دورية أكاديمية
أعرض في EDS

Outpatient Shoulder Arthroplasty Patient Selection, Patient Experience, and Cost Analyses: A Systematic Review.

التفاصيل البيبلوغرافية
العنوان: Outpatient Shoulder Arthroplasty Patient Selection, Patient Experience, and Cost Analyses: A Systematic Review.
المؤلفون: O'Donnell EA; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts., Fury MS; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts., Maier SP 2nd; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts., Bernstein DN; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts.; Institute for Strategy and Competitiveness, Harvard Business School, Boston, Massachusetts., Carrier RE; University of New England College of Osteopathic Medicine, Biddeford, Maine., Warner JJP; Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts.
المصدر: JBJS reviews [JBJS Rev] 2021 Nov 10; Vol. 9 (11). Date of Electronic Publication: 2021 Nov 10.
نوع المنشور: Journal Article; Systematic Review
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 101674872 Publication Model: Electronic Cited Medium: Internet ISSN: 2329-9185 (Electronic) Linking ISSN: 23299185 NLM ISO Abbreviation: JBJS Rev Subsets: MEDLINE
أسماء مطبوعة: Publication: 2016- : Philadelphia : Wolters Kluwer
Original Publication: Needham, MA : Journal of Bone and Joint Surgery, Inc., [2013]-
مواضيع طبية MeSH: Arthroplasty, Replacement, Shoulder* , COVID-19*, Aged ; Humans ; Outpatients ; Patient Outcome Assessment ; Patient Selection ; SARS-CoV-2
مستخلص: Background: The utilization of outpatient shoulder arthroplasty has been increasing. With increasing pressure to reduce costs, further underscored by the coronavirus (COVID-19) pandemic, many health-care organizations will move toward outpatient interventions to conserve inpatient resources. Although abundant literature has shown the advantages of outpatient total hip arthroplasty (THA) and total knee arthroplasty (TKA), there is a relative paucity describing outpatient shoulder arthroplasty. Thus, the purpose of this study was to summarize the peer-reviewed literature of outpatient shoulder arthroplasty with particular attention to patient selection, patient outcomes, and cost benefits.
Methods: The PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Embase databases were queried according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All articles on outpatient shoulder arthroplasty were included. Data on patient selection, patient outcomes, and cost analyses were recorded. Patient outcomes, including complications, reoperations, and readmissions, were analyzed by weighted average.
Results: Twenty-three articles were included for analysis. There were 3 review articles and 20 studies with Level-III or IV evidence as assessed per The Journal of Bone & Joint Surgery Level of Evidence criteria. Patient selection was most often predicated on age <70 years, body mass index (BMI) <35 kg/m2, absence of active cardiopulmonary comorbidities, and presence of home support. Complications and readmissions were not common and either improved or were equivalent to those of inpatient shoulder arthroplasty. Patient satisfaction was high in studies of short-term and intermediate-term follow-up. The proposed cost benefit ranged from $747 to $53,202 with outpatient shoulder arthroplasty.
Conclusions: The published literature to date supports outpatient shoulder arthroplasty as an effective, safe, and cost-reducing intervention with proper patient selection.
Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A771).
(Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated.)
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تواريخ الأحداث: Date Created: 20211110 Date Completed: 20211115 Latest Revision: 20230920
رمز التحديث: 20230921
DOI: e20.00235
PMID: 34757981
قاعدة البيانات: MEDLINE
الوصف
تدمد:2329-9185
DOI:e20.00235