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논문 기본 정보

자료유형
학술저널
저자정보
John Joseph Carney (Northwestern University) Erik Gerlach (Northwestern University) Mark Plantz (Northwestern University) Peter Raymond Swiatek (Northwestern University) Jeremy Marx (Northwestern University) Matthew Saltzman (Northwestern University) Guido Marra (Northwestern University)
저널정보
대한견주관절의학회 대한견주관절의학회지 대한견주관절의학회지 제25권 제1호
발행연도
2022.3
수록면
42 - 48 (7page)

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초록· 키워드

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Background: Total shoulder arthroplasty (TSA) has been demonstrated to be an effective treatment for multiple shoulder pathologies. The purpose of our study was to compare the relative value units (RVUs) per minute of surgical time for primary and revision TSA.
Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried to identify patients that underwent primary TSA, one-component revision TSA, and two-component revision TSA between January 1, 2015 and December 31, 2017 using current procedure terminology codes. RVUs were divided by mean operative time for each procedure to determine the amount of revenue generated per minute. Rates were compared between the groups using a one-way analysis of variance with post-hoc Tukey test. Statistical significance was set at p<0.05.
Results: When dividing compensation by surgical time, we found that two-component revision generated more compensation per minute compared to primary TSA (0.284±0.114 vs. 0.239±0.278 RVU per minute or $10.25±$4.11 vs. $8.64±$10.05 per minute, respectively; p=0.001).
Conclusions: The relative value of revision TSA procedures is weighted to account for the increased technical challenges and time associated with these procedures. This study confirms that reimbursement is higher for revision TSA compared to primary TSA.

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INTRODUCTION
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RESULTS
DISCUSSION
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