Healthcare costs of failed rotator cuff repairs

Bradley L Young; Alex Bitzer; Susan Odum; Nady Hamid; Shadley Shiffern; Patrick M Connor

doi:10.1016/j.xrrt.2023.03.008

Healthcare costs of failed rotator cuff repairs

JSES Rev Rep Tech. 2023 Apr 25;3(3):318-323. doi: 10.1016/j.xrrt.2023.03.008. eCollection 2023 Aug.

Authors

Bradley L Young¹, Alex Bitzer^{1

2}, Susan Odum^{1

3}, Nady Hamid^{1

2}, Shadley Shiffern^{1

2}, Patrick M Connor^{1

2}

Affiliations

¹ Department of Orthopaedic Surgery, Carolinas Medical Center, Atrium Health Musculoskeletal Institute, Charlotte, NC, USA.
² OrthoCarolina Shoulder and Elbow Center, Sports Medicine Center, Charlotte, NC, USA.
³ OrthoCarolina Research Institute, Charlotte, NC, USA.

Abstract

Background: The goal of this study was to estimate the short-term (∼2 years) healthcare costs of failed primary arthroscopic rotator cuff repair (RCR) in the United States.

Methods: A review of current literature was performed to estimate the number of RCR performed in the United States in the year 2022 and the rate of progression of these patients to lose repair continuity, reach clinical failure, and progress to nonoperative intervention and revision procedures. A review of the current literature was performed to estimate the costs incurred by these failures over the ensuing 2-year postoperative time period.

Results: The direct and indirect healthcare costs of structural and clinical failure of primary RCR performed in 2022 are estimated to reach $438,892,670 in the short-term postoperative period. The majority of the costs come from the estimated $229,390,898 in nonoperative management that these patients undergo after they reach clinical failure.

Conclusion: The short-term healthcare costs of failed arthroscopic RCR performed in the United States in 2022 are predicted to be $438,892,670. Although RCR improves quality of life, pain, function, and is cost-effective, there remains great potential for reducing the economic burden of failed RCR repairs on the US society. Investments into research aimed to improve RCR healing rates are warranted.

Clinical relevance: Although RCR improves quality of life, pain, function, and is cost-effective, this study provides evidence that there remains great potential for reducing the economic burden of failed RCR repairs on the US society. Investments into research aimed to improve RCR healing rates are warranted.

Keywords: Arthroscopy; Complications; Economics; Failure; Healthcare costs; Reoperation; Rotator cuff repair.