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Unveiling the Economic Toll of Surgical Learning Curve in Elderly Hip Fractures

Can the financial impact of implant choice during the learning curve of inexperienced surgeons in hip fracture surgery be quantified? Hip fractures in the elderly are a significant medical concern, often requiring surgical interventions performed by orthopedic surgery residents. As healthcare costs...

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Autores principales: Yaacobi, Eyal, Shachar, Tal, Segal, David, Agabaria, Altaieb, Halima, Golan, Marom, Omer, Ohana, Nissim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10420139/
https://www.ncbi.nlm.nih.gov/pubmed/37568283
http://dx.doi.org/10.3390/jcm12154880
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author Yaacobi, Eyal
Shachar, Tal
Segal, David
Agabaria, Altaieb
Halima, Golan
Marom, Omer
Ohana, Nissim
author_facet Yaacobi, Eyal
Shachar, Tal
Segal, David
Agabaria, Altaieb
Halima, Golan
Marom, Omer
Ohana, Nissim
author_sort Yaacobi, Eyal
collection PubMed
description Can the financial impact of implant choice during the learning curve of inexperienced surgeons in hip fracture surgery be quantified? Hip fractures in the elderly are a significant medical concern, often requiring surgical interventions performed by orthopedic surgery residents. As healthcare costs rise, exploring cost reduction opportunities within the healthcare system becomes crucial. In this prospective analysis, we examined the financial implications of implant choices encountered by residents during their learning curve in hip fracture surgery. Our study included 278 surgically treated pertrochanteric fractures using the same locking cephalomedullary nail. Data on patients, surgeons (including their experience and seniority), and all implants charged by the hospital were collected. This encompassed documentation of any nail-related equipment that was opened on the operating table and whether it was subsequently used by the end of the procedure. By calculating the number and cost of these implants, we assessed the financial burden associated with suboptimal choices made during the learning curve. Our findings revealed that in 16.18% of surgeries, instances of suboptimal implant utilization occurred, highlighting the complexities of the learning process. Importantly, the rate of these challenges was not influenced by surgeon seniority or patient characteristics. The mean additional cost per surgery was determined to be USD 65.69 ± 157.63 for surgeries with suboptimal implant utilization, compared to USD 56.55 ± 139.13 for surgeries without such challenges. Although there was a trend towards higher implant-related costs in resident-led surgeries, the difference did not reach statistical significance. These findings underscore the feasibility of enabling residents to autonomously perform intramedullary nailing surgeries, even without specialist supervision, while incurring minimal additional expenses during the learning curve. By acknowledging the financial implications associated with the learning curve in the management of hip fractures, we can strive to optimize healthcare costs, thus addressing an important aspect of this issue.
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spelling pubmed-104201392023-08-12 Unveiling the Economic Toll of Surgical Learning Curve in Elderly Hip Fractures Yaacobi, Eyal Shachar, Tal Segal, David Agabaria, Altaieb Halima, Golan Marom, Omer Ohana, Nissim J Clin Med Article Can the financial impact of implant choice during the learning curve of inexperienced surgeons in hip fracture surgery be quantified? Hip fractures in the elderly are a significant medical concern, often requiring surgical interventions performed by orthopedic surgery residents. As healthcare costs rise, exploring cost reduction opportunities within the healthcare system becomes crucial. In this prospective analysis, we examined the financial implications of implant choices encountered by residents during their learning curve in hip fracture surgery. Our study included 278 surgically treated pertrochanteric fractures using the same locking cephalomedullary nail. Data on patients, surgeons (including their experience and seniority), and all implants charged by the hospital were collected. This encompassed documentation of any nail-related equipment that was opened on the operating table and whether it was subsequently used by the end of the procedure. By calculating the number and cost of these implants, we assessed the financial burden associated with suboptimal choices made during the learning curve. Our findings revealed that in 16.18% of surgeries, instances of suboptimal implant utilization occurred, highlighting the complexities of the learning process. Importantly, the rate of these challenges was not influenced by surgeon seniority or patient characteristics. The mean additional cost per surgery was determined to be USD 65.69 ± 157.63 for surgeries with suboptimal implant utilization, compared to USD 56.55 ± 139.13 for surgeries without such challenges. Although there was a trend towards higher implant-related costs in resident-led surgeries, the difference did not reach statistical significance. These findings underscore the feasibility of enabling residents to autonomously perform intramedullary nailing surgeries, even without specialist supervision, while incurring minimal additional expenses during the learning curve. By acknowledging the financial implications associated with the learning curve in the management of hip fractures, we can strive to optimize healthcare costs, thus addressing an important aspect of this issue. MDPI 2023-07-25 /pmc/articles/PMC10420139/ /pubmed/37568283 http://dx.doi.org/10.3390/jcm12154880 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yaacobi, Eyal
Shachar, Tal
Segal, David
Agabaria, Altaieb
Halima, Golan
Marom, Omer
Ohana, Nissim
Unveiling the Economic Toll of Surgical Learning Curve in Elderly Hip Fractures
title Unveiling the Economic Toll of Surgical Learning Curve in Elderly Hip Fractures
title_full Unveiling the Economic Toll of Surgical Learning Curve in Elderly Hip Fractures
title_fullStr Unveiling the Economic Toll of Surgical Learning Curve in Elderly Hip Fractures
title_full_unstemmed Unveiling the Economic Toll of Surgical Learning Curve in Elderly Hip Fractures
title_short Unveiling the Economic Toll of Surgical Learning Curve in Elderly Hip Fractures
title_sort unveiling the economic toll of surgical learning curve in elderly hip fractures
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10420139/
https://www.ncbi.nlm.nih.gov/pubmed/37568283
http://dx.doi.org/10.3390/jcm12154880
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