Kira L Smith, Amir Karimi, Ethan R Harlow, Robert J Gillespie, Raymond E Chen
Defining Patient Satisfaction after Reverse Total Shoulder Arthroplasty: A Systematic Review
Journal of shoulder and elbow surgery
objective develop pragmatic framework based valuebased healthcare principles monitor health outcomes per unit costs institutional level subsequently investigated association health outcomes healthcare utilisation costs retrospective cohort study teaching hospital rotterdam netherlands study performed two use cases bariatric population contained 856 patients 639 diagnosed morbid obesity body mass index bmi 45 217 diagnosed morbid obesity bmi 45 breast cancer population contained 663 patients 455 received lumpectomy 208 mastectomy quality cost indicator qci primary measures defined asqci resulting outcome 100average total costs per thousand euroswhere average total costs entail healthcare utilisation costs regard treatment primary diagnosis followup care resulting outcome number patients achieving textbook outcome passing health outcome indicators divided total number patients included care path breast cancer bariatric population highest resulting outcome values 2020 q4 093 073 respectively average total costs bariatric population remained stable avg 883355 min 849432 max 916426 breast cancer population showed higher variance costs avg 12 73531 min 12 18883 max 13 69558 qci values populations showed similar variance 03 08 failing health outcome indicators significantly related higher hospitalbased costs care populations p 001 qci framework effective monitoring changes average total costs relevant health outcomes institutional level health outcomes associated hospitalbased costs care