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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
44.2K
Yearly Trends in Elective Shoulder Arthroplasty, 2005-2013
Mark T Dillon1, Priscilla H Chan2, Maria C S Inacio3
1The Permanente Medical Group, Sacramento, California.
Arthritis Care & Research
|December 20, 2016
Summary
The incidence of shoulder arthroplasty increased significantly from 2005 to 2013. Surgeons are performing more total shoulder arthroplasty and reverse total shoulder arthroplasty procedures annually.
Area of Science:
- Orthopedic surgery trends
- Musculoskeletal health outcomes
- Health services research
Background:
- Shoulder arthroplasty is a common procedure for debilitating shoulder conditions.
- Understanding trends in its utilization and surgeon practice patterns is crucial for healthcare planning.
Purpose of the Study:
- To evaluate changes in shoulder arthroplasty incidence rates between 2005 and 2013.
- To assess the utilization of different shoulder arthroplasty types for specific indications.
- To analyze surgeon volume trends for shoulder arthroplasty procedures.
Main Methods:
- A population-based cohort study analyzed over 7 million members of a California healthcare system.
- Shoulder arthroplasties performed from 2005 to 2013 were identified via a dedicated registry.
- Incidence rates, utilization ratios, and surgeon volumes were calculated and compared over time.
Main Results:
- Shoulder arthroplasty incidence increased from 6.1 to 13.4 per 100,000 members (2005-2013).
- Total shoulder arthroplasty utilization rose for osteoarthritis, while hemiarthroplasty decreased.
- Reverse total shoulder arthroplasty utilization increased for rotator cuff tear arthropathy.
- Average annual surgeon volume for total and reverse shoulder arthroplasty increased significantly.
Conclusions:
- Shoulder arthroplasty use has markedly increased in this population.
- Surgeons are performing a higher annual volume of total shoulder arthroplasty and reverse total shoulder arthroplasty.
- These trends indicate evolving surgical practice and potentially increased demand for shoulder replacement.
