Zusammenfassung
Im Rahmen der allgemeinen Bestrebungen zur Ambulantisierung des Gesundheitssystems und der entsprechenden ökonomischen Zwänge werden zunehmend Operationen als ambulante Eingriffe durchgeführt. Diese Bestrebung zeigt sich auch für die Schulterendoprothetik. Erste Daten zeigen hier die grundsätzliche Machbarkeit auf. Es finden sich jedoch noch systemimmanente Probleme, die v. a. eine noch geringe Akzeptanz der Patienten im europäischen Gesundheitssystem begründen.
Abstract
Within the framework of the general endeavors towards outpatient treatment aiming at more efficiency and cost reduction within the healthcare system, surgical interventions are performed increasingly more as outpatient procedures. This endeavor is also evident for shoulder arthroplasty. The published literature has already demonstrated the basic feasibility; however, there are still immanent problems with the system, which explains the still low acceptance of patients within the European healthcare system.
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Literatur
Abildgaard JT, Mclemore R, Hattrup SJ (2016) Tranexamic acid decreases blood loss in total shoulder arthroplasty and reverse total shoulder arthroplasty. J Shoulder Elbow Surg 25:1643–1648
Ahmed AF, Hantouly A, Toubasi A et al (2021) The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysis. Int Orthop 45:697–710
Basques BA, Erickson BJ, Leroux T et al (2017) Comparative outcomes of outpatient and inpatient total shoulder arthroplasty: an analysis of the medicare dataset. Bone Joint J 99-B:934–938
Bovonratwet P, Webb ML, Ondeck NT et al (2017) Definitional differences of ‘outpatient’ versus ‘inpatient’ THA and TKA can affect study outcomes. Clin Orthop Relat Res 475:2917–2925
Brolin TJ, Throckmorton TW (2018) Outpatient shoulder arthroplasty. Orthop