Icahn School of Medicine at Mount Sinai.
Arthroscopy. 2018 May;34(5):1401-1402. doi: 10.1016/j.arthro.2018.01.003.
We have published that shoulder rotator cuff tear is a highly cost-effective procedure, and to continue to improve value, a goal is to contain cost while maintaining or improving outcome. To bend the cost curve, reduction in direct costs (number of suture anchors used) could be a goal, and because rotator cuff repair failures are as much biologic as they are mechanical, the effect of adding anchors to improve outcomes has an obvious limit.
我们已经发表了肩袖撕裂是一项具有高性价比的手术,为了继续提高价值,目标是在保持或改善结果的同时控制成本。为了降低成本曲线,减少直接成本(缝线锚钉的使用数量)可能是一个目标,而且由于肩袖修复失败既有生物学因素,也有机械因素,因此增加锚钉来改善结果的效果显然是有限的。