肩袖修复手术的临床效果和直接成本分析。

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL
Einstein-Sao Paulo Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.31744/einstein_journal/2024GS0473
Rafael Pierami, Eliane Antonioli, Isabela Queiros Castro, Paula Fairbanks, Felipe Giorgi Manente, Mario Lenza
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引用次数: 0

摘要

研究目的本研究旨在评估采用开放式和关节镜技术进行肩袖撕裂手术治疗的患者的临床和功能预后,并评估所涉及的直接费用:回顾性队列研究,分析2018年1月至2019年9月期间转诊至巴西圣保罗两家私立医院进行肩袖手术修复的患者数据。临床结果采用功能评分(SPADI 和 QuickDASH)和生活质量问卷(EuroQoL)进行评估。手术成本按照每家医院最昂贵的手术计算:结果:分析了 362 名患者的数据。患者平均年龄为 57 岁(SD= 10.46),男性略占多数(53.9%)。关节镜手术比开放手术更常见(95.6% 对 4.4%)。据报告,84.8%的患者临床症状明显改善。与手术费用增加相关的因素包括关节镜技术(增加29.2%)、年龄(每年增加0.6%)和住院时间(每天增加18.9%):结论:肩袖修复手术是一种非常有效的手术,临床效果良好,生活质量得到改善,并发症发生率低。关节镜手术的费用往往高于开放手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical outcomes and direct cost analysis of rotator cuff repair surgery.

Objective: The purpose of this study was to evaluate the clinical and functional outcomes in patients who underwent surgical treatment for rotator cuff tears using open and arthroscopic techniques, and to evaluate the direct costs involved.

Methods: Retrospective cohort study with analysis of the data of patients who were referred to two private hospitals in Sao Paulo, Brazil for surgical repair of the rotator cuff from January 2018 to September 2019. Clinical outcomes were assessed using functional scores (SPADI and QuickDASH) and a quality of life questionnaire (EuroQoL). Procedure costs were calculated relative to each hospital's costliest procedure.

Results: Data from 362 patients were analyzed. The mean patient age was 57 years (SD= 10.46), with a slight male predominance (53.9%). Arthroscopic procedures were more common than open procedures (95.6% versus 4.4%). Significant clinical improvement was reported in 84.8% of the patients. The factors associated with increased surgery costs were arthroscopic technique (increase of 29.2%), age (increase of 0.6% per year), and length of stay (increase of 18.9% per day of hospitalization).

Conclusion: Rotator cuff repair surgery is a highly effective procedure, associated with favorable clinical outcomes and improvement in life quality, and low rates of complications. Arthroscopic surgery tends to be costlier than open surgery.

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来源期刊
Einstein-Sao Paulo
Einstein-Sao Paulo MEDICINE, GENERAL & INTERNAL-
CiteScore
2.00
自引率
0.00%
发文量
210
审稿时长
38 weeks
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