Comparison of trends of inpatient charges among primary and revision shoulder arthroplasty over a decade: a regional database study.

Anatomic total shoulder arthroplasty Cost effectiveness Hemiarthroplasty Inpatient charges Reverse total shoulder arthroplasty Shoulder arthroplasty Trends Utilization

Journal

JSES international
ISSN: 2666-6383
Titre abrégé: JSES Int
Pays: United States
ID NLM: 101763461

Informations de publication

Date de publication:
Nov 2023
Historique:
medline: 16 11 2023
pubmed: 16 11 2023
entrez: 16 11 2023
Statut: epublish

Résumé

This study examined trends in inpatient charges for primary anatomic total shoulder arthroplasty (aTSA) and reverse total shoulder arthroplasty (rTSA), hemiarthroplasty (HA), and revision total shoulder arthroplasty (revTSA) over the past decade. The New York Statewide Planning and Research Cooperative System was queried for patients undergoing primary aTSA, rTSA, HA, and revTSA from 2010 to 2020 using International Classification of Diseases procedure codes. The primary outcome measured was total charges per encounter. Secondary outcomes included accommodation and ancillary charges, charges covered by insurance, and facility volume. Ancillary charges were defined as fees for diagnostic and therapeutic services and accommodation charges were defined as fees associated with room and board. Subgroup analysis was performed to assess differences between high- and low-volume centers. During the study period, 46,044 shoulder arthroplasty cases were performed: 18,653 aTSA, 4002 HA, 19,253 rTSA, and 4136 revTSA. An exponential increase in rTSA (2428%) and considerable decrease in HA (83.9%) volumes were observed during this period. Total charges were the highest for rTSA and revTSA and the lowest for aTSA. Subgroup analysis of revTSA by indication revealed that total charges were the highest for periprosthetic fractures. For aTSA, rTSA, and HA, high-volume centers achieved significantly lower total charges compared to low-volume centers. Over the study period, total inpatient charges increased by 57.2%, 38.4%, 102.4%, and 68.4% for aTSA, rTSA, HA, and revTSA, outpacing the inflation rate of 18.7%. Total inpatient charges for all arthroplasty types increased dramatically from 2010 to 2020, outpacing inflation rates, but high-volume centers demonstrated greater success at mitigating charge increases compared to low-volume centers.

Sections du résumé

Background UNASSIGNED
This study examined trends in inpatient charges for primary anatomic total shoulder arthroplasty (aTSA) and reverse total shoulder arthroplasty (rTSA), hemiarthroplasty (HA), and revision total shoulder arthroplasty (revTSA) over the past decade.
Methods UNASSIGNED
The New York Statewide Planning and Research Cooperative System was queried for patients undergoing primary aTSA, rTSA, HA, and revTSA from 2010 to 2020 using International Classification of Diseases procedure codes. The primary outcome measured was total charges per encounter. Secondary outcomes included accommodation and ancillary charges, charges covered by insurance, and facility volume. Ancillary charges were defined as fees for diagnostic and therapeutic services and accommodation charges were defined as fees associated with room and board. Subgroup analysis was performed to assess differences between high- and low-volume centers.
Results UNASSIGNED
During the study period, 46,044 shoulder arthroplasty cases were performed: 18,653 aTSA, 4002 HA, 19,253 rTSA, and 4136 revTSA. An exponential increase in rTSA (2428%) and considerable decrease in HA (83.9%) volumes were observed during this period. Total charges were the highest for rTSA and revTSA and the lowest for aTSA. Subgroup analysis of revTSA by indication revealed that total charges were the highest for periprosthetic fractures. For aTSA, rTSA, and HA, high-volume centers achieved significantly lower total charges compared to low-volume centers. Over the study period, total inpatient charges increased by 57.2%, 38.4%, 102.4%, and 68.4% for aTSA, rTSA, HA, and revTSA, outpacing the inflation rate of 18.7%.
Conclusion UNASSIGNED
Total inpatient charges for all arthroplasty types increased dramatically from 2010 to 2020, outpacing inflation rates, but high-volume centers demonstrated greater success at mitigating charge increases compared to low-volume centers.

Identifiants

pubmed: 37969516
doi: 10.1016/j.jseint.2023.08.001
pii: S2666-6383(23)00213-X
pmc: PMC10638600
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2492-2499

Informations de copyright

© 2023 The Author(s).

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Auteurs

Trevor Simcox (T)

Department of Orthopedic Surgery, NYU Langone Hospital - Long Island, Mineola, NY, USA.

Aidan G Papalia (AG)

Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.

Brandon Passano (B)

Department of Orthopedic Surgery, NYU Langone Hospital - Long Island, Mineola, NY, USA.

Utkarsh Anil (U)

Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.

Charles Lin (C)

Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.

William Mitchell (W)

Department of Orthopedic Surgery, NYU Langone Hospital - Long Island, Mineola, NY, USA.

Joseph D Zuckerman (JD)

Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.

Mandeep S Virk (MS)

Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.

Classifications MeSH