Mapping the Diffusion of Technology in Orthopaedic Surgery: Understanding the Spread of Arthroscopic Rotator Cuff Repair in the United States

Clinical Orthopaedics and Related Research
Daniel C AustinJohn-Erik Bell

Abstract

The mechanism by which surgical innovation is spread in orthopaedic surgery is not well studied. The recent widespread transition from open to arthroscopic rotator cuff repair techniques provides us with the opportunity to study the spread of new technology; doing so would be important because it is unclear how novel orthopaedic techniques disseminate across time and geography, and previous studies of innovation in healthcare may not apply to the orthopaedic community. (1) How much regional variation was associated with the adoption of arthroscopic rotator cuff repair in the United States Medicare population between 2006 and 2014 and how did this change over time? (2) In which regions of the United States was arthroscopic rotator cuff repair first adopted and how did it spread geographically? (3) Which regional factors were associated with the adoption of this new technology? We divided the United States into 306 hospital referral regions based upon referral patterns observed in the Centers for Medicare & Medicaid Services MedPAR database, which records all Medicare hospital admissions; this has been done in numerous previous studies using methodology introduced by the Dartmouth Atlas. The proportion of arthroscopic rotator cuf...Continue Reading

References

Jan 1, 1992·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·A Gächter, W Seelig
Jan 1, 1993·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·R Thal
Mar 5, 1998·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·J C Tauro
Jul 9, 1998·The Journal of Bone and Joint Surgery. American Volume·G M GartsmanS M Hammerman
Aug 26, 1998·The Journal of Hand Surgery·R B KellerJ N Katz
Feb 1, 2000·Clinics in Sports Medicine·F B NorbergF H Savoie
Nov 6, 2001·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S S BurkhartC E Pearce
Apr 17, 2003·JAMA : the Journal of the American Medical Association·Donald M Berwick
Oct 3, 2003·The New England Journal of Medicine·Jonathan SkinnerJohn E Wennberg
Feb 27, 2004·The Orthopedic Clinics of North America·Eric S Millstein, Stephen J Snyder
Jul 9, 2004·Orthopedics·Christopher S AhmadLouis U Bigliani
Jun 9, 2005·Annals of Internal Medicine·Thomas Bodenheimer
Oct 26, 2005·Journal of Orthopaedic Trauma·Kenneth J KovalJames Weinstein
Sep 30, 2006·Arthritis and Rheumatism·Gillian A HawkerElizabeth M Badley
Jul 20, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Christopher R GoodRussell F Warren
Aug 30, 2008·The American Journal of Sports Medicine·Kenneth MorseIlya Voloshin
Jan 21, 2011·The Journal of Bone and Joint Surgery. American Volume·John-Erik BellAnna N A Tosteson
Dec 14, 2011·The Journal of Bone and Joint Surgery. American Volume·Kevin C ChungJohn D Birkmeyer
Dec 20, 2011·Journal of the Royal Society of Medicine·Zoë Slote MorrisJonathan Grant
Feb 3, 2012·The Journal of Bone and Joint Surgery. American Volume·Alexis Chiang ColvinEvan L Flatow
Aug 1, 2012·BMC Health Services Research·Rubén E Mújica MotaMike Drummond
Sep 21, 2012·The Journal of Bone and Joint Surgery. American Volume·Craig S MauroChristopher D Harner
Feb 5, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Alan L ZhangSeth C Gamradt
Mar 8, 2013·Journal of Shoulder and Elbow Surgery·Kelsey L EnsorAndrew S Rokito
Jun 11, 2014·Clinical Orthopaedics and Related Research·Gerald WilliamsJohn M Fenlin
Dec 3, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Xiaoxi JiQiugen Wang
Jan 27, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Lachlan M BattyJulian A Feller
Jan 23, 2016·Orthopaedics & Traumatology, Surgery & Research : OTSR·T T PhamN Bonnevialle
Dec 20, 2016·Orthopedics·Werner Maurer-ErtlAndreas Leithner
Feb 6, 2018·Health Affairs·James W Dearing, Jeffrey G Cox

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Citations

Jan 26, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Azeem Tariq MalikGregory L Cvetanovich
Apr 19, 2021·BMC Musculoskeletal Disorders·Jae Hwa KimSoonchul Lee
May 1, 2021·Indian Journal of Orthopaedics·Khalid D MohammedJegan Krishnan

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