编辑评论:关节镜治疗的康复费用是早期关节镜治疗的两倍,并且比早期关节镜治疗更昂贵。

IF 4.4 1区 医学 Q1 ORTHOPEDICS
Mark A Glover, Eoghan T Hurley
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引用次数: 0

摘要

首次肩关节前脱位是骨科医生面临的手术指征挑战。尽管有充分的证据表明,早期关节镜治疗可减少继发性不稳定性,改善患者报告和生活质量,提高患者满意度,但保守治疗是这些患者的常见选择。最近的文献表明,首次肩关节前不稳定患者转到关节镜治疗的自费费用是保守治疗的两倍,平均而言比关节镜治疗更昂贵。虽然微不足道,但这些患者关节镜转换成本的增加可能反映了患者和医疗保健系统的全球成本。因此,在远离运动或工作的时间、再脱位率、患者报告的结果和未来手术的背景下,对高风险患者进行积极的早期手术治疗是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Editorial Commentary: Conversion to Arthroscopy Is Twice the Cost of Rehabilitation and More Costly Than Early Arthroscopy.

First-time anterior shoulder dislocations pose a surgical indication challenge for orthopaedic surgeons. Despite ample evidence suggesting a reduction in secondary instability, improved patient-reported and quality-of-life outcomes, and improved satisfaction for patients undergoing early arthroscopic management, conservative management is a common choice for these patients. Recent literature has identified that conversion to arthroscopic management for patients with first-time anterior shoulder instability was twice the out-of-pocket expense of conservative management and more expensive, on average, than primary management with arthroscopy. Although insignificant, the increased cost of arthroscopic conversion for these patients likely reflects global costs to both patients and the health care system. As such, in the context of time spent away from sport or work, redislocation rate, patient-reported outcomes, and future surgery, aggressive, early surgical management of high-risk patients is imperative.

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来源期刊
CiteScore
9.30
自引率
17.00%
发文量
555
审稿时长
58 days
期刊介绍: Nowhere is minimally invasive surgery explained better than in Arthroscopy, the leading peer-reviewed journal in the field. Every issue enables you to put into perspective the usefulness of the various emerging arthroscopic techniques. The advantages and disadvantages of these methods -- along with their applications in various situations -- are discussed in relation to their efficiency, efficacy and cost benefit. As a special incentive, paid subscribers also receive access to the journal expanded website.
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