Economic Aspects

  • Claudio Chillemi
  • Alessandro Castagna
  • Marcello Osimani


Due to the changing healthcare climate, with the aim of improving outcomes and reducing costs, providers and policymakers alike have increasingly prioritized the promotion of value-based care in the current healthcare system (Black et al. 2013; Bozic and Wright 2012; Chad Mather and Bozic 2013). For this reason is becoming increasingly important for orthopedic surgeons to critically evaluate and modify their practice and procedures to decrease costs without compromising outcomes (Cofield 1982; Seidl et al. 2016). The importance of applying these tenets to rotator cuff surgery are self-evident, given the high prevalence of disease and steady rise of rotator cuff repairs (Colvin et al. 2012). During the past few years, studies have reported the cost-effectiveness and economic value of rotator cuff repairs. Rotator cuff repair is cost-effective to the patient (as determined by standard cost-effectiveness ratios) (Vitale et al. 2007) and produces net societal cost savings when considering direct and indirect costs of treatment (Mather et al. 2013).


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Claudio Chillemi
    • 1
  • Alessandro Castagna
    • 2
  • Marcello Osimani
    • 3
  1. 1.Department of Orthopaedics and TraumatologyIstituto Chirurgico Ortopedico Traumatologico (ICOT)LatinaItaly
  2. 2.Shoulder UnitIstituto Clinico HumanitasMilanItaly
  3. 3.Department of Radiological Sciences, Oncology and Pathology“Sapienza” - University of Rome (ICOT Latina)RomeItaly

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