Arthroscopic Versus Open Bankart Repair: Analysis of Patient Subjective Outcome and Cost
Purpose: Although the comparative efficacy of open and arthroscopic Bankart repair remains a matter of debate, little data exist on relative costs. We analyzed the patient outcomes, cost, and resource utilization of both procedures to determine if differences exist between open versus arthroscopic B...
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| Veröffentlicht in: | Arthroscopy 2005-10, Vol.21 (10), p.1219-1222 |
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| creator | Wang, Conrad Ghalambor, Navid Zarins, Bertram Warner, Jon J.P. |
| description | Purpose: Although the comparative efficacy of open and arthroscopic Bankart repair remains a matter of debate, little data exist on relative costs. We analyzed the patient outcomes, cost, and resource utilization of both procedures to determine if differences exist between open versus arthroscopic Bankart repair.
Type of Study: Retrospective case-control study.
Methods: We compared 22 patients who had open Bankart repair with 20 patients who had arthroscopic Bankart repair. Total operating times and all charges were obtained from records. Patients were evaluated using the American Shoulder and Elbow Surgeons (ASES) shoulder score, and any recurrence of dislocation was noted at minimum 24-month follow-up.
Results: For arthroscopic Bankart repairs, operating times were shorter, but operating room equipment charges were greater. Overall charges were greater for open repairs as all open repair patients were admitted postoperatively. ASES shoulder scores were not significantly different between treatment groups. Four of 17 evaluable patients with open Bankart repair (including 1 shoulder in a patient who underwent bilateral repairs) had recurrent dislocation. One of the 18 evaluable patients with arthroscopic Bankart repair had recurrent dislocation.
Conclusions: Arthroscopic Bankart repair as same-day surgery has lower overall charges than open repair, although this difference would be negligible if all patients went home immediately after surgery.
Level of Evidence: Level III, therapeutic, retrospective cohort study. |
| doi_str_mv | 10.1016/j.arthro.2005.07.004 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68693119</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0749806305010911</els_id><sourcerecordid>68693119</sourcerecordid><originalsourceid>FETCH-LOGICAL-c390t-d29b804163fc28e1b904ac8a8ca6b0ba9f02f482ab0fb0b3359a50a016d8e8c73</originalsourceid><addsrcrecordid>eNp9kE1r3DAQhkVoSTZp_kEpurQ3uyPJluUeCtulSQqBLf0iNzGWx1Rbr-1KdiD_vkp2IbeehoFn3pl5GHstIBcg9PtdjmH-HcZcApQ5VDlAccJWopQ6U1KJF2wFVVFnBrQ6Y-cx7gBAKaNO2ZnQUmpdwordrZ9Cohsn7_gvCnGJfDvRwD_h8Cdt4N9oQh8-8PWA_UP0kY8d_4qzp2Hm35dmR27298S3y-zGPXEcWr4Z4_yKveywj3R5rBfs59XnH5ub7HZ7_WWzvs2cqmHOWlk3BgqhVeekIdHUUKAzaBzqBhqsO5BdYSQ20KVeqbLGEjAJaA0ZV6kL9u6QO4Xx70JxtnsfHfU9DjQu0WqjayVEncDiALr0bgzU2Sn4PYYHK8A-GrU7ezBqH41aqGwymsbeHPOXZk_t89BRYQLeHgGMDvsu4OB8fOYqqaB82v_xwFGyce8p2OiSREetD8mhbUf__0v-AWq_lmk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68693119</pqid></control><display><type>article</type><title>Arthroscopic Versus Open Bankart Repair: Analysis of Patient Subjective Outcome and Cost</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Wang, Conrad ; Ghalambor, Navid ; Zarins, Bertram ; Warner, Jon J.P.</creator><creatorcontrib>Wang, Conrad ; Ghalambor, Navid ; Zarins, Bertram ; Warner, Jon J.P.</creatorcontrib><description>Purpose: Although the comparative efficacy of open and arthroscopic Bankart repair remains a matter of debate, little data exist on relative costs. We analyzed the patient outcomes, cost, and resource utilization of both procedures to determine if differences exist between open versus arthroscopic Bankart repair.
Type of Study: Retrospective case-control study.
