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The use of preoperative planning to decrease costs and increase efficiency in the OR.

Bhavya Sheth1, Alessia C Lavin2, Christian Martinez3

  • 1Maimonides Medical Center, Department of Orthopaedics, Brooklyn, NY, USA.

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|May 16, 2022
PubMed
Summary
This summary is machine-generated.

Preoperative planning for shoulder arthroplasty (SA) did not reduce operating room time but significantly decreased sterilization costs. This approach offers comparable patient outcomes while optimizing surgical resource utilization.

Keywords:
Operating room timePreoperative planningShoulder arthroplastySurgeon efficiencySurgical costTray utilization

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Area of Science:

  • Orthopedic Surgery
  • Surgical Planning
  • Health Economics

Background:

  • Shoulder arthroplasty (SA) incurs significant societal costs, necessitating cost-control strategies.
  • Increasing SA demand and decreasing reimbursements highlight the need for efficient procedures.
  • Preoperative planning is explored for improving SA accuracy and outcomes, but its efficiency impact is unstudied.

Purpose of the Study:

  • To determine if preoperative planning increases efficiency in shoulder arthroplasty.
  • To assess if preoperative planning decreases operating room costs for shoulder arthroplasty.

Main Methods:

  • Retrospective review of 94 shoulder arthroplasty patients (2017-2020).
  • Patients divided into two groups: preoperative plan used during surgery (n=65) vs. not used (n=29).
  • Analysis of preparation time, surgical time, OR time, sterilized trays, and postoperative outcomes.

Main Results:

  • No significant differences in preparation time, surgical time, or total OR time between groups.
  • A statistically significant reduction in the number of sterilized trays (5 vs. 8) and sterilization costs ($487.30 vs. $842.86) when preoperative plans were used.
  • No significant differences in postoperative outcomes between the groups.

Conclusions:

  • Preoperative planning for shoulder arthroplasty does not reduce operative time.
  • Preoperative planning significantly reduces the number and cost of sterilized instrument trays.
  • The use of preoperative planning in shoulder arthroplasty optimizes resource utilization without compromising patient outcomes.