United States Trends in Medial Ulnar Collateral Ligament Reconstruction: A retrospective Review of a Large Private-Payer Database from 2007 to 2011
Objectives: Purpose: Overuse injuries to the elbow in the throwing athlete are common. Ulnar collateral ligament reconstruction (UCLR), commonly known as Tommy John surgery, is performed on both recreational and high-level athletes. There is no current literature regarding the incidence and demograp...
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| Veröffentlicht in: | Orthopaedic journal of sports medicine 2015-07, Vol.3 (7_suppl2) |
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| creator | Erickson, Brandon J. Nwachukwu, Benedict U. Rosas, Sam Schairer, William W. McCormick, Francis Bach, Bernard R. Bush-Joseph, Charles A. Romeo, Anthony A. |
| description | Objectives:
Purpose: Overuse injuries to the elbow in the throwing athlete are common. Ulnar collateral ligament reconstruction (UCLR), commonly known as Tommy John surgery, is performed on both recreational and high-level athletes. There is no current literature regarding the incidence and demographic distribution of this surgical procedure in relation to age, location within the Unites States (U.S.), and gender. The purpose of this study is to determine the current demographic distribution of UCLR within the U.S.
Methods:
Methods: A retrospective analysis of private payer database using the PearlDiver Supercomputer (Warsaw, IN) was performed to identify UCLR procedures performed between the years of 2007-2011. The Current Procedural Code (CPT) 24346 (reconstruction of the ulnar collateral ligament of the elbow with the use of a tendinous graft) was used. Statistical analysis was performed as appropriate using STATA (Version 12.1; Statacorp; College Station, TX, USA).
Results:
Results: Between 2007-2011, 790 patients underwent UCLR. The overall average annual incidence was 2.16+/- 0.27 per 100,000 patients, but was 31.9 +/-3.9 for patients aged 15-19. The average annual growth was 5.72%. There were 695 males and 95 females. Fifteen to 19 year olds accounted for significantly more procedures than any other age group 56.8% (p |
| doi_str_mv | 10.1177/2325967115S00092 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4901649</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2325967115S00092</sage_id><sourcerecordid>2343024589</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2742-56ff64338529c945d312c938b6d938d4797fd36adad03ca1d935b36630ce9eb63</originalsourceid><addsrcrecordid>eNp1UU1vEzEQXSGQqErvHEfivOCPXW_MAakKFJCCqGhztmbt2eBqYwfbCerv4A_jKBVfEheP9d6bN19N85yzl5wPwyshRa_VwHl_wxjT4lFzdoTaI_b4j__T5iLnuyphi55rOZw1P9bBF3JwU7BQhttEwWXwAT6R8zjDeg6YYBnnufKpAiu_wS2FAl_IxpBL2tviY3gNl5CopJh3VIEDVf7g6TvECRBWmDYE18kfqkt7jfeU4C0WHDETTCluQTA2QIk1cv6seTLhnOniIZ4366t3t8sP7erz-4_Ly1VrxdCJtlfTpDopF73QVne9k1xYLRejcvV13aCHyUmFDh2TFnlF-1EqJZklTaOS582bk-9uP27J2TpVndDskt9iujcRvfmbCf6r2cSD6TTjqtPV4MWDQYrf9pSLuYv7FGrPRshOMtH1i6OKnVS2bicnmn5V4Mwcz2f-PV9NaU8pGTf02_S_-p8YOJpS</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2343024589</pqid></control><display><type>article</type><title>United States Trends in Medial Ulnar Collateral Ligament Reconstruction: A retrospective Review of a Large Private-Payer Database from 2007 to 2011</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Erickson, Brandon J. ; Nwachukwu, Benedict U. ; Rosas, Sam ; Schairer, William W. ; McCormick, Francis ; Bach, Bernard R. ; Bush-Joseph, Charles A. ; Romeo, Anthony A.</creator><creatorcontrib>Erickson, Brandon J. ; Nwachukwu, Benedict U. ; Rosas, Sam ; Schairer, William W. ; McCormick, Francis ; Bach, Bernard R. ; Bush-Joseph, Charles A. ; Romeo, Anthony A.</creatorcontrib><description>Objectives:
Purpose: Overuse injuries to the elbow in the throwing athlete are common. Ulnar collateral ligament reconstruction (UCLR), commonly known as Tommy John surgery, is performed on both recreational and high-level athletes. There is no current literature regarding the incidence and demographic distribution of this surgical procedure in relation to age, location within the Unites States (U.S.), and gender. The purpose of this study is to determine the current demographic distribution of UCLR within the U.S.
Methods:
Methods: A retrospective analysis of private payer database using the PearlDiver Supercomputer (Warsaw, IN) was performed to identify UCLR procedures performed between the years of 2007-2011. The Current Procedural Code (CPT) 24346 (reconstruction of the ulnar collateral ligament of the elbow with the use of a tendinous graft) was used. Statistical analysis was performed as appropriate using STATA (Version 12.1; Statacorp; College Station, TX, USA).