Methods: We compared 22 patients who had open Bankart repair with 20 patients who had arthroscopic Bankart repair. Total operating times and all charges were obtained from records. Patients were evaluated using the American Shoulder and Elbow Surgeons (ASES) shoulder score, and any recurrence of dislocation was noted at minimum 24-month follow-up.
Results: For arthroscopic Bankart repairs, operating times were shorter, but operating room equipment charges were greater. Overall charges were greater for open repairs as all open repair patients were admitted postoperatively. ASES shoulder scores were not significantly different between treatment groups. Four of 17 evaluable patients with open Bankart repair (including 1 shoulder in a patient who underwent bilateral repairs) had recurrent dislocation. One of the 18 evaluable patients with arthroscopic Bankart repair had recurrent dislocation.
Conclusions: Arthroscopic Bankart repair as same-day surgery has lower overall charges than open repair, although this difference would be negligible if all patients went home immediately after surgery.
Level of Evidence: Level III, therapeutic, retrospective cohort study.</description><identifier>ISSN: 0749-8063</identifier><identifier>EISSN: 1526-3231</identifier><identifier>DOI: 10.1016/j.arthro.2005.07.004</identifier><identifier>PMID: 16226650</identifier><identifier>CODEN: ARTHE3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Ambulatory Surgical Procedures - economics ; Ambulatory Surgical Procedures - methods ; Ambulatory Surgical Procedures - psychology ; Ambulatory Surgical Procedures - statistics & numerical data ; Anesthesia - economics ; Anesthesia - methods ; Arthroscopic repair ; Arthroscopy ; Arthroscopy - economics ; Arthroscopy - methods ; Arthroscopy - psychology ; Arthroscopy - statistics & numerical data ; Biological and medical sciences ; Cost analysis ; Endoscopy ; Female ; Fibrocartilage - injuries ; Fibrocartilage - surgery ; Hospital Costs ; Hospitals, Teaching - economics ; Humans ; Intraoperative Period ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Middle Aged ; Operating Rooms - economics ; Orthopedic Procedures - economics ; Orthopedic Procedures - methods ; Orthopedic Procedures - psychology ; Orthopedic Procedures - statistics & numerical data ; Outcomes ; Patient Satisfaction ; Postoperative Complications - epidemiology ; Recurrence ; Retrospective Studies ; Shoulder Dislocation - epidemiology ; Shoulder instability ; Shoulder Joint - surgery ; Treatment Outcome</subject><ispartof>Arthroscopy, 2005-10, Vol.21 (10), p.1219-1222</ispartof><rights>2005 Arthroscopy Association of North America</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-d29b804163fc28e1b904ac8a8ca6b0ba9f02f482ab0fb0b3359a50a016d8e8c73</citedby><cites>FETCH-LOGICAL-c390t-d29b804163fc28e1b904ac8a8ca6b0ba9f02f482ab0fb0b3359a50a016d8e8c73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arthro.2005.07.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17230519$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16226650$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Conrad</creatorcontrib><creatorcontrib>Ghalambor, Navid</creatorcontrib><creatorcontrib>Zarins, Bertram</creatorcontrib><creatorcontrib>Warner, Jon J.P.</creatorcontrib><title>Arthroscopic Versus Open Bankart Repair: Analysis of Patient Subjective Outcome and Cost</title><title>Arthroscopy</title><addtitle>Arthroscopy</addtitle><description>Purpose: Although the comparative efficacy of open and arthroscopic Bankart repair remains a matter of debate, little data exist on relative costs. We analyzed the patient outcomes, cost, and resource utilization of both procedures to determine if differences exist between open versus arthroscopic Bankart repair.
Type of Study: Retrospective case-control study.
Methods: We compared 22 patients who had open Bankart repair with 20 patients who had arthroscopic Bankart repair. Total operating times and all charges were obtained from records. Patients were evaluated using the American Shoulder and Elbow Surgeons (ASES) shoulder score, and any recurrence of dislocation was noted at minimum 24-month follow-up.
Results: For arthroscopic Bankart repairs, operating times were shorter, but operating room equipment charges were greater. Overall charges were greater for open repairs as all open repair patients were admitted postoperatively. ASES shoulder scores were not significantly different between treatment groups. Four of 17 evaluable patients with open Bankart repair (including 1 shoulder in a patient who underwent bilateral repairs) had recurrent dislocation. One of the 18 evaluable patients with arthroscopic Bankart repair had recurrent dislocation.
