caa a22 4500 605460426 CHVBK 20210128100238.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00167-012-2338-2 doi (NATIONALLICENCE)springer-10.1007/s00167-012-2338-2 A cost analysis of single-row versus double-row and suture bridge rotator cuff repair methods [Elektronische Daten] [Leslie Bisson, Nikola Zivaljevic, Samuel Sanders, David Pula] Purpose: To calculate the costs to the US healthcare system of transition from single-row (SR) to double-row (DR) rotator cuff repair (RCR) and to calculate the decrease in re-operations for re-tear that DR RCR would need to accomplish in order to render the transition cost-neutral. Methods: Standard accounting methods were used to determine the cost of a single RCR, the annual cost to the US healthcare system of rotator cuff surgery, the cost of a single-revision RCR, and the decrease in revision for re-tear rate necessary to make DR or suture bridge (SB) methods cost-neutral in comparison with SR methods. We varied tear size, operating room cost, time required for implant placement, annual tear size distribution, and repair method. Results: The cost of RCR ranged from $7,572 (SR, <1cm tear) to $12,979 (DR, >5cm tear). Complete conversion from SR RCR to a DR technique without an associated decrease in revision surgeries would increase the annual US healthcare cost between $80 million and $262 million per year. To obtain cost neutrality, use of DR or SB methods would need to result in one fewer revision in every 17 primary repairs (for tears <1cm) to one fewer in every four primary repairs (for tears >5cm). Conclusions: Conversion from SR to DR or SB RCR techniques would result in considerable increases in healthcare expenditures. Since the large decreases in revision surgery rates necessary to justify DR or SB repairs purely on a cost basis may not be realistic or even possible, the use of these methods should be supported by evidence of improved structural healing rates and quality-adjusted life years in comparison with SR methods. Level of evidence: IV. Springer-Verlag Berlin Heidelberg, 2012 Rotator cuff repair nationallicence Cost analysis nationallicence Single row nationallicence Double row nationallicence Suture bridge nationallicence Bisson Leslie Department of Orthopaedic Surgery, SUNY at Buffalo, 4949 Harlem Road, 14226, Buffalo, NY, USA aut Zivaljevic Nikola SUNY at Buffalo, 462 Grider Street, 14215, Buffalo, NY, USA aut Sanders Samuel Greater Washington Orthopaedic Group, PA, 1400 Forest Glen Road, Suite 400, 20910, Silver Spring, MD, USA aut Pula David SUNY at Buffalo, 462 Grider Street, 14215, Buffalo, NY, USA aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 487-493 0942-2056 23:2<487 2015 23 167 https://doi.org/10.1007/s00167-012-2338-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-012-2338-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bisson Leslie Department of Orthopaedic Surgery, SUNY at Buffalo, 4949 Harlem Road, 14226, Buffalo, NY, USA aut NATIONALLICENCE 700 1- Zivaljevic Nikola SUNY at Buffalo, 462 Grider Street, 14215, Buffalo, NY, USA aut NATIONALLICENCE 700 1- Sanders Samuel Greater Washington Orthopaedic Group, PA, 1400 Forest Glen Road, Suite 400, 20910, Silver Spring, MD, USA aut NATIONALLICENCE 700 1- Pula David SUNY at Buffalo, 462 Grider Street, 14215, Buffalo, NY, USA aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/2(2015-02-01), 487-493 0942-2056 23:2<487 2015 23 167