Cost-Effectiveness Analysis of Primary Arthroscopic Stabilization Versus Nonoperative Treatment for First-Time Anterior Glenohumeral Dislocations
By The Journal of Arthroscopic and Related Su FEATURING Tim Crall
Timothy S. Crall, M.D., Julius A. Bishop, M.D., Dan Guttman, M.D., Mininder Kocher, M.D., M.P.H., Kevin Bozic, M.D., M.B.A., James H. Lubowitz, M.D.
Arthroscopy, Dec 2012
In a cost-effectiveness analysis, arthroscopic shoulder stabilization for first-time anterior shoulder dislocations was deemed a clinically and cost-effective primary treatment strategy. Surgery appeared to be more cost-effective than non-operative treatment using a $25,00 willingness-to-pay threshold. The analysis was performed using a Markov simulation model and hospital and office billing records. The simulation was run for 1,000 patients over a 15 year period.