Surgeons' experience and perceived barriers with outpatient shoulder arthroplasty

Journal of Shoulder and Elbow Surgery
Tyler J BrolinJoseph Abboud

Abstract

Recently, outpatient total shoulder arthroplasty (TSA) has been proposed as a safe and cost-effective alternative to the inpatient setting. This study evaluated the expert shoulder surgeon's experience with and perceived barriers to outpatient TSA. A secure web application was used to perform an online survey of 484 active American Shoulder and Elbow Surgeons members. The survey assessed surgeon practice demographics, experience with TSA/outpatient TSA, and perceived barriers to successful outpatient TSA. Simple descriptive statistics were performed to analyze the cohort. To identify differences between surgeons performing and not performing outpatient TSA, the Student t test and χ2 test were used in bivariate analysis. P < .05 was used for statistical significance. Of the 179 (37.0%) complete responses received, 20.7% perform outpatient TSA; of those, 78.4% reported an "excellent" experience. Outpatient surgeons were more likely to reside in the southern United States (P = .05) and performed a higher volume of TSAs annually (P = .03). Surgeons not performing outpatient TSA were more concerned with the potential of medical complications (P = .04). Perceived lack of experience (P = .002), low volume (P = .008), insurance contrac...Continue Reading

Citations

Nov 13, 2019·The Journal of Bone and Joint Surgery. American Volume·Michael P CarducciAndrew Jawa
Oct 31, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Dustin R BironAlan H Daniels
Sep 2, 2020·Journal of Shoulder and Elbow Surgery·Varun ArvindPaul J Cagle
Feb 10, 2020·Journal of Shoulder and Elbow Surgery·Brandon J EricksonReuben Gobezie
Aug 17, 2020·The Journal of the American Academy of Orthopaedic Surgeons·James M GregoryRyan J Warth
Jun 6, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Christopher L AntonacciFrank G Alberta
Apr 3, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Caroline CointatPascal Boileau
Aug 26, 2021·British Journal of Hospital Medicine·Tanujan Thangarajah
Oct 14, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Tyler E CalkinsTyler J Brolin

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