Abstract：
UNASSIGNED: To investigate the doctor shopping trend of patients with rotator cuff tear (RCT) before undergoing surgery and the relevance of the results to the public.
UNASSIGNED: A survey was conducted of 326 patients from 10 hospitals (male, 176; female, 150) who underwent arthroscopic rotator cuff repair (ARCR) for symptomatic RCT between September 2019 and February 2020. A questionnaire was used to obtain data regarding the type of medical care service, medical institutions visited before surgery, number of treatments received, and cost of treatment.
UNASSIGNED: A total of 326 patients (87%) received treatment at least once at another medical institution before visiting the hospital where the surgery was performed. Patients visited an average of 9.4 health providers or physicians for shoulder pain before visiting the hospital where surgery was performed. Among the 326 patients, 148 (45%) visited more than two medical institutions and spent an average of 641,983 Korean won (KRW; $466, 50,000-5,000,000 KRW) before surgery. Medical expenses before surgery were proportional to the number of medical institutions visited (P=0.002), symptom duration (P=0.002), and initial visual analog scale (VAS) pain score (P=0.007) but were not associated with gender, age, VAS pain score immediately before surgery, or RCT size.
UNASSIGNED: Medical expense before ARCR was associated with the severity of preoperative pain and duration of symptoms. After onset of shoulder symptoms, patients should visit as soon as possible a hospital that has surgeons who specialize in shoulder repair to prevent unnecessary medical expense and proper treatment.
UNASSIGNED: A survey was conducted of 326 patients from 10 hospitals (male, 176; female, 150) who underwent arthroscopic rotator cuff repair (ARCR) for symptomatic RCT between September 2019 and February 2020. A questionnaire was used to obtain data regarding the type of medical care service, medical institutions visited before surgery, number of treatments received, and cost of treatment.
UNASSIGNED: A total of 326 patients (87%) received treatment at least once at another medical institution before visiting the hospital where the surgery was performed. Patients visited an average of 9.4 health providers or physicians for shoulder pain before visiting the hospital where surgery was performed. Among the 326 patients, 148 (45%) visited more than two medical institutions and spent an average of 641,983 Korean won (KRW; $466, 50,000-5,000,000 KRW) before surgery. Medical expenses before surgery were proportional to the number of medical institutions visited (P=0.002), symptom duration (P=0.002), and initial visual analog scale (VAS) pain score (P=0.007) but were not associated with gender, age, VAS pain score immediately before surgery, or RCT size.
UNASSIGNED: Medical expense before ARCR was associated with the severity of preoperative pain and duration of symptoms. After onset of shoulder symptoms, patients should visit as soon as possible a hospital that has surgeons who specialize in shoulder repair to prevent unnecessary medical expense and proper treatment.
摘要：
■调查手术前肩袖撕裂（RCT）患者的医生购物趋势以及结果与公众的相关性。
■对来自10家医院的326名患者进行了调查（男性，176；女性，150名患者在2019年9月至2020年2月期间接受了关节镜肩袖修复术（ARCR）治疗症状性RCT。使用问卷调查来获取有关医疗服务类型的数据，手术前参观的医疗机构，接受治疗的数量，和治疗费用。
■共有326名患者（87％）在前往进行手术的医院之前至少在另一家医疗机构接受了一次治疗。在前往进行手术的医院之前，患者平均拜访了9.4名健康提供者或医生的肩痛。在326名患者中，148（45％）访问了两家以上的医疗机构，手术前平均花费了641,983韩元（韩元；466美元，50,000-5,000,000韩元）。术前医疗费用与就诊医疗机构数量成正比(P=0.002),症状持续时间（P=0.002），和初始视觉模拟量表（VAS）疼痛评分（P=0.007），但与性别无关，年龄,手术前即刻VAS疼痛评分，或RCT大小。
■ARCR前的医疗费用与术前疼痛的严重程度和症状持续时间相关。肩症状发作后，患者应尽快前往有专门治疗肩部修复的外科医生的医院，以防止不必要的医疗费用和适当的治疗。
■对来自10家医院的326名患者进行了调查（男性，176；女性，150名患者在2019年9月至2020年2月期间接受了关节镜肩袖修复术（ARCR）治疗症状性RCT。使用问卷调查来获取有关医疗服务类型的数据，手术前参观的医疗机构，接受治疗的数量，和治疗费用。
■共有326名患者（87％）在前往进行手术的医院之前至少在另一家医疗机构接受了一次治疗。在前往进行手术的医院之前，患者平均拜访了9.4名健康提供者或医生的肩痛。在326名患者中，148（45％）访问了两家以上的医疗机构，手术前平均花费了641,983韩元（韩元；466美元，50,000-5,000,000韩元）。术前医疗费用与就诊医疗机构数量成正比(P=0.002),症状持续时间（P=0.002），和初始视觉模拟量表（VAS）疼痛评分（P=0.007），但与性别无关，年龄,手术前即刻VAS疼痛评分，或RCT大小。
■ARCR前的医疗费用与术前疼痛的严重程度和症状持续时间相关。肩症状发作后，患者应尽快前往有专门治疗肩部修复的外科医生的医院，以防止不必要的医疗费用和适当的治疗。
