Analyzing practice pattern in treating partial-thickness rotator cuff tears: a dual perspective from national database and American Shoulder and Elbow Surgeons PARCIAL research group
Background: Partial-thickness rotator cuff tears (PTRCTs), often considered less severe than full-thickness rotator cuff tears (FTRCTs), can be equally symptomatic. Despite the prevalence of PTRCTs, scholarly attention has predominantly focused on FTRCTs, resulting in a relative neglect of PTRCTs. T...
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Elsevier
2025-01-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638324003888 |
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| author | H. Mike Kim, MD Emily Leary, PhD Champ L. Baker, 3rd, MD Leslie A. Barnes, MD R. Alexander Creighton, MD Frances Cuomo, MD Matthew J. DiPaola, MD Abdullah Foad, MD James M. Gregory, MD Brian F. Grogan, MD Scott G. Kaar, MD, MBA Eitan M. Kohan, MD Sumant G. Krishnan, MD Eddie Y. Lo, MD John T. Moor, MD Michael Nguyen, BS Monica DiFiori, MD Gabriel Masters, BA Te Feng Arthur Chou, MD Riccardo Raganato, MD Lucas P. Bowen, BS Jordan J. Harmon, BS Tessa C. Griffin, BS Alec E. Winzenried, MD Evan M. Polce, BS Cory J. Call, BS Benjamin Nwadike, MD Alvin Ouseph, MS Monia Nazemi, MS Kyle McCall, BA |
| author_facet | H. Mike Kim, MD Emily Leary, PhD Champ L. Baker, 3rd, MD Leslie A. Barnes, MD R. Alexander Creighton, MD Frances Cuomo, MD Matthew J. DiPaola, MD Abdullah Foad, MD James M. Gregory, MD Brian F. Grogan, MD Scott G. Kaar, MD, MBA Eitan M. Kohan, MD Sumant G. Krishnan, MD Eddie Y. Lo, MD John T. Moor, MD Michael Nguyen, BS Monica DiFiori, MD Gabriel Masters, BA Te Feng Arthur Chou, MD Riccardo Raganato, MD Lucas P. Bowen, BS Jordan J. Harmon, BS Tessa C. Griffin, BS Alec E. Winzenried, MD Evan M. Polce, BS Cory J. Call, BS Benjamin Nwadike, MD Alvin Ouseph, MS Monia Nazemi, MS Kyle McCall, BA |
| author_sort | H. Mike Kim, MD |
| collection | DOAJ |
| description | Background: Partial-thickness rotator cuff tears (PTRCTs), often considered less severe than full-thickness rotator cuff tears (FTRCTs), can be equally symptomatic. Despite the prevalence of PTRCTs, scholarly attention has predominantly focused on FTRCTs, resulting in a relative neglect of PTRCTs. This study aimed to assess the incidence of surgical repairs for PTRCTs in the United States (U.S.) using the Nationwide Ambulatory Surgery Sample (NASS) database and delineate practice patterns among a group of American Shoulder and Elbow Surgeons (ASES) members. Methods: The NASS database, representing approximately 67% of U.S. ambulatory surgical encounters, was queried to obtain the incidence of PTRCT and FTRCT repairs for the year 2019. Data on patient sex, hospital location, setting, teaching affiliation and size, and primary payor were also obtained. Separately, a retrospective chart review was conducted by 13 ASES research group members, collecting data on rotator cuff repairs performed from July 2021 to June 2022 at their individual institutions. Collected data included age, sex, extent and type of rotator cuff tears, duration of symptoms prior to surgical repair, and type and duration of nonoperative treatment. Results: The NASS database showed that PTRCT repairs accounted for at least 23% of the 187,787 rotator cuff repairs performed in 2019, with potential underestimation due to unspecified tear categorization. The retrospective chart review of the ASES research group revealed that PTRCT repairs constituted 27.8% of all rotator cuff repairs with substantial variability among institutions (8.6%-67.1%), that nonoperative measures were commonly employed, with a mean 12-month duration before surgical repair, and that the most common type of nonoperative treatment was supervised physical therapy combined with corticosteroid injection (37.7%). Discussion: This study revealed approximately one-fourth of all rotator cuff repairs conducted in the U.S. were attributed to PTRCTs with substantial variability in proportion of PTRCT repairs across individual orthopedic practices. The overall duration of nonoperative treatment was consistent with the existing literature. This study provides insights into the landscape of PTRCT repairs and associated practice patterns. Further investigation into factors influencing treatment decisions is warranted. |
