| Surgeon-operated ultrasonography in a one-stop shoulder clinic. | |
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MedLine Citation:
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PMID: 22004635 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Nearly 1 in 40 of the population seeks medical advice related to a shoulder problem every year. The majority pertain to rotator cuff pathology. Prior to intervention in such patients it is imperative to define whether the tendons are intact or torn. Ultrasonography has become an essential adjunct to clinical assessment in diagnosing rotator cuff tears. This study was designed to investigate if a surgeon using a portable ultrasonography machine in a one-stop shoulder clinic could significantly reduce the time a patient waited from initial outpatient presentation to the end of the treatment episode (be it surgery, injection or conservative management). METHODS: A total of 77 patients were allocated to one of two groups: Group A, consisting of 37 patients who were assessed and had ultrasonography as outpatients, and Group B, consisting of 40 patients who were assessed and referred for departmental ultrasonography where appropriate. Three clear outcome groups were defined: those who required surgical repair, those who had irreparable tears and those who declined surgery. RESULTS: For all outcomes (surgery, irreparable tears and conservative treatment), the patients in Group A all completed their clinical episodes significantly quicker than those in Group B (p<0.02). As well as the time saving benefits, there was a substantial financial saving for Group A. By performing ultrasonography in the outpatients department, those patients avoided the requirement of departmental imaging (£120) and subsequent follow-up appointments (£73) to discuss results and management, resulting in a saving of nearly £200 per patient. CONCLUSIONS: The use of a portable ultrasonography machine by an orthopaedic surgeon can significantly reduce the time to treatment and the financial cost for patients with rotator cuff tears. |
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Authors:
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R Seagger; T Bunker; P Hamer |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 93 ISSN: 1478-7083 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-18 Completed Date: 2011-12-13 Revised Date: 2013-03-25 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: England |
Other Details:
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Languages: eng Pagination: 528-31 Citation Subset: IM |
Affiliation:
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Royal Devon and Exeter Hospital, Barrack Road, Exeter, Devon EX2 5DW, UK. robin.seagger@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Ambulatory Care / economics Cost-Benefit Analysis Female Humans Length of Stay Male Middle Aged Referral and Consultation* Retrospective Studies Rotator Cuff / injuries, surgery Rupture / surgery, ultrasonography Shoulder / injuries*, surgery, ultrasonography* Time Factors Waiting Lists |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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