgery accounted for 77% of these publications (44/57). Business articles represented 0.8% of articles in the fine shoulder and elbow publications (57/7155) over the study time period.
Conclusions: This analysis demonstrates the tendency of shoulder and elbow oriented orthopaedic journals to publish a higher percentage of business articles related to shoulder and elbow surgery compared to general orthopaedics journal. The composition of these business articles demonstrates the recent focus on cost analysis of outpatient shoulder arthroplasty as well as factors that drive cost of shoulder and elbow procedures. The subject of shoulder and elbow business related articles in these journals over the last 5 years demonstrates that this field is increasingly interested in outpatient procedures and identifying ways to safely improve cost efficiency.
Level of Evidence: IV review
Keywords: Orthopaedic business, shoulder and elbow, cost, value based care, finance, shoulder arthroplasty, total shoulder.
(J Ortho Business 2022; Volume 2, Issue 3:pages 18-31)
References
References
Thomas, N., Sandler, A., Fernandez, I., Simson, J., Tihista, M., Wells, M., & Childs, B. (2022). Orthopaedic Business is the Focus of 3.4% of Articles in Top General Orthopaedic Journals. Journal of Orthopaedic Business, 2(1), 10-18.
https://www.scimagojr.com/journalrank.php?category=2732&order=h&ord=desc
List of Shoulder and Elbow business articles:
General Orthopaedic Journals
CORR
Congiusta DV, Amer KM, Merchant AM, Vosbikian MM, Ahmed IH. Is Insurance Status Associated with the Likelihood of Operative Treatment of Clavicle Fractures?. Clinical orthopaedics and related research. 2019 Dec;477(12):2620.
JBJS
Cancienne JM, Brockmeier SF, Gulotta LV, Dines DM, Werner BC. Ambulatory total shoulder arthroplasty: a comprehensive analysis of current trends, complications, readmissions, and costs. JBJS. 2017 Apr 19;99(8):629-37.
Menendez ME, Lawler SM, Shaker J, Bassoff NW, Warner JJ, Jawa A. Time-driven activity-based costing to identify patients incurring high inpatient cost for total shoulder arthroplasty. JBJS. 2018 Dec 5;100(23):2050-6.
Liu J, Srivastava K, Washington T, Hoegler J, Guthrie ST, Hakeos W, Moutzouros V. Cost-effectiveness of operative versus nonoperative treatment of displaced midshaft clavicle fractures: a decision analysis. JBJS. 2019 Jan 2;101(1):35-47.
B&JJ
Murphy J, Gray A, Cooper C, Cooper D, Ramsay C, Carr A. Costs, quality of life and cost-effectiveness of arthroscopic and open repair for rotator cuff tears: an economic evaluation alongside the UKUFF trial. The bone & joint journal. 2016 Dec;98(12):1648-55.
Corbacho, B., Duarte, A., Keding, A., Handoll, H., Chuang, L.H., Torgerson, D., Brealey, S., Jefferson, L., Hewitt, C. and Rangan, A., 2016. Cost effectiveness of surgical versus non-surgical treatment of adults with displaced fractures of the proximal humerus: economic evaluation alongside the PROFHER trial. The bone & joint journal, 98(2), pp.152-159.
Rajan PV, Qudsi RA, Dyer GS, Losina E. Cost-utility studies in upper limb orthopaedic surgery: A SYSTEMATIC REVIEW OF PUBLISHED LITERATURE. Bone Joint J. 2018 Nov;100(11):1416-23.
Rombach I, Merritt N, Shirkey BA, Rees JL, Cook JA, Cooper C, Carr AJ, Beard DJ, Gray AM. Cost-effectiveness analysis of a placebo-controlled randomized trial evaluating the effectiveness of arthroscopic subacromial decompression in patients with subacromial shoulder pain. Bone Joint J. 2019 Jan;101(1):55-62.
Nicholson JA, Searle HK, MacDonald D, McBirnie J. Cost-effectiveness and satisfaction following arthroscopic rotator cuff repair: does age matter?. The bone & joint journal. 2019 Jul;101(7):860-6.
Nicholson JA, Clement N, Goudie E, Robinson CM. Routine fixation of displaced midshaft clavicle fractures is not cost-effective: a cost analysis from a randomized controlled trial. The bone & joint journal. 2019 Aug;101(8):995-1001.