Results:
Results: Between 2007-2011, 790 patients underwent UCLR. The overall average annual incidence was 2.16+/- 0.27 per 100,000 patients, but was 31.9 +/-3.9 for patients aged 15-19. The average annual growth was 5.72%. There were 695 males and 95 females. Fifteen to 19 year olds accounted for significantly more procedures than any other age group 56.8% (p<0.001), followed by 20 to 24 year olds 23.4%. The incidence of UCLR in the 15-19 year old group increased at an average rate of 6% per year (incidence rate ratio = 1.06, p=0.025). The south region performed significantly more UCLR than any other region p<0.001. The number of procedures significantly increased over time (p=0.039).
Conclusion:
Conclusion: UCLR was performed significantly more in patients aged 15-19 than any other age group. The average annual incidence of UCLR per 100,000 people for patients aged 15-19 is 31.9. The number of UCLR is increasing over time. Further work should address risk-reduction efforts in this at-risk population.</description><identifier>ISSN: 2325-9671</identifier><identifier>EISSN: 2325-9671</identifier><identifier>DOI: 10.1177/2325967115S00092</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Elbow ; Ligaments ; Orthopedics ; Sports medicine</subject><ispartof>Orthopaedic journal of sports medicine, 2015-07, Vol.3 (7_suppl2)</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License http://creativecommons.org/licenses/by-nc-nd/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2015 2015 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4901649/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4901649/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,21966,27853,27924,27925,44945,45333,53791,53793</link.rule.ids></links><search><creatorcontrib>Erickson, Brandon J.</creatorcontrib><creatorcontrib>Nwachukwu, Benedict U.</creatorcontrib><creatorcontrib>Rosas, Sam</creatorcontrib><creatorcontrib>Schairer, William W.</creatorcontrib><creatorcontrib>McCormick, Francis</creatorcontrib><creatorcontrib>Bach, Bernard R.</creatorcontrib><creatorcontrib>Bush-Joseph, Charles A.</creatorcontrib><creatorcontrib>Romeo, Anthony A.</creatorcontrib><title>United States Trends in Medial Ulnar Collateral Ligament Reconstruction: A retrospective Review of a Large Private-Payer Database from 2007 to 2011</title><title>Orthopaedic journal of sports medicine</title><description>Objectives:
Purpose: Overuse injuries to the elbow in the throwing athlete are common. Ulnar collateral ligament reconstruction (UCLR), commonly known as Tommy John surgery, is performed on both recreational and high-level athletes. There is no current literature regarding the incidence and demographic distribution of this surgical procedure in relation to age, location within the Unites States (U.S.), and gender. The purpose of this study is to determine the current demographic distribution of UCLR within the U.S.
Methods:
Methods: A retrospective analysis of private payer database using the PearlDiver Supercomputer (Warsaw, IN) was performed to identify UCLR procedures performed between the years of 2007-2011. The Current Procedural Code (CPT) 24346 (reconstruction of the ulnar collateral ligament of the elbow with the use of a tendinous graft) was used. Statistical analysis was performed as appropriate using STATA (Version 12.1; Statacorp; College Station, TX, USA).
Results:
Results: Between 2007-2011, 790 patients underwent UCLR. The overall average annual incidence was 2.16+/- 0.27 per 100,000 patients, but was 31.9 +/-3.9 for patients aged 15-19. The average annual growth was 5.72%. There were 695 males and 95 females. Fifteen to 19 year olds accounted for significantly more procedures than any other age group 56.8% (p<0.001), followed by 20 to 24 year olds 23.4%. The incidence of UCLR in the 15-19 year old group increased at an average rate of 6% per year (incidence rate ratio = 1.06, p=0.025). The south region performed significantly more UCLR than any other region p<0.001. The number of procedures significantly increased over time (p=0.039).
