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Updated: Feb 5, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
The Volume-Value Relationship in Shoulder Arthroplasty
Prem N Ramkumar1, Heather S Haeberle2, Joseph P Iannotti1
1Cleveland Clinic, Department of Orthopaedic Surgery, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Abstract:
Improving value in shoulder arthroplasty has gained increasing importance as procedure volume increases. To enhance the value of shoulder arthroplasty, an improvement of outcomes or a decrease in associated costs must occur. With the recent shift to a value-based care delivery model, analysis of the effects of surgical volume presents an opportunity to improve outcomes and reduce costs in shoulder arthroplasty. There are multiple reports in the literature expanding on the relationship between increased surgeon and hospital procedure volume and increased value for shoulder arthroplasty, by way of improved outcomes or decreased cost. This article highlights these studies.
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