Increasing incidence of rotator cuff surgery: A nationwide registry study in Chile

Abstract

Background The rotator cuff surgery (RCS) incidence is rising rapidly in North America, Europe, Asia, and Australia. Despite this, multiple factors limit patients’ access to surgery. In Latin America, barriers to orthopedic surgery have been largely ignored. The purpose of this study was to calculate the rate of RCS in Chile between 2008 and 2018, investigating possible associated factors to access such as age, sex, and the health insurance. Methods An ecological study was carried out with nationwide data obtained from the Database of Hospital Discharges of the Department of Statistics. All Chilean inhabitants aged 25 years or more were included. We used the ICD-10 codes M751, M754, and S460. The annual incidence rate of surgeries and the incidence rate for the period studied per 100,000 inhabitants were calculated. Data were analyzed stratified by age, sex, year of study, and the health insurance. Negative binomial regression was used to compare rates. Statistical analyzes were performed with Stata v.14 software. Results 39,366 RCSs were performed, with a total rate for the period of 32.36 per 100,000 inhabitants. The annual rate of surgeries from 2008 to 2018 increased from 24.55 to 49.11 per 100,000/year. When adjusting for year, an annual increase in surgery rates of 8.19% (95% CI 6.7–9.6) and 101% growth between 2008 and 2018 (95% CI 90–109%, p < 0.001) was observed. When comparing the global rates according to the health insurance, the public system corresponds to 21.3 per 100,000 and the private system to 72 per 100,000, the latter being 3.4-times higher (95% CI 2.7–4.4; p < 0.001). Conclusion RCS rates are increasing in Chile concordantly with previous reports of other western countries. The most important factor associated with RCS rate found was the patients’ health insurance, with higher rates observed for the private sector.

Hydrotherapy after Rotator Cuff Repair Improves Short-Term Functional Results Compared with Land-Based Rehabilitation When the Immobilization Period Is Longer

“…In degenerative rotator cuff diseases, several risk factors have been identified, with age playing a significant role in its development [4]. Consequently, this condition is notably prevalent among adults age over 50 years old and within the elderly population, with an anticipated increase in prevalence as the population continues to age [5][6][7][8][9]. The essential role of the rotator cuff in shoulder function renders addressing this pathology critical.…”

Assessment of Safety, Efficacy, and Functional Outcomes After Rotator Cuff Repair Using Ceptre® Titanium Screw Anchor: A Retrospective Study

“…Small tears may only limit the function but large tears result in an imbalance in the joint kinematics. RCT causes pain and reduces the ability to perform activities of daily living [ 10 , 11 ]. Thus, surgical repair of RCTs is a considerable procedure to alleviate shoulder pain, to rectify tears, and when other treatments fail [ 9 ].…”

Comparison of Locking-Loop Suture Bridge Repair and Single-Row Suture Anchor Repair in Small to Medium Rotator Cuff Tears: A Prospective Cohort Study With Clinical and Ultrasound Evaluations

“… 42 , 45 Rotator cuff repair is currently among the most performed shoulder surgical procedures, 19 and its incidence is rising rapidly. 11 , 46 Techniques for rotator cuff repair have evolved from open techniques to arthroscopically assisted mini-open techniques and all-arthroscopic techniques, 8 and suture anchors are currently the most commonly used implants in rotator cuff repair. Suture anchor repair can primarily be divided into single-row (SR) or double-row techniques; these 2 types of techniques have constituted the basis for various other techniques such as the modified Mason-Allen suture bridge technique, knotless suture anchor technique, transosseous tunnel technique, 7 and cruciate ligament repair techniques.…”