JAAOS
Zmistowski, Benjamin MD; Padegimas, Eric M. MD; Howley, Michael PA-C, PhD; Abboud, Joseph MD; Williams, Gerald Jr MD; Namdari, Surena MD Trends and Variability in the Use of Total Shoulder Arthroplasty for Medicare Patients, Journal of the American Academy of Orthopaedic Surgeons: February 15, 2018 - Volume 26 - Issue 4 - p 133-141. doi: 10.5435/JAAOS-D-16-00720
Black EM, Reynolds J, Maltenfort MG, Williams GR, Abboud JA, Lazarus MD. Effect of facility ownership on utilization of arthroscopic shoulder surgery. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2018 Mar 1;26(5):177-85.
Feder OI, Levy BJ, Gruson KI. Routine Plain Radiographs in the Setting of Atraumatic Shoulder Pain: Are They Useful?. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2018 Apr 15;26(8):287-93.
Morales DS, Borade A, Serrano-Riera R, Maniar HH, Sanders RW, Horwitz DS. Potential economic benefits of limited clinical and radiographic follow-up after plate fixation of midshaft clavicle fractures. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2019 Jun 1;27(11):405-9.
Malik AT, Bishop JY, Neviaser AS, Beals CT, Jain N, Khan SN. Shoulder arthroplasty for a fracture is not the same as shoulder arthroplasty for osteoarthritis: implications for a bundled payment model. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2019 Dec 15;27(24):927-32.
Garbis NG, Burr RG, Schneider AM, Murphy M, Salazar DH. Intraoperative Efficiency in Contemporary Total Shoulder Arthroplasty: Is Manual Pressure During Cement Curing Still Necessary With Interference Fit Pegged Glenoids?. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2020 Sep 15;28(18):764-71.
Walters JD, Walsh RN, Smith RA, Brolin TJ, Azar FM, Throckmorton TW. Bundled payment plans are associated with notable cost savings for ambulatory outpatient total shoulder arthroplasty. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2020 Oct 1;28(19):795-801.
London DA, Cagle PJ, Parsons BO, Galatz LM, Anthony SG, Zubizarreta N, Mazumdar M, Poeran J. Impact of Increasing Comorbidity Burden on Resource Utilization in Patients With Proximal Humerus Fractures. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2020 Nov 1;28(21):e954-61.
Malik AT, Sridharan MJ, Bishop JY, Khan SN, Neviaser AS, Cvetanovich GL. Understanding the Value of Total Shoulder Arthroplasties at Physician-Owned Hospitals. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2020 Dec 1;28(23):e1066-72.
Steinmetz RG, Maupin JJ, Johnson EB, Cantrell AJ, Fox JA, Bernhardt JA, Pasque CB, Teague DC. Are Routine Follow-up Radiographs Necessary for Extra-articular Scapula Body Fractures Managed Conservatively?. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2020 Dec 1;28(23):990-5.
Lavoie-Gagne O, Lu Y, MacLean I, Forlenza E, Forsythe B. Discharge Destination After Shoulder Arthroplasty: An Analysis of Discharge Outcomes, Placement Risk Factors, and Recent Trends. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2021 Jun 9:10-5435.
S&E Journals
JSES
Nwachukwu BU, Schairer WW, McCormick F, Dines DM, Craig EV, Gulotta LV. Arthroplasty for the surgical management of complex proximal humerus fractures in the elderly: a cost-utility analysis. Journal of shoulder and elbow surgery. 2016 May 1;25(5):704-13.
Shields E, Thirukumaran C, Thorsness R, Noyes K, Voloshin I. Patient factors influencing return to work and cumulative financial claims after clavicle fractures in workers' compensation cases. Journal of shoulder and elbow surgery. 2016 Jul 1;25(7):1115-21.
Black EM, Austin LS, Narzikul A, Seidl AJ, Martens K, Lazarus MD. Comparison of implant cost and surgical time in arthroscopic transosseous and transosseous equivalent rotator cuff repair. Journal of shoulder and elbow surgery. 2016 Sep 1;25(9):1449-56.
Padegimas EM, Zmistowski BM, Clyde CT, Restrepo C, Abboud JA, Lazarus MD, Ramsey ML, Williams GR, Namdari S. Length of stay after shoulder arthroplasty—the effect of an orthopedic specialty hospital. Journal of shoulder and elbow surgery. 2016 Sep 1;25(9):1404-11.
Austin LS, Lombardi NJ, Ong AC, Tjoumakaris FP. Accountable care organizations and the effect of public disclosure of surgeon's operating room costs. Journal of Shoulder and Elbow Surgery. 2016 Oct 1;25(10):e320.