Conclusions: Arthroscopic Bankart repair as same-day surgery has lower overall charges than open repair, although this difference would be negligible if all patients went home immediately after surgery.
Level of Evidence: Level III, therapeutic, retrospective cohort study.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Ambulatory Surgical Procedures - economics</subject><subject>Ambulatory Surgical Procedures - methods</subject><subject>Ambulatory Surgical Procedures - psychology</subject><subject>Ambulatory Surgical Procedures - statistics & numerical data</subject><subject>Anesthesia - economics</subject><subject>Anesthesia - methods</subject><subject>Arthroscopic repair</subject><subject>Arthroscopy</subject><subject>Arthroscopy - economics</subject><subject>Arthroscopy - methods</subject><subject>Arthroscopy - psychology</subject><subject>Arthroscopy - statistics & numerical data</subject><subject>Biological and medical sciences</subject><subject>Cost analysis</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Fibrocartilage - injuries</subject><subject>Fibrocartilage - surgery</subject><subject>Hospital Costs</subject><subject>Hospitals, Teaching - economics</subject><subject>Humans</subject><subject>Intraoperative Period</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Operating Rooms - economics</subject><subject>Orthopedic Procedures - economics</subject><subject>Orthopedic Procedures - methods</subject><subject>Orthopedic Procedures - psychology</subject><subject>Orthopedic Procedures - statistics & numerical data</subject><subject>Outcomes</subject><subject>Patient Satisfaction</subject><subject>Postoperative Complications - epidemiology</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Shoulder Dislocation - epidemiology</subject><subject>Shoulder instability</subject><subject>Shoulder Joint - surgery</subject><subject>Treatment Outcome</subject><issn>0749-8063</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1r3DAQhkVoSTZp_kEpurQ3uyPJluUeCtulSQqBLf0iNzGWx1Rbr-1KdiD_vkp2IbeehoFn3pl5GHstIBcg9PtdjmH-HcZcApQ5VDlAccJWopQ6U1KJF2wFVVFnBrQ6Y-cx7gBAKaNO2ZnQUmpdwordrZ9Cohsn7_gvCnGJfDvRwD_h8Cdt4N9oQh8-8PWA_UP0kY8d_4qzp2Hm35dmR27298S3y-zGPXEcWr4Z4_yKveywj3R5rBfs59XnH5ub7HZ7_WWzvs2cqmHOWlk3BgqhVeekIdHUUKAzaBzqBhqsO5BdYSQ20KVeqbLGEjAJaA0ZV6kL9u6QO4Xx70JxtnsfHfU9DjQu0WqjayVEncDiALr0bgzU2Sn4PYYHK8A-GrU7ezBqH41aqGwymsbeHPOXZk_t89BRYQLeHgGMDvsu4OB8fOYqqaB82v_xwFGyce8p2OiSREetD8mhbUf__0v-AWq_lmk</recordid><startdate>20051001</startdate><enddate>20051001</enddate><creator>Wang, Conrad</creator><creator>Ghalambor, Navid</creator><creator>Zarins, Bertram</creator><creator>Warner, Jon J.P.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051001</creationdate><title>Arthroscopic Versus Open Bankart Repair: Analysis of Patient Subjective Outcome and Cost</title><author>Wang, Conrad ; Ghalambor, Navid ; Zarins, Bertram ; Warner, Jon J.P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-d29b804163fc28e1b904ac8a8ca6b0ba9f02f482ab0fb0b3359a50a016d8e8c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Ambulatory Surgical Procedures - economics</topic><topic>Ambulatory Surgical Procedures - methods</topic><topic>Ambulatory Surgical Procedures - psychology</topic><topic>Ambulatory Surgical Procedures - statistics & numerical data</topic><topic>Anesthesia - economics</topic><topic>Anesthesia - methods</topic><topic>Arthroscopic repair</topic><topic>Arthroscopy</topic><topic>Arthroscopy - economics</topic><topic>Arthroscopy - methods</topic><topic>Arthroscopy - psychology</topic><topic>Arthroscopy - statistics & numerical data</topic><topic>Biological and medical sciences</topic><topic>Cost analysis</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Fibrocartilage - injuries</topic><topic>Fibrocartilage - surgery</topic><topic>Hospital Costs</topic><topic>Hospitals, Teaching - economics</topic><topic>Humans</topic><topic>Intraoperative Period</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Operating Rooms - economics</topic><topic>Orthopedic Procedures - economics</topic><topic>Orthopedic Procedures - methods</topic><topic>Orthopedic Procedures - psychology</topic><topic>Orthopedic Procedures - statistics & numerical data</topic><topic>Outcomes</topic><topic>Patient Satisfaction</topic><topic>Postoperative Complications - epidemiology</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Shoulder Dislocation - epidemiology</topic><topic>Shoulder instability</topic><topic>Shoulder Joint - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Conrad</creatorcontrib><creatorcontrib>Ghalambor, Navid</creatorcontrib><creatorcontrib>Zarins, Bertram</creatorcontrib><creatorcontrib>Warner, Jon J.P.