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Distal Clavicle Excision: An Epidemiologic Study Using the National Ambulatory Surgery Sample Database.
Joshua D Meade1, Bradley L Young2, Ziqing Yu3
1Orthopedics, Musculoskeletal Institute, Atrium Health, Charlotte, USA.
Cureus
|March 21, 2022
Summary
National trends show a decrease in distal clavicle excision (DCE) procedures between 2016 and 2018. However, the study found a significant increase in DCE performed with rotator cuff repair (RCR), rising patient age, and increased procedure costs.
Area of Science:
- Orthopedic Surgery
- Health Services Research
Background:
- National trends in distal clavicle excision (DCE) patient demographics and hospital characteristics require examination.
- Understanding these trends is crucial for optimizing orthopedic surgical care.
Purpose of the Study:
- To analyze national trends in patient demographics for distal clavicle excision (DCE) procedures.
- To investigate hospital characteristics associated with DCE procedures in the United States.
- To assess the concomitant rate of DCE with rotator cuff repair (RCR).
Main Methods:
- Utilized the National Ambulatory Surgery Sample (NASS) database for encounters with CPT code 29824.
- Analyzed patient demographics (age, income, insurance) and hospital characteristics (charges, location, ownership).
- Employed t-tests and chi-square analysis to determine statistical significance.
Main Results:
- Arthroscopic DCE incidence decreased by 5.5% from 2016 to 2018.
- Concomitant DCE with rotator cuff repair (RCR) increased significantly (50.4% to 52.8%).
- Median patient age rose, costs increased, and urban teaching hospitals performed the most procedures.
Conclusions:
- Private insurance remained the primary payer for DCE, though its proportion decreased.
- Medicare saw a slight increase in its payer share for DCE procedures.
- The study highlights evolving trends in DCE, including increased RCR concurrence and rising patient age and costs.