Leroux TS, Basques BA, Frank RM, Griffin JW, Nicholson GP, Cole BJ, Romeo AA, Verma NN. Outpatient total shoulder arthroplasty: a population-based study comparing adverse event and readmission rates to inpatient total shoulder arthroplasty. Journal of shoulder and elbow surgery. 2016 Nov 1;25(11):1780-6.
Brolin TJ, Mulligan RP, Azar FM, Throckmorton TW. Neer Award 2016: outpatient total shoulder arthroplasty in an ambulatory surgery center is a safe alternative to inpatient total shoulder arthroplasty in a hospital: a matched cohort study. Journal of shoulder and elbow surgery. 2017 Feb 1;26(2):204-8.
Hatch MD, Daniels SD, Glerum KM, Higgins LD. The cost effectiveness of vancomycin for preventing infections after shoulder arthroplasty: a break-even analysis. Journal of shoulder and elbow surgery. 2017 Mar 1;26(3):472-7.
Howard DR, Kazemi N, Rubenstein WJ, Hartwell MJ, Poeran J, Chang AL, Podolnick JD, Parsons BO, Galatz LM, Flatow EL. Cost-benefit analysis of routine pathology examination in primary shoulder arthroplasty. Journal of shoulder and elbow surgery. 2017 Apr 1;26(4):674-8.
Dickinson RN, Kuhn JE, Bergner JL, Rizzone KH. A systematic review of cost-effective treatment of postoperative rotator cuff repairs. Journal of shoulder and elbow surgery. 2017 May 1;26(5):915-22.
Foughty Z, Antalis MS, Ringenberg J, Hall AD. Funding sources and financial disclosures, and their relationship to study outcomes and level of evidence in the Journal of Shoulder and Elbow Surgery. Journal of shoulder and elbow surgery. 2017 Jun 1;26(6):e193-7.
Padegimas EM, Hendy BA, Lawrence C, Devasagayaraj R, Zmistowski BM, Abboud JA, Lazarus MD, Williams GR, Namdari S. An analysis of surgical and nonsurgical operating room times in high-volume shoulder arthroplasty. Journal of shoulder and elbow surgery. 2017 Jun 1;26(6):1058-63.
Dempsey IJ, Kew ME, Cancienne JM, Werner BC, Brockmeier SF. Utility of postoperative radiography in routine primary total shoulder arthroplasty. Journal of shoulder and elbow surgery. 2017 Jul 1;26(7):e222-6.
Rosas S, Sabeh KG, Buller LT, Law TY, Kalandiak SP, Levy JC. Comorbidity effects on shoulder arthroplasty costs analysis of a nationwide private payer insurance data set. Journal of shoulder and elbow surgery. 2017 Jul 1;26(7):e216-21.
Francis T, Washington T, Srivastava K, Moutzouros V, Makhni EC, Hakeos W. Societal costs in displaced transverse olecranon fractures: using decision analysis tools to find the most cost-effective strategy between tension band wiring and locked plating. Journal of shoulder and elbow surgery. 2017 Nov 1;26(11):1995-2003.
Gyftopoulos S, Guja KE, Subhas N, Virk MS, Gold HT. Cost-effectiveness of magnetic resonance imaging versus ultrasound for the detection of symptomatic full-thickness supraspinatus tendon tears. Journal of shoulder and elbow surgery. 2017 Dec 1;26(12):2067-77.
Tashjian RZ, Belisle J, Baran S, Granger EK, Nelson RE, Burks RT, Greis PE. Factors influencing direct clinical costs of outpatient arthroscopic rotator cuff repair surgery. Journal of shoulder and elbow surgery. 2018 Feb 1;27(2):237-41.
Odum SM, Hamid N, Van Doren BA, Spector LR. Is there value in retrospective 90-day bundle payment models for shoulder arthroplasty procedures?. Journal of shoulder and elbow surgery. 2018 May 1;27(5):e149-54.
Min K, Fedorka C, Solberg MJ, Shaha SH, Higgins LD. The cost-effectiveness of the arthroscopic Bankart versus open Latarjet in the treatment of primary shoulder instability. Journal of shoulder and elbow surgery. 2018 Jun 1;27(6):S2-9.
Southam BR, Crawford Z, Grawe BM. Patient Perceptions of Surgeon Reimbursement for Rotator Cuff Repair. Orthopaedic journal of sports medicine. 2018 Sep 12;6(9):2325967118795712.
Thompson KM, Smith RA, Brolin TJ, Azar FM, Throckmorton TW. Liposomal bupivacaine mixture has similar pain relief and significantly fewer complications at less cost compared with indwelling interscalene catheter in total elbow arthroplasty. Journal of shoulder and elbow surgery. 2018 Dec 1;27(12):2257-61.