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Conrad</au><au>Ghalambor, Navid</au><au>Zarins, Bertram</au><au>Warner, Jon J.P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arthroscopic Versus Open Bankart Repair: Analysis of Patient Subjective Outcome and Cost</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2005-10-01</date><risdate>2005</risdate><volume>21</volume><issue>10</issue><spage>1219</spage><epage>1222</epage><pages>1219-1222</pages><issn>0749-8063</issn><eissn>1526-3231</eissn><coden>ARTHE3</coden><abstract>Purpose: Although the comparative efficacy of open and arthroscopic Bankart repair remains a matter of debate, little data exist on relative costs. We analyzed the patient outcomes, cost, and resource utilization of both procedures to determine if differences exist between open versus arthroscopic Bankart repair.
Type of Study: Retrospective case-control study.
Methods: We compared 22 patients who had open Bankart repair with 20 patients who had arthroscopic Bankart repair. Total operating times and all charges were obtained from records. Patients were evaluated using the American Shoulder and Elbow Surgeons (ASES) shoulder score, and any recurrence of dislocation was noted at minimum 24-month follow-up.
Results: For arthroscopic Bankart repairs, operating times were shorter, but operating room equipment charges were greater. Overall charges were greater for open repairs as all open repair patients were admitted postoperatively. ASES shoulder scores were not significantly different between treatment groups. Four of 17 evaluable patients with open Bankart repair (including 1 shoulder in a patient who underwent bilateral repairs) had recurrent dislocation. One of the 18 evaluable patients with arthroscopic Bankart repair had recurrent dislocation.
Conclusions: Arthroscopic Bankart repair as same-day surgery has lower overall charges than open repair, although this difference would be negligible if all patients went home immediately after surgery.
Level of Evidence: Level III, therapeutic, retrospective cohort study.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>16226650</pmid><doi>10.1016/j.arthro.2005.07.004</doi><tpages>4</tpages></addata></record> |
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| ispartof | Arthroscopy, 2005-10, Vol.21 (10), p.1219-1222 |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adolescent Adult Ambulatory Surgical Procedures - economics Ambulatory Surgical Procedures - methods Ambulatory Surgical Procedures - psychology Ambulatory Surgical Procedures - statistics & numerical data Anesthesia - economics Anesthesia - methods Arthroscopic repair Arthroscopy Arthroscopy - economics Arthroscopy - methods Arthroscopy - psychology Arthroscopy - statistics & numerical data Biological and medical sciences Cost analysis Endoscopy Female Fibrocartilage - injuries Fibrocartilage - surgery Hospital Costs Hospitals, Teaching - economics Humans Intraoperative Period Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Operating Rooms - economics Orthopedic Procedures - economics Orthopedic Procedures - methods Orthopedic Procedures - psychology Orthopedic Procedures - statistics & numerical data Outcomes Patient Satisfaction Postoperative Complications - epidemiology Recurrence Retrospective Studies Shoulder Dislocation - epidemiology Shoulder instability Shoulder Joint - surgery Treatment Outcome |
| title | Arthroscopic Versus Open Bankart Repair: Analysis of Patient Subjective Outcome and Cost |
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