17 Mar Risk Factors For Adverse Events After Total Shoulder Replacement
MedicalResearch.com Interview with:
Dr. Parsons
Brad Parsons, MD
Associate Professor, Orthopaedics
Icahn School of Medicine at Mount Sinai
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: As bundled payment initiatives increase in order to contain health care costs, total shoulder arthroplasty (TSA) is a likely future target.
Understanding modifiable drivers of complications and unplanned readmission as well as identifying when such events occur will be critical for orthopedic surgeons and hospitals to improve outcomes and to make fixed-price payment models feasible for TSA.
Utilizing the American College of Surgeons National Surgical Quality Improvement Program we identified 5801 patients that underwent TSA with a 2.7% readmission rate and 2.5% severe adverse event rate. Patients with 3 or more risk factors were found to have a significantly increased risk of readmission and severe adverse events within the first two weeks postoperatively.
MedicalResearch.com: What should readers take away from your report?
Response: Future bundled payment initiatives for TSA must adequately account for patient and procedure related risk factors. Additionally, surgeons should identify modifiable risk factors preoperatively in order to maximize outcomes and minimize cost.
MedicalResearch.com: What recommendations do you have for future research as a result of this study?
Response: Future research should be directed towards preoperative risk factor modification and postoperative surveillance strategies in TSA.
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Citation:
Risk Factors for and Timing of Adverse Events after Primary Total Shoulder Arthroplasty #353
1:30pm-3:30pm – Ballroom 20 (Paper Presentations: Shoulder and Elbow)
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Last Updated on March 17, 2017 by Marie Benz MD FAAD