| format | Article |
| id | doaj-art-98e6d1a630a24159b1f28a59fae4b813 |
| institution | Kabale University |
| issn | 2666-6383 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj-art-98e6d1a630a24159b1f28a59fae4b8132025-01-12T05:26:00ZengElsevierJSES International2666-63832025-01-01919197Analyzing practice pattern in treating partial-thickness rotator cuff tears: a dual perspective from national database and American Shoulder and Elbow Surgeons PARCIAL research groupH. Mike Kim, MD0Emily Leary, PhD1Champ L. Baker, 3rd, MD2Leslie A. Barnes, MD3R. Alexander Creighton, MD4Frances Cuomo, MD5Matthew J. DiPaola, MD6Abdullah Foad, MD7James M. Gregory, MD8Brian F. Grogan, MD9Scott G. Kaar, MD, MBA10Eitan M. Kohan, MD11Sumant G. Krishnan, MD12Eddie Y. Lo, MD13John T. Moor, MD14Michael Nguyen, BSMonica DiFiori, MDGabriel Masters, BATe Feng Arthur Chou, MDRiccardo Raganato, MDLucas P. Bowen, BSJordan J. Harmon, BSTessa C. Griffin, BSAlec E. Winzenried, MDEvan M. Polce, BSCory J. Call, BSBenjamin Nwadike, MDAlvin Ouseph, MSMonia Nazemi, MSKyle McCall, BADepartment of Orthopaedic Surgery, University of Missouri School of Medicine, Columbia, MO, USA; Corresponding author: H. Mike Kim, MD, Department of Orthopaedic Surgery, University of Missouri, 1100 Virginia Avenue, Columbia, MO 65212, USA.Department of Orthopaedic Surgery, University of Missouri School of Medicine, Columbia, MO, USAThe Hughston Clinic, Columbus, GA, USADepartment of Orthopaedic Surgery, Temple University School of Medicine, Philadelphia, PA, USADepartment of Orthopaedic Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USADepartment of Orthopaedic Surgery, Montefiore Medical Center Albert Einstein School of Medicine, New York, NY, USADepartment of Orthopaedic Surgery, University at Buffalo Jacobs School of Medicine, Buffalo, NY, USAMorrison Community Hospital, Morrison, IL, USADepartment of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX, USADepartment of Orthopaedic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI, USADepartment of Orthopaedic Surgery, St. Louis University School of Medicine, St. Louis, MO, USADepartment of Orthopaedic Surgery, Hackensack Meridian School of Medicine, Nutley, NJ, USABaylor University Medical Center, Baylor Scott and White Health, Dallas, Dallas, TX, USABaylor University Medical Center, Baylor Scott and White Health, Dallas, Dallas, TX, USAAdvanced Sports Medicine Center, Florida State University College of Medicine, Sarasota, FL, USABackground: Partial-thickness rotator cuff tears (PTRCTs), often considered less severe than full-thickness rotator cuff tears (FTRCTs), can be equally symptomatic. Despite the prevalence of PTRCTs, scholarly attention has predominantly focused on FTRCTs, resulting in a relative neglect of PTRCTs. This study aimed to assess the incidence of surgical repairs for PTRCTs in the United States (U.S.) using the Nationwide Ambulatory Surgery Sample (NASS) database and delineate practice patterns among a group of American Shoulder and Elbow Surgeons (ASES) members. Methods: The NASS database, representing approximately 67% of U.S. ambulatory surgical encounters, was queried to obtain the incidence of PTRCT and FTRCT repairs for the year 2019. Data on patient sex, hospital location, setting, teaching affiliation and size, and primary payor were also obtained. Separately, a retrospective chart review was conducted by 13 ASES research group members, collecting data on rotator cuff repairs performed from July 2021 to June 2022 at their individual institutions. Collected