Conclusion:
Conclusion: UCLR was performed significantly more in patients aged 15-19 than any other age group. The average annual incidence of UCLR per 100,000 people for patients aged 15-19 is 31.9. The number of UCLR is increasing over time. Further work should address risk-reduction efforts in this at-risk population.</description><subject>Elbow</subject><subject>Ligaments</subject><subject>Orthopedics</subject><subject>Sports medicine</subject><issn>2325-9671</issn><issn>2325-9671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1UU1vEzEQXSGQqErvHEfivOCPXW_MAakKFJCCqGhztmbt2eBqYwfbCerv4A_jKBVfEheP9d6bN19N85yzl5wPwyshRa_VwHl_wxjT4lFzdoTaI_b4j__T5iLnuyphi55rOZw1P9bBF3JwU7BQhttEwWXwAT6R8zjDeg6YYBnnufKpAiu_wS2FAl_IxpBL2tviY3gNl5CopJh3VIEDVf7g6TvECRBWmDYE18kfqkt7jfeU4C0WHDETTCluQTA2QIk1cv6seTLhnOniIZ4366t3t8sP7erz-4_Ly1VrxdCJtlfTpDopF73QVne9k1xYLRejcvV13aCHyUmFDh2TFnlF-1EqJZklTaOS582bk-9uP27J2TpVndDskt9iujcRvfmbCf6r2cSD6TTjqtPV4MWDQYrf9pSLuYv7FGrPRshOMtH1i6OKnVS2bicnmn5V4Mwcz2f-PV9NaU8pGTf02_S_-p8YOJpS</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Erickson, Brandon J.</creator><creator>Nwachukwu, Benedict U.</creator><creator>Rosas, Sam</creator><creator>Schairer, William W.</creator><creator>McCormick, Francis</creator><creator>Bach, Bernard R.</creator><creator>Bush-Joseph, Charles A.</creator><creator>Romeo, Anthony A.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20150701</creationdate><title>United States Trends in Medial Ulnar Collateral Ligament Reconstruction: A retrospective Review of a Large Private-Payer Database from 2007 to 2011</title><author>Erickson, Brandon J. ; Nwachukwu, Benedict U. ; Rosas, Sam ; Schairer, William W. ; McCormick, Francis ; Bach, Bernard R. ; Bush-Joseph, Charles A. ; Romeo, Anthony A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2742-56ff64338529c945d312c938b6d938d4797fd36adad03ca1d935b36630ce9eb63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Elbow</topic><topic>Ligaments</topic><topic>Orthopedics</topic><topic>Sports medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Erickson, Brandon J.</creatorcontrib><creatorcontrib>Nwachukwu, Benedict U.</creatorcontrib><creatorcontrib>Rosas, Sam</creatorcontrib><creatorcontrib>Schairer, William W.</creatorcontrib><creatorcontrib>McCormick, Francis</creatorcontrib><creatorcontrib>Bach, Bernard R.</creatorcontrib><creatorcontrib>Bush-Joseph, Charles A.</creatorcontrib><creatorcontrib>Romeo, Anthony A.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Orthopaedic journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Erickson, Brandon J.</au><au>Nwachukwu, Benedict U.</au><au>Rosas, Sam</au><au>Schairer, William W.</au><au>McCormick, Francis</au><au>Bach, Bernard R.</au><au>Bush-Joseph, Charles A.</au><au>Romeo, Anthony A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>United States Trends in Medial Ulnar Collateral Ligament Reconstruction: A retrospective Review of a Large Private-Payer Database from 2007 to 2011</atitle><jtitle>Orthopaedic journal of sports medicine</jtitle><date>2015-07-01</date><risdate>2015</risdate><volume>3</volume><issue>7_suppl2</issue><issn>2325-9671</issn><eissn>2325-9671</eissn><abstract>Objectives:
Purpose: Overuse injuries to the elbow in the throwing athlete are common. Ulnar collateral ligament reconstruction (UCLR), commonly known as Tommy John surgery, is performed on both recreational and high-level athletes. There is no current literature regarding the incidence and demographic distribution of this surgical procedure in relation to age, location within the Unites States (U.S.), and gender. The purpose of this study is to determine the current demographic distribution of UCLR within the U.S.
Methods:
Methods: A retrospective analysis of private payer database using the PearlDiver Supercomputer (Warsaw, IN) was performed to identify UCLR procedures performed between the years of 2007-2011. The Current Procedural Code (CPT) 24346 (reconstruction of the ulnar collateral ligament of the elbow with the use of a tendinous graft) was used. Statistical analysis was performed as appropriate using STATA (Version 12.1; Statacorp; College Station, TX, USA).
Results:
Results: Between 2007-2011, 790 patients underwent UCLR. The overall average annual incidence was 2.16+/- 0.27 per 100,000 patients, but was 31.9 +/-3.9 for patients aged 15-19. The average annual growth was 5.72%. There were 695 males and 95 females. Fifteen to 19 year olds accounted for significantly more procedures than any other age group 56.8% (p<0.001), followed by 20 to 24 year olds 23.4%. The incidence of UCLR in the 15-19 year old group increased at an average rate of 6% per year (incidence rate ratio = 1.06, p=0.025). The south region performed significantly more UCLR than any other region p<0.001. The number of procedures significantly increased over time (p=0.039).
Conclusion:
Conclusion: UCLR was performed significantly more in patients aged 15-19 than any other age group. The average annual incidence of UCLR per 100,000 people for patients aged 15-19 is 31.9. The number of UCLR is increasing over time. Further work should address risk-reduction efforts in this at-risk population.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/2325967115S00092</doi><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Elbow Ligaments Orthopedics Sports medicine |
| title | United States Trends in Medial Ulnar Collateral Ligament Reconstruction: A retrospective Review of a Large Private-Payer Database from 2007 to 2011 |
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