The Cost of Superior Capsular Reconstruction is Understudied: A Scoping Review
DOI:
https://doi.org/10.55576/job.v3i1.30Keywords:
shoulder, rotator cuff, cost analysis, irreparable rotator cuff tear, superior capsular reconstructionAbstract
Background. Irreparable rotator cuff tears are challenging to treat; however, there are multiple options available for surgical management. In recent years, superior capsular reconstruction (SCR) has emerged as a promising option.
Materials/Methods. A scoping review of studies reporting costs associated with SCR was performed. An initial search yielded 94 studies for screening, of which two studies were eligible for inclusion.
Results. Estimated costs ranged from $5,642 to $20,837 US dollars (USD). The average cost estimate for SCR was ultimately determined to be $16,330.56 with adjustments for inflation.
Conclusions. There is extremely limited data regarding the current cost of SCR. Regardless, much of the cost associated with the procedure appears to be driven by the costs of intraoperative factors including implants, specifically human dermal allograft and anchors, as well as operative time. Future research identifying specific costs pertinent to SCR will be invaluable in determining the role of this procedure in treating IRCTs as well as how to maximize cost-effectiveness in general.
References
Bisson L, Zivaljevic N, Sanders S, Pula D. A cost analysis of single-row versus double row and suture bridge rotator cuff repair methods. Knee Surg Sports Traumatol Arthrosc. 2015 Feb;23(2):487-493. Epub 2012 Dec 12.
Camp CL, Elhassan B, Dines JS. Clinical Faceoff: Irreparable Rotator Cuff Tears in Young, Active Patients: Tendon Transfer versus Superior Capsular Reconstruction? Clin Orthop Relat Res. 2018;476(12):2313-2317.
Castagna A, Garofalo R, Maman E, Gray AC, Brooks EA. Comparative cost-effectiveness analysis of the subacromial spacer for irreparable and massive rotator cuff tears. Int Orthop 2019;43:395-403.
Cheppalli NS, Purudappa PP, Metikala S, et al. Superior Capsular Reconstruction Using the Biceps Tendon in the Treatment of Irreparable Massive Rotator Cuff Tears Improves Patient-Reported Outcome Scores: A Systematic Review. Arthrosc Sports Med Rehabil. 2022;4(3):e1235-e1243. Published 2022 May 23.
Childs B, Breslin M, Swetz A, Nguyen M, Simske N, Whiting P, Vasireddy V et al. Use, refine, repeat: Implementation of a mobile application for patient education. J Orthop Business. 2022;2(3):12–17.
Cognetti D, Handcox J, Anderson K, Aden J, Hurley R. The economic process behind surgical innovation: Changes in coding and compensation correlate with increased minimally invasive sacroiliac joint fusion in the National Surgical Quality Improvement Program (NSQIP) database. J Orthop Business. 2022;2(4):5–9.
Galvin J, Kenney R, Curry E, et al. Superior Capsular Reconstruction for Massive Rotator Cuff Tears. JBJS Reviews. 2019;7(6):e1-e1.
Gavalas A, Perry C, Tihista M, Adler A, Purcell R, Polmear M. Geriatric distal femur fracture management protocols: A review and evidence-based template. J Orthop Business. 2022:2(4);14–23.
Kang JR, Sin AT, Cheung EV. Treatment of massive irreparable rotator cuff tears: a cost-effectiveness analysis. Orthopedics 2017;40:e65-76. https://doi.org/10.3928/01477447-20160926-06
Kucirek NK, Hung NJ, Wong SE. Treatment options for fassive irreparable rotator cuff tears. Curr Rev Musculoskelet Med. 2021;14(5):304-315.
Marigi EM, Johnson QJ, Dholakia R, Borah BJ, Sanchez-Sotelo J, Sperling JW. Cost comparison and complication profiles of superior capsular reconstruction, lower trapezius transfer, and reverse shoulder arthroplasty for irreparable rotator cuff tears. J Shoulder Elbow Surg. 2022;31(4):847-854.
McGovern M, Bassett A. Superior capsular reconstruction for management of massive irreparable rotator cuff tears: current concepts. Curr Orthop Prac. 2022;33(1):1-6.
Mihata T, McGarry MH, Pirolo JM, Kinoshita M, Lee TQ. Superior capsule reconstruction to restore superior stability in irreparable rotator cuff tears: a biomechanical cadaveric study. Am J Sports Med. 2012;40(10):2248-55.
Nicholson T, Polmear M, VanTienderen R, Adler A, Blair, J. Cost of orthopaedic injuries sustained during unsanctioned crossings of the U.S.-Mexico border treated at a single level 1 trauma center. J Orthop Business. 2022:2(3):5–11.
Perry C, Rossettie S, Hayward D, Folsom A, Jacobson A, Adler A, Polmear M. Medical Management of common comorbidities in elderly patients with proximal femur fractures: Review and evidence based note template. J Orthop Business. 2022: 2(2);19–36.
Wells M, Klahs K, Polmear M, Nesti L, Dunn, J. Free-vascularized bone grafts for scaphoid non-unions viable as outpatient procedure? No 30-day complications in NSQIP data. Journal of Orthopaedic Business. 2021:1(2);5–8.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Journal of Orthopaedic Business
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.