Value-based healthcare analysis of shoulder surgery for patients with symptomatic rotator cuff tears – Calculating the impact of arthroscopic cuff repair

C Holzer-Fleming, A Tavakkolizadeh, J Sinha, J Casey, J Moxham, Toby J Colegate-Stone

2020 Jul 2;14(1 Suppl):59–70. doi: 10.1177/1758573220928258

Abstract

Background

Surgical repair of full-thickness rotator cuff tears in symptomatic patients is known to offer significant benefits. Despite this there remains a lack of universal appreciation that such surgery offers high clinical value, with some commissioners even limiting access to it. The value-based healthcare agenda provides a means to design, deliver and measure the impact of healthcare to a defined segment of patients. The aim of this study was to measure the value of surgically repairing primary symptomatic full-thickness rotator cuff tears when outcomes and costs were assessed over an entire care pathway.

Methods

A prospective study of patients undergoing rotator cuff tears repair was undertaken. Patients were managed using a standardised integrated care pathway. Subsequent outcomes and costs were measured over the whole care pathway. Outcomes were assessed from both traditional and patient centric re-formatted prisms.

Results

Significant improvement in clinical outcomes where recognised when assessed from either the traditional or re-formatted prisms. Economic review of this approach revealed the pathway generated a sustainable and notable positive margin.

Discussion

This study evidences how a well-designed value-based healthcare shoulder approach can be delivered and measured. It demonstrates rotator cuff surgery to be a high value treatment for patients with symptomatic rotator cuff tears.

Keywords: Rotator cuff repair, value-based healthcare, outcomes