Trends in open shoulder surgery among early career orthopedic surgeons: who is doing what?
The incidence of various open shoulder procedures has changed over time. In addition, various fellowships provide overlapping training in open shoulder surgery. There is a lack of information regarding the relationship between surgeon training and open shoulder procedure type and incidence in early...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2020-07, Vol.29 (7), p.e269-e278 |
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| container_title | Journal of shoulder and elbow surgery |
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| creator | Carpenter, Daniel P. Feinstein, Shawn D. Van Buren, Eric D. Lin, Feng-Chang Amendola, Annunziato N. Creighton, Robert A. Kamath, Ganesh V. |
| description | The incidence of various open shoulder procedures has changed over time. In addition, various fellowships provide overlapping training in open shoulder surgery. There is a lack of information regarding the relationship between surgeon training and open shoulder procedure type and incidence in early career orthopedic surgeons.
The American Board of Orthopaedic Surgery Part-II database was queried from 2002 to 2016 for reported open shoulder procedures. The procedures were categorized as follows: arthroplasty, revision arthroplasty, open instability, trauma, and open rotator cuff. We evaluated procedure trends as well as their relationship to surgeon fellowship categorized by Sports, Shoulder/Elbow, Hand, Trauma, and “Other” fellowship as well as no fellowship training. We additionally evaluated complication data as it related to procedure, fellowship category, and volume.
Over the 2002-2016 study period, there were increasing cases of arthroplasty, revision arthroplasty, and trauma (P < .001). There were decreasing cases in open instability and open rotator cuff (P < .001). Those with Sports training reported the largest overall share of open shoulder cases. Those with Shoulder/Elbow training reported an increasing overall share of arthroplasty cases and higher per candidate case numbers. The percentage of early career orthopedic surgeons reporting 5 or more arthroplasty cases was highest among Shoulder/Elbow candidates (P < .001). Across all procedures, those without fellowship training were least likely to report a complication (odds ratio [OR], 0.76; 95% confidence interval, 0.67-0.86; P < .001). Shoulder/Elbow candidates were least likely to report an arthroplasty complication (OR, 0.84, P = .03) as was any surgeon reporting 5 or more arthroplasty cases (OR, 0.81; 95% confidence interval, 0.70-0.94; P = .006).
The type and incidence of open shoulder surgery procedures continues to change. Among early career surgeons, those with more specific shoulder training are now performing the majority of arthroplasty-related procedures, and early career volume inversely correlates with complications. |
| doi_str_mv | 10.1016/j.jse.2020.01.075 |
| format | Article |
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The American Board of Orthopaedic Surgery Part-II database was queried from 2002 to 2016 for reported open shoulder procedures. The procedures were categorized as follows: arthroplasty, revision arthroplasty, open instability, trauma, and open rotator cuff. We evaluated procedure trends as well as their relationship to surgeon fellowship categorized by Sports, Shoulder/Elbow, Hand, Trauma, and “Other” fellowship as well as no fellowship training. We additionally evaluated complication data as it related to procedure, fellowship category, and volume.
Over the 2002-2016 study period, there were increasing cases of arthroplasty, revision arthroplasty, and trauma (P < .001). There were decreasing cases in open instability and open rotator cuff (P < .001). Those with Sports training reported the largest overall share of open shoulder cases. Those with Shoulder/Elbow training reported an increasing overall share of arthroplasty cases and higher per candidate case numbers. The percentage of early career orthopedic surgeons reporting 5 or more arthroplasty cases was highest among Shoulder/Elbow candidates (P < .001). Across all procedures, those without fellowship training were least likely to report a complication (odds ratio [OR], 0.76; 95% confidence interval, 0.67-0.86; P < .001). Shoulder/Elbow candidates were least likely to report an arthroplasty complication (OR, 0.84, P = .03) as was any surgeon reporting 5 or more arthroplasty cases (OR, 0.81; 95% confidence interval, 0.70-0.94; P = .006).
The type and incidence of open shoulder surgery procedures continues to change. Among early career surgeons, those with more specific shoulder training are now performing the majority of arthroplasty-related procedures, and early career volume inversely correlates with complications.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2020.01.075</identifier><identifier>PMID: 32336604</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>ABOS ; Arthroplasty - statistics & numerical data ; Clinical Competence ; complications ; Databases, Factual ; fellowship ; Fellowships and Scholarships - statistics & numerical data ; Humans ; Joint Instability - surgery ; open ; Orthopedic Procedures - trends ; Orthopedic Surgeons - education ; Orthopedic Surgeons - statistics & numerical data ; Orthopedic Surgeons - trends ; Orthopedics - statistics & numerical data ; Orthopedics - trends ; Reoperation - statistics & numerical data ; Rotator Cuff Injuries - surgery ; shoulder ; Shoulder Joint - surgery ; training ; trends ; United States</subject><ispartof>Journal of shoulder and elbow surgery, 2020-07, Vol.29 (7), p.e269-e278</ispartof><rights>2020 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>Copyright © 2020 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-f711bc258411f96c0f28243f770d38401d77d447d5dffd8f09f775c09eb70b413</citedby><cites>FETCH-LOGICAL-c451t-f711bc258411f96c0f28243f770d38401d77d447d5dffd8f09f775c09eb70b413</cites><orcidid>0000-0002-2638-1775</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jse.2020.01.075$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32336604$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carpenter, Daniel P.</creatorcontrib><creatorcontrib>Feinstein, Shawn D.</creatorcontrib><creatorcontrib>Van Buren, Eric D.</creatorcontrib><creatorcontrib>Lin, Feng-Chang</creatorcontrib><creatorcontrib>Amendola, Annunziato N.</creatorcontrib><creatorcontrib>Creighton, Robert A.</creatorcontrib><creatorcontrib>Kamath, Ganesh V.</creatorcontrib><title>Trends in open shoulder surgery among early career orthopedic surgeons: who is doing what?</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>The incidence of various open shoulder procedures has changed over time. In addition, various fellowships provide overlapping training in open shoulder surgery. There is a lack of information regarding the relationship between surgeon training and open shoulder procedure type and incidence in early career orthopedic surgeons.
