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Distal biceps tendon repair: cost analysis of single- versus double-incision techniques in an ambulatory surgery center

BACKGROUND: The purpose of this study was to compare the cost differences for single- versus double-incision distal biceps repair at an ambulatory surgery center (ASC) given that similar clinical outcomes have been reported between these methods. METHODS: A retrospective review of financial and medi...

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Autores principales: Cognetti, Daniel J., Proffitt, J. Michael, Balldin, B. Christian, Rowland, Alexander S., Hartzler, Robert U.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426616/
https://www.ncbi.nlm.nih.gov/pubmed/37588289
http://dx.doi.org/10.1016/j.xrrt.2021.09.006
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author Cognetti, Daniel J.
Proffitt, J. Michael
Balldin, B. Christian
Rowland, Alexander S.
Hartzler, Robert U.
author_facet Cognetti, Daniel J.
Proffitt, J. Michael
Balldin, B. Christian
Rowland, Alexander S.
Hartzler, Robert U.
author_sort Cognetti, Daniel J.
collection PubMed
description BACKGROUND: The purpose of this study was to compare the cost differences for single- versus double-incision distal biceps repair at an ambulatory surgery center (ASC) given that similar clinical outcomes have been reported between these methods. METHODS: A retrospective review of financial and medical records was completed for patients who underwent distal biceps tendon repair over a three-year period at a single private orthopedic practice. Variables analyzed include the cost to the ASC of operative time and the cost of differential surgical supplies, specifically implants and disposable supplies. RESULTS: A total of 10 surgeons performed 104 repairs. Nine surgeons performed repairs through a single incision with use of cortical button or suture anchor fixation, and one surgeon performed transosseous suture fixation through a double-incision approach. The median tourniquet time and procedure length were 31 (interquartile range [IQR] 27-40) and 44 (IQR 39-54) minutes for single-incision repairs and 68 minutes (IQR 61-75) and 110 minutes (IQR 103-113) for double-incision repairs which were significantly different across groups (P < .001, P < .001). The total surgical cost (operative time, implants, and disposables) for single-incision repairs was a median of $758 (IQR 732-803) compared with $606 (IQR 567-629) for double-incision repairs (P < .001). However, the procedure cost with implants (not including disposables) was not significantly different for single- (median [Mdn] = $500 [IQR 475-552]) and double-incision repairs (Mdn $552 [IQR 514-564]) (P = .14) although the procedure cost with disposables (not including implant costs) favored single-incision repairs (Mdn = $478 [IQR 452-523]) over double-incision repairs (Mdn = $606 [IQR 567-629]) (P < .001). CONCLUSION: In a single surgery center, single-incision distal biceps repairs utilizing an implant were performed more expeditiously than double-incision repairs with a transosseous technique but incurred greater surgical costs. Differences in surgical time cost between the two approaches could be consequential for ASCs and other stakeholders.
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spelling pubmed-104266162023-08-16 Distal biceps tendon repair: cost analysis of single- versus double-incision techniques in an ambulatory surgery center Cognetti, Daniel J. Proffitt, J. Michael Balldin, B. Christian Rowland, Alexander S. Hartzler, Robert U. JSES Rev Rep Tech Elbow BACKGROUND: The purpose of this study was to compare the cost differences for single- versus double-incision distal biceps repair at an ambulatory surgery center (ASC) given that similar clinical outcomes have been reported between these methods. METHODS: A retrospective review of financial and medical records was completed for patients who underwent distal biceps tendon repair over a three-year period at a single private orthopedic practice. Variables analyzed include the cost to the ASC of operative time and the cost of differential surgical supplies, specifically implants and disposable supplies. RESULTS: A total of 10 surgeons performed 104 repairs. Nine surgeons performed repairs through a single incision with use of cortical button or suture anchor fixation, and one surgeon performed transosseous suture fixation through a double-incision approach. The median tourniquet time and procedure length were 31 (interquartile range [IQR] 27-40) and 44 (IQR 39-54) minutes for single-incision repairs and 68 minutes (IQR 61-75) and 110 minutes (IQR 103-113) for double-incision repairs which were significantly different across groups (P < .001, P < .001). The total surgical cost (operative time, implants, and disposables) for single-incision repairs was a median of $758 (IQR 732-803) compared with $606 (IQR 567-629) for double-incision repairs (P < .001). However, the procedure cost with implants (not including disposables) was not significantly different for single- (median [Mdn] = $500 [IQR 475-552]) and double-incision repairs (Mdn $552 [IQR 514-564]) (P = .14) although the procedure cost with disposables (not including implant costs) favored single-incision repairs (Mdn = $478 [IQR 452-523]) over double-incision repairs (Mdn = $606 [IQR 567-629]) (P < .001). CONCLUSION: In a single surgery center, single-incision distal biceps repairs utilizing an implant were performed more expeditiously than double-incision repairs with a transosseous technique but incurred greater surgical costs. Differences in surgical time cost between the two approaches could be consequential for ASCs and other stakeholders. Elsevier 2021-10-14 /pmc/articles/PMC10426616/ /pubmed/37588289 http://dx.doi.org/10.1016/j.xrrt.2021.09.006 Text en © 2021 Published by Elsevier Inc. on behalf of American Shoulder & Elbow Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Elbow
Cognetti, Daniel J.
Proffitt, J. Michael
Balldin, B. Christian
Rowland, Alexander S.
Hartzler, Robert U.
Distal biceps tendon repair: cost analysis of single- versus double-incision techniques in an ambulatory surgery center
title Distal biceps tendon repair: cost analysis of single- versus double-incision techniques in an ambulatory surgery center
title_full Distal biceps tendon repair: cost analysis of single- versus double-incision techniques in an ambulatory surgery center
title_fullStr Distal biceps tendon repair: cost analysis of single- versus double-incision techniques in an ambulatory surgery center
title_full_unstemmed Distal biceps tendon repair: cost analysis of single- versus double-incision techniques in an ambulatory surgery center
title_short Distal biceps tendon repair: cost analysis of single- versus double-incision techniques in an ambulatory surgery center
title_sort distal biceps tendon repair: cost analysis of single- versus double-incision techniques in an ambulatory surgery center
topic Elbow
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426616/
https://www.ncbi.nlm.nih.gov/pubmed/37588289
http://dx.doi.org/10.1016/j.xrrt.2021.09.006
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