Federer AE, Mather III RC, Ramsey ML, Garrigues GE. Cost-effectiveness analysis of total elbow arthroplasty versus open reduction–internal fixation for distal humeral fractures. Journal of shoulder and elbow surgery. 2019 Jan 1;28(1):102-11.
Padegimas EM, Hendy BA, Chan WW, Lawrence C, Cox RM, Namdari S, Lazarus MD, Williams GR, Ramsey ML, Horneff JG. The effect of an orthopedic specialty hospital on operating room efficiency in shoulder arthroplasty. Journal of shoulder and elbow surgery. 2019 Jan 1;28(1):15-21.
Berglund DD, Law TY, Rosas S, Kurowicki J, Giveans MR, Mijic D, Levy JC. The procedure value index: a new method for quantifying value in shoulder arthroplasty. Journal of shoulder and elbow surgery. 2019 Feb 1;28(2):335-40.
Berglund DD, Mijic D, yee Law T, Kurowicki J, Rosas S, Levy JC. Value comparison of humeral component press-fit and cemented techniques in reverse shoulder arthroplasty. Journal of shoulder and elbow surgery. 2019 Mar 1;28(3):496-502.
Flury M, Grobet C, Eichler K, Meier F, Wieser S, Audigé L. Is it worth repairing rotator cuff tears? A prospective cost-utility analysis using real world data. Journal of Shoulder and Elbow Surgery. 2019 Jun 1;28(6):e210-1.
Gregory JM, Wetzig AM, Wayne CD, Bailey L, Warth RJ. Quantification of patient-level costs in outpatient total shoulder arthroplasty. Journal of shoulder and elbow surgery. 2019 Jun 1;28(6):1066-73.
Charles MD, Cvetanovich G, Sumner-Parilla S, Nicholson GP, Verma N, Romeo AA. Outpatient shoulder arthroplasty: outcomes, complications, and readmissions in 2 outpatient settings. Journal of shoulder and elbow surgery. 2019 Jun 1;28(6):S118-23.
Sahoo S, Mohr J, Strnad GJ, Vega J, Jones M, Schickendantz MS, Farrow L, Spindler KP, Iannotti JP, Ricchetti ET, Derwin KA. Validity and efficiency of a smartphone-based electronic data collection tool for operative data in rotator cuff repair. Journal of shoulder and elbow surgery. 2019 Jul 1;28(7):1249-56.
Chalmers PN, Kahn T, Broschinsky K, Ross H, Stertz I, Nelson R, Yoo M, Tashjian RZ. An analysis of costs associated with shoulder arthroplasty. Journal of shoulder and elbow surgery. 2019 Jul 1;28(7):1334-40.
Li L, Bokshan SL, Ready LV, Owens BD. The primary cost drivers of arthroscopic rotator cuff repair surgery: a cost-minimization analysis of 40,618 cases. Journal of shoulder and elbow surgery. 2019 Oct 1;28(10):1977-82.
Jamgochian G, Abboud J, Churchill R, Garrigues G, Brockmeier S, Bauer T, Nagda S. The value of shoulder replacement and rotator cuff surgery: the patients’ perspective. Journal of shoulder and elbow surgery. 2019 Oct 1;28(10):e339-43.
Abdelrahman AA, Ibrahim A, Abdelghaffar K, Ghandour TM, Eldib D. Open versus modified arthroscopic treatment of acute acromioclavicular dislocation using a single tight rope: Randomized comparative study of clinical outcome and cost-effectiveness. Journal of shoulder and elbow surgery. 2019 Nov 1;28(11):2090-7.
Cortes A, Quinlan NJ, Nazal MR, Upadhyaya S, Alpaugh K, Martin SD. A value-based care analysis of magnetic resonance imaging in patients with suspected rotator cuff tendinopathy and the implicated role of conservative management. Journal of shoulder and elbow surgery. 2019 Nov 1;28(11):2153-60.
Sørensen AK, Hammeken LH, Qvist AH, Jensen SL, Ehlers LH. Operative treatment of displaced midshaft clavicular fractures is not cost-effective. Journal of shoulder and elbow surgery. 2020 Jan 1;29(1):27-35.
Meldau JE, Srivastava K, Okoroha KR, Ahmad CS, Moutzouros V, Makhni EC. Cost analysis of Tommy John surgery for Major League Baseball teams. Journal of shoulder and elbow surgery. 2020 Jan 1;29(1):121-5.