data included age, sex, extent and type of rotator cuff tears, duration of symptoms prior to surgical repair, and type and duration of nonoperative treatment. Results: The NASS database showed that PTRCT repairs accounted for at least 23% of the 187,787 rotator cuff repairs performed in 2019, with potential underestimation due to unspecified tear categorization. The retrospective chart review of the ASES research group revealed that PTRCT repairs constituted 27.8% of all rotator cuff repairs with substantial variability among institutions (8.6%-67.1%), that nonoperative measures were commonly employed, with a mean 12-month duration before surgical repair, and that the most common type of nonoperative treatment was supervised physical therapy combined with corticosteroid injection (37.7%). Discussion: This study revealed approximately one-fourth of all rotator cuff repairs conducted in the U.S. were attributed to PTRCTs with substantial variability in proportion of PTRCT repairs across individual orthopedic practices. The overall duration of nonoperative treatment was consistent with the existing literature. This study provides insights into the landscape of PTRCT repairs and associated practice patterns. Further investigation into factors influencing treatment decisions is warranted.http://www.sciencedirect.com/science/article/pii/S2666638324003888Partial-thickness rotator cuff tearRotator cuff repairIncidencePractice patternNational databaseNationwide ambulatory surgery sample |
| spellingShingle | H. Mike Kim, MD Emily Leary, PhD Champ L. Baker, 3rd, MD Leslie A. Barnes, MD R. Alexander Creighton, MD Frances Cuomo, MD Matthew J. DiPaola, MD Abdullah Foad, MD James M. Gregory, MD Brian F. Grogan, MD Scott G. Kaar, MD, MBA Eitan M. Kohan, MD Sumant G. Krishnan, MD Eddie Y. Lo, MD John T. Moor, MD Michael Nguyen, BS Monica DiFiori, MD Gabriel Masters, BA Te Feng Arthur Chou, MD Riccardo Raganato, MD Lucas P. Bowen, BS Jordan J. Harmon, BS Tessa C. Griffin, BS Alec E. Winzenried, MD Evan M. Polce, BS Cory J. Call, BS Benjamin Nwadike, MD Alvin Ouseph, MS Monia Nazemi, MS Kyle McCall, BA Analyzing practice pattern in treating partial-thickness rotator cuff tears: a dual perspective from national database and American Shoulder and Elbow Surgeons PARCIAL research group JSES International Partial-thickness rotator cuff tear Rotator cuff repair Incidence Practice pattern National database Nationwide ambulatory surgery sample |
| title | Analyzing practice pattern in treating partial-thickness rotator cuff tears: a dual perspective from national database and American Shoulder and Elbow Surgeons PARCIAL research group |
| title_full | Analyzing practice pattern in treating partial-thickness rotator cuff tears: a dual perspective from national database and American Shoulder and Elbow Surgeons PARCIAL research group |
| title_fullStr | Analyzing practice pattern in treating partial-thickness rotator cuff tears: a dual perspective from national database and American Shoulder and Elbow Surgeons PARCIAL research group |
| title_full_unstemmed | Analyzing practice pattern in treating partial-thickness rotator cuff tears: a dual perspective from national database and American Shoulder and Elbow Surgeons PARCIAL research group |
| title_short | Analyzing practice pattern in treating partial-thickness rotator cuff tears: a dual perspective from national database and American Shoulder and Elbow Surgeons PARCIAL research group |
| title_sort | analyzing practice pattern in treating partial thickness rotator cuff tears a dual perspective from national database and american shoulder and elbow surgeons parcial research group |
| topic | Partial-thickness rotator cuff tear Rotator cuff repair Incidence Practice pattern National database Nationwide ambulatory surgery sample |
| url | http://www.sciencedirect.com/science/article/pii/S2666638324003888 |
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