PMID- 30552070
OWN - NLM
STAT- MEDLINE
DCOM- 20190313
LR  - 20200225
IS  - 1532-6500 (Electronic)
IS  - 1058-2746 (Print)
IS  - 1058-2746 (Linking)
VI  - 28
IP  - 2
DP  - 2019 Feb
TI  - The procedure value index: a new method for quantifying value in shoulder 
      arthroplasty.
PG  - 335-340
LID - S1058-2746(18)30567-6 [pii]
LID - 10.1016/j.jse.2018.07.031 [doi]
AB  - BACKGROUND: The purpose of this study was to introduce the procedure value index 
      (PVI) and apply this value instrument to shoulder arthroplasty. The PVI uses the 
      value equation in units of minimal clinically important difference (MCID) to 
      provide an objective system of quantifying value-driven care. Secondarily, we 
      describe the PVI for both primary anatomic total shoulder arthroplasty (TSA) and 
      reverse shoulder arthroplasty (RSA) to highlight value differences between these 
      patient populations. METHODS: Patients undergoing primary shoulder arthroplasty 
      with minimum 2-year follow-up were identified retrospectively. MCIDs were 
      determined for the Simple Shoulder Test (SST) score, American Shoulder and Elbow 
      Surgeons (ASES) score, visual analog scale (VAS) score for pain, and Single 
      Assessment Numeric Evaluation (SANE) score. Cost data were reported as total 
      hospitalization costs, total charges, and total reimbursements. The PVI was 
      calculated as the ratio of outcome improvement in units of MCID over the cost of 
      care. Mean PVIs for TSA and RSA were compared. RESULTS: Five hundred thirty-four 
      patients met the inclusion criteria. MCIDs for the SST, ASES, VAS pain, and SANE 
      scores were 3.61, 29.49, 3.28, and 37.05, respectively. With the exception of the 
      ASES score, improvements in units of MCID were not different between TSA and RSA. 
      However, total hospitalization costs and charges were significantly higher for 
      RSA (P < .001). PVIs based on total hospitalization costs and total charges for 
      the SST, ASES, and VAS pain scores were significantly greater for TSA (P < .05). 
      No other PVI was significantly different. CONCLUSIONS: The PVI was greater for 
      TSA when total hospitalization costs and total charges were considered. The PVI 
      helps highlight value differences in shoulder arthroplasty.
CI  - Copyright (c) 2018 Journal of Shoulder and Elbow Surgery Board of Trustees. 
      Published by Elsevier Inc. All rights reserved.
FAU - Berglund, Derek D
AU  - Berglund DD
AD  - Holy Cross Orthopedic Institute, Fort Lauderdale, FL, USA.
FAU - Law, Tsun Yee
AU  - Law TY
AD  - Holy Cross Orthopedic Institute, Fort Lauderdale, FL, USA.
FAU - Rosas, Samuel
AU  - Rosas S
AD  - Holy Cross Orthopedic Institute, Fort Lauderdale, FL, USA; School of Medicine, 
      Wake Forest University, Winston-Salem, NC, USA.
FAU - Kurowicki, Jennifer
AU  - Kurowicki J
AD  - Holy Cross Orthopedic Institute, Fort Lauderdale, FL, USA; School of Health and 
      Medical Sciences, Seton Hall University, Nutley, NJ, USA.
FAU - Giveans, M Russell
AU  - Giveans MR
AD  - Holy Cross Orthopedic Institute, Fort Lauderdale, FL, USA.
FAU - Mijic, Dragomir
AU  - Mijic D
AD  - Holy Cross Orthopedic Institute, Fort Lauderdale, FL, USA.
FAU - Levy, Jonathan C
AU  - Levy JC
AD  - Holy Cross Orthopedic Institute, Fort Lauderdale, FL, USA. Electronic address: 
      jonlevy123@yahoo.com.
LA  - eng
GR  - T32 GM099606/GM/NIGMS NIH HHS/United States
PT  - Journal Article
DEP - 20181211
PL  - United States
TA  - J Shoulder Elbow Surg
JT  - Journal of shoulder and elbow surgery
JID - 9206499
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Arthroplasty, Replacement, Shoulder/*economics/*methods
MH  - Fees and Charges
MH  - Female
MH  - *Health Care Costs
MH  - Hospitalization/economics
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - Pain Measurement
MH  - Retrospective Studies
MH  - Shoulder Joint/*physiopathology/surgery
MH  - Treatment Outcome
PMC - PMC6383649
MID - NIHMS1012475
OTO - NOTNLM
OT  - Procedure value index (PVI)
OT  - anatomic total shoulder arthroplasty (TSA)
OT  - cost
OT  - minimal clinically important difference (MCID)
OT  - reverse total shoulder arthroplasty (RSA)
OT  - value
EDAT- 2018/12/16 06:00
MHDA- 2019/03/14 06:00
PMCR- 2020/02/01
CRDT- 2018/12/16 06:00
PHST- 2018/05/17 00:00 [received]
PHST- 2018/07/21 00:00 [revised]
PHST- 2018/07/29 00:00 [accepted]
PHST- 2018/12/16 06:00 [pubmed]
PHST- 2019/03/14 06:00 [medline]
PHST- 2018/12/16 06:00 [entrez]
PHST- 2020/02/01 00:00 [pmc-release]
AID - S1058-2746(18)30567-6 [pii]
AID - 10.1016/j.jse.2018.07.031 [doi]
PST - ppublish
SO  - J Shoulder Elbow Surg. 2019 Feb;28(2):335-340. doi: 10.1016/j.jse.2018.07.031. 
      Epub 2018 Dec 11.