Johnson J, Pinto M, Brabston E, Momaya A, Huntley S, He JK, McGwin G, Phipatanakul W, Tokish J, Ponce BA. Attitudes and awareness of suture anchor cost: a survey of shoulder surgeons performing rotator cuff repairs. Journal of shoulder and elbow surgery. 2020 Mar 1;29(3):643-53.
Somerson JS, Comley MC, Mansi A, Neradilek MB, Matsen III FA. Industry payments to authors of Journal of shoulder and elbow surgery shoulder arthroplasty manuscripts are accurately disclosed by most authors and are not significantly associated with better reported treatment outcomes. Journal of shoulder and elbow surgery. 2020 Apr 1;29(4):667-73.
Feller R, Illing D, Allen C, Presson A, Tyser A, Kazmers N. Evaluation of factors influencing surgical treatment costs for distal biceps rupture. Journal of shoulder and elbow surgery. 2020 Jun 1;29(6):e229-37.
Kennon JC, Songy CE, Marigi E, Visscher SL, Larson DR, Borah BJ, Schleck CD, Cofield RH, Sanchez-Sotelo J, Sperling JW. Cost analysis and complication profile of primary shoulder arthroplasty at a high-volume institution. Journal of shoulder and elbow surgery. 2020 Jul 1;29(7):1337-45.
Cortes A, Quinlan NJ, Nazal MR, Upadhyaya S, Alpaugh K, Martin SD. A value-based care analysis of magnetic resonance imaging in patients with suspected rotator cuff tendinopathy and the implicated role of conservative management. Journal of shoulder and elbow surgery. 2019 Nov 1;28(11):2153-60.26:26A2824:40
Menendez ME, Moverman MA, Puzzitiello RN, Pagani NR, Namdari S. A break-even analysis of benzoyl peroxide and hydrogen peroxide for infection prevention in shoulder arthroplasty. Journal of Shoulder and Elbow Surgery. 2020 Nov 1;29(11):2185-9.
Karnuta JM, Churchill JL, Haeberle HS, Nwachukwu BU, Taylor SA, Ricchetti ET, Ramkumar PN. The value of artificial neural networks for predicting length of stay, discharge disposition, and inpatient costs after anatomic and reverse shoulder arthroplasty. Journal of Shoulder and Elbow Surgery. 2020 Nov 1;29(11):2385-94.
DeFroda SF, Li L, Milner J, Bokshan SL, Owens BD. Cost comparison of arthroscopic rotator cuff repair with arthroscopic vs. open biceps tenodesis. Journal of shoulder and elbow surgery. 2021 Feb 1;30(2):340-5.
Sandler AB, Scanaliato JP, Narimissaei D, McDaniel LE, Dunn JC, Parnes N. The Transition to Outpatient Shoulder Arthroplasty: A Systematic Review. J Shoulder Elbow Surg. 2022 Mar 9:S1058-2746(22)00272-5. doi: 10.1016/j.jse.2022.01.154.
S&E Journal
Wagner ER, Ransom JE, Kremers HM, Morrey M, Sanchez-Sotelo J. Comparison of the hospital costs for two-stage reimplantation for deep infection, single-stage revision and primary total elbow arthroplasty. Shoulder & Elbow. 2017;9(4):279-284. doi:10.1177/1758573217706364
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American Journal of Sports Medicine
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Arthroscopy
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Makhni, Eric C., et al. "Cost-effectiveness of reverse total shoulder arthroplasty versus arthroscopic rotator cuff repair for symptomatic large and massive rotator cuff tears." Arthroscopy: The Journal of Arthroscopic & Related Surgery 32.9 (2016): 1771-1780.
Samuelson, Eric M., Susan M. Odum, and James E. Fleischli. "The cost-effectiveness of using platelet-rich plasma during rotator cuff repair: a Markov model analysis." Arthroscopy: The Journal of Arthroscopic & Related Surgery 32.7 (2016): 1237-1244.
Dornan, Grant J., et al. "Cost-effectiveness of arthroscopic rotator cuff repair versus reverse total shoulder arthroplasty for the treatment of massive rotator cuff tears in patients with pseudoparalysis and nonarthritic shoulders." Arthroscopy: The Journal of Arthroscopic & Related Surgery 33.4 (2017): 716-725.
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Qin, Charles, et al. "Orthopaedic shoulder surgery in the ambulatory surgical center: safety and outcomes." Arthroscopy: The Journal of Arthroscopic & Related Surgery 35.9 (2019): 2545-2550.
Sabesan, Vani J., et al. "Factors affecting the cost and profitability of arthroscopic rotator cuff repair." Arthroscopy: The Journal of Arthroscopic & Related Surgery 35.1 (2019): 38-42.
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