PDF(Pubmed)
Abstract：
UNASSIGNED: The purpose of this systematic review is to assess the impact of shoulder surgeon volume of common shoulder procedures on hospital/surgeon efficiency, adverse events, and hospital costs.
UNASSIGNED: Four online databases (PubMed, Embase, MEDLINE, and CENTRAL) were searched for literature on the influence of surgeon volume on outcomes for shoulder surgery, from data inception to October 1, 2020. The Methodological Index for Non-Randomized Studies tool was used to assess study quality. Data are presented descriptively.
UNASSIGNED: Twelve studies encompassing 150,898 patients were included in this review. The distribution of surgery type was rotator cuff repair (53.7%; n = 81,066), shoulder arthroplasty (35.7%; n = 53,833), and ORIF (10.6%; n = 15,999). Higher surgeon volume for rotator cuff repairs was associated with lower surgical time, length of stay, costs, and reoperation/readmission rates. For shoulder arthroplasty, higher surgeon volume was associated with lower length of stay, costs, surgical time, non-routine disposition, blood loss, reoperation/readmission, and complications. As for ORIF, higher surgeon volume was associated with lower length of stay, costs, and complications.
UNASSIGNED: A high surgical volume leads to improved results for hospital/surgeon efficiency and reduces adverse events and hospital costs across various orthopaedic procedures. Hospitals and physicians can use this information to develop and adhere to policies and practices that contribute to more efficient and better-quality care for patients.
UNASSIGNED: III.
UNASSIGNED: Four online databases (PubMed, Embase, MEDLINE, and CENTRAL) were searched for literature on the influence of surgeon volume on outcomes for shoulder surgery, from data inception to October 1, 2020. The Methodological Index for Non-Randomized Studies tool was used to assess study quality. Data are presented descriptively.
UNASSIGNED: Twelve studies encompassing 150,898 patients were included in this review. The distribution of surgery type was rotator cuff repair (53.7%; n = 81,066), shoulder arthroplasty (35.7%; n = 53,833), and ORIF (10.6%; n = 15,999). Higher surgeon volume for rotator cuff repairs was associated with lower surgical time, length of stay, costs, and reoperation/readmission rates. For shoulder arthroplasty, higher surgeon volume was associated with lower length of stay, costs, surgical time, non-routine disposition, blood loss, reoperation/readmission, and complications. As for ORIF, higher surgeon volume was associated with lower length of stay, costs, and complications.
UNASSIGNED: A high surgical volume leads to improved results for hospital/surgeon efficiency and reduces adverse events and hospital costs across various orthopaedic procedures. Hospitals and physicians can use this information to develop and adhere to policies and practices that contribute to more efficient and better-quality care for patients.
UNASSIGNED: III.
摘要：
■本系统评价的目的是评估常见肩部手术的肩部外科医生体积对医院/外科医生效率的影响，不良事件,医院费用。
■四个在线数据库(PubMed，Embase,MEDLINE,和CENTRAL）搜索有关外科医生体积对肩部手术结果影响的文献，从数据开始到2020年10月1日。非随机研究方法学指数工具用于评估研究质量。数据以描述性方式呈现。
■本综述包括12项研究，包括150,898名患者。手术类型分布为肩袖修复（53.7％；n=81,066），肩关节置换术（35.7%；n=53,833），和ORIF（10.6%；n=15999）。较高的外科医生容量用于肩袖修复与较低的手术时间相关。逗留时间,成本,和再手术/再入院率。对于肩关节成形术，较高的外科医生容量与较低的住院时间相关，成本,手术时间,非常规处置，失血,再手术/再入院，和并发症。至于ORIF,较高的外科医生容量与较低的住院时间相关，成本,和并发症。
高手术量可改善医院/外科医生的效率，并减少各种骨科手术的不良事件和医院费用。医院和医生可以使用这些信息来制定和遵守有助于为患者提供更有效和更高质量的护理的政策和实践。
■III.
■四个在线数据库(PubMed，Embase,MEDLINE,和CENTRAL）搜索有关外科医生体积对肩部手术结果影响的文献，从数据开始到2020年10月1日。非随机研究方法学指数工具用于评估研究质量。数据以描述性方式呈现。
■本综述包括12项研究，包括150,898名患者。手术类型分布为肩袖修复（53.7％；n=81,066），肩关节置换术（35.7%；n=53,833），和ORIF（10.6%；n=15999）。较高的外科医生容量用于肩袖修复与较低的手术时间相关。逗留时间,成本,和再手术/再入院率。对于肩关节成形术，较高的外科医生容量与较低的住院时间相关，成本,手术时间,非常规处置，失血,再手术/再入院，和并发症。至于ORIF,较高的外科医生容量与较低的住院时间相关，成本,和并发症。
高手术量可改善医院/外科医生的效率，并减少各种骨科手术的不良事件和医院费用。医院和医生可以使用这些信息来制定和遵守有助于为患者提供更有效和更高质量的护理的政策和实践。
■III.