The American Board of Orthopaedic Surgery Part-II database was queried from 2002 to 2016 for reported open shoulder procedures. The procedures were categorized as follows: arthroplasty, revision arthroplasty, open instability, trauma, and open rotator cuff. We evaluated procedure trends as well as their relationship to surgeon fellowship categorized by Sports, Shoulder/Elbow, Hand, Trauma, and “Other” fellowship as well as no fellowship training. We additionally evaluated complication data as it related to procedure, fellowship category, and volume.
Over the 2002-2016 study period, there were increasing cases of arthroplasty, revision arthroplasty, and trauma (P < .001). There were decreasing cases in open instability and open rotator cuff (P < .001). Those with Sports training reported the largest overall share of open shoulder cases. Those with Shoulder/Elbow training reported an increasing overall share of arthroplasty cases and higher per candidate case numbers. The percentage of early career orthopedic surgeons reporting 5 or more arthroplasty cases was highest among Shoulder/Elbow candidates (P < .001). Across all procedures, those without fellowship training were least likely to report a complication (odds ratio [OR], 0.76; 95% confidence interval, 0.67-0.86; P < .001). Shoulder/Elbow candidates were least likely to report an arthroplasty complication (OR, 0.84, P = .03) as was any surgeon reporting 5 or more arthroplasty cases (OR, 0.81; 95% confidence interval, 0.70-0.94; P = .006).
The type and incidence of open shoulder surgery procedures continues to change. Among early career surgeons, those with more specific shoulder training are now performing the majority of arthroplasty-related procedures, and early career volume inversely correlates with complications.</description><subject>ABOS</subject><subject>Arthroplasty - statistics & numerical data</subject><subject>Clinical Competence</subject><subject>complications</subject><subject>Databases, Factual</subject><subject>fellowship</subject><subject>Fellowships and Scholarships - statistics & numerical data</subject><subject>Humans</subject><subject>Joint Instability - surgery</subject><subject>open</subject><subject>Orthopedic Procedures - trends</subject><subject>Orthopedic Surgeons - education</subject><subject>Orthopedic Surgeons - statistics & numerical data</subject><subject>Orthopedic Surgeons - trends</subject><subject>Orthopedics - statistics & numerical data</subject><subject>Orthopedics - trends</subject><subject>Reoperation - statistics & numerical data</subject><subject>Rotator Cuff Injuries - surgery</subject><subject>shoulder</subject><subject>Shoulder Joint - surgery</subject><subject>training</subject><subject>trends</subject><subject>United States</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtv1DAUhSNERR_wA9ggL9kkvX7FCUggVNFSqRKbsmFjZezriUcZe7CTVvPv8WhKBRtW19L57rnWOVX1lkJDgbaXm2aTsWHAoAHagJIvqjMqOatbCfCyvEF2NVOiPa3Oc94AQC-AvapOOeO8bUGcVT_vEwabiQ8k7jCQPMZlsphIXtIa054M2xjWBIc07YkZEhYppnkssPXmSMWQP5DHMRKfiY2-4I_jMH9-XZ24Ycr45mleVD-uv95ffavvvt_cXn25q42QdK6donRlmOwEpa5vDTjWMcGdUmB5J4BapawQykrrnO0c9EWSBnpcKVgJyi-qT0ff3bLaojUY5jRMepf8dkh7HQev_1WCH_U6PmjFQfZSFYP3TwYp_lowz3rrs8FpGgLGJWvGe8la4OyA0iNqUsw5oXs-Q0EfOtEbXTrRh040UF06KTvv_v7f88afEgrw8QhgSenBY9LZeAymJJzQzLpk-h_737yUnfE</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Carpenter, Daniel P.</creator><creator>Feinstein, Shawn D.</creator><creator>Van Buren, Eric D.</creator><creator>Lin, Feng-Chang</creator><creator>Amendola, Annunziato N.</creator><creator>Creighton, Robert A.</creator><creator>Kamath, Ganesh V.</creator><general>Elsevier Inc</general><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><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2638-1775</orcidid></search><sort><creationdate>20200701</creationdate><title>Trends in open shoulder surgery among early career orthopedic surgeons: who is doing what?</title><author>Carpenter, Daniel P. ; Feinstein, Shawn D. ; Van Buren, Eric D. ; Lin, Feng-Chang ; Amendola, Annunziato N. ; Creighton, Robert A. ; Kamath, Ganesh V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-f711bc258411f96c0f28243f770d38401d77d447d5dffd8f09f775c09eb70b413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>ABOS</topic><topic>Arthroplasty - statistics & numerical data</topic><topic>Clinical Competence</topic><topic>complications</topic><topic>Databases, Factual</topic><topic>fellowship</topic><topic>Fellowships and Scholarships - statistics & numerical data</topic><topic>Humans</topic><topic>Joint Instability - surgery</topic><topic>open</topic><topic>Orthopedic Procedures - trends</topic><topic>Orthopedic Surgeons - education</topic><topic>Orthopedic Surgeons - statistics & numerical data</topic><topic>Orthopedic Surgeons - trends</topic><topic>Orthopedics - statistics & numerical data</topic><topic>Orthopedics - trends</topic><topic>Reoperation - statistics & numerical data</topic><topic>Rotator Cuff Injuries - surgery</topic><topic>shoulder</topic><topic>Shoulder Joint - surgery</topic><topic>training</topic><topic>trends</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carpenter, Daniel P.</creatorcontrib><creatorcontrib>Feinstein, Shawn D.</creatorcontrib><creatorcontrib>Van Buren, Eric D.</creatorcontrib><creatorcontrib>Lin, Feng-Chang</creatorcontrib><creatorcontrib>Amendola, Annunziato N.</creatorcontrib><creatorcontrib>Creighton, Robert A.</creatorcontrib><creatorcontrib>Kamath, Ganesh V.</creatorcontrib><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carpenter, Daniel P.</au><au>Feinstein, Shawn D.</au><au>Van Buren, Eric D.</au><au>Lin, Feng-Chang</au><au>Amendola, Annunziato N.</au><au>Creighton, Robert A.</au><au>Kamath, Ganesh V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in open shoulder surgery among early career orthopedic surgeons: who is doing what?</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>29</volume><issue>7</issue><spage>e269</spage><epage>e278</epage><pages>e269-e278</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>The incidence of various open shoulder procedures has changed over time. In addition, various fellowships provide overlapping training in open shoulder surgery. There is a lack of information regarding the relationship between surgeon training and open shoulder procedure type and incidence in early career orthopedic surgeons.
The American Board of Orthopaedic Surgery Part-II database was queried from 2002 to 2016 for reported open shoulder procedures. The procedures were categorized as follows: arthroplasty, revision arthroplasty, open instability, trauma, and open rotator cuff. We evaluated procedure trends as well as their relationship to surgeon fellowship categorized by Sports, Shoulder/Elbow, Hand, Trauma, and “Other” fellowship as well as no fellowship training. We additionally evaluated complication data as it related to procedure, fellowship category, and volume.
Over the 2002-2016 study period, there were increasing cases of arthroplasty, revision arthroplasty, and trauma (P < .001). There were decreasing cases in open instability and open rotator cuff (P < .001). Those with Sports training reported the largest overall share of open shoulder cases. Those with Shoulder/Elbow training reported an increasing overall share of arthroplasty cases and higher per candidate case numbers. The percentage of early career orthopedic surgeons reporting 5 or more arthroplasty cases was highest among Shoulder/Elbow candidates (P < .001). Across all procedures, those without fellowship training were least likely to report a complication (odds ratio [OR], 0.76; 95% confidence interval, 0.67-0.86; P < .001). Shoulder/Elbow candidates were least likely to report an arthroplasty complication (OR, 0.84, P = .03) as was any surgeon reporting 5 or more arthroplasty cases (OR, 0.81; 95% confidence interval, 0.70-0.94; P = .006).
The type and incidence of open shoulder surgery procedures continues to change. Among early career surgeons, those with more specific shoulder training are now performing the majority of arthroplasty-related procedures, and early career volume inversely correlates with complications.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32336604</pmid><doi>10.1016/j.jse.2020.01.075</doi><orcidid>https://orcid.org/0000-0002-2638-1775</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of shoulder and elbow surgery, 2020-07, Vol.29 (7), p.e269-e278 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | ABOS Arthroplasty - statistics & numerical data Clinical Competence complications Databases, Factual fellowship Fellowships and Scholarships - statistics & numerical data Humans Joint Instability - surgery open Orthopedic Procedures - trends Orthopedic Surgeons - education Orthopedic Surgeons - statistics & numerical data Orthopedic Surgeons - trends Orthopedics - statistics & numerical data Orthopedics - trends Reoperation - statistics & numerical data Rotator Cuff Injuries - surgery shoulder Shoulder Joint - surgery training trends United States |
| title | Trends in open shoulder surgery among early career orthopedic surgeons: who is doing what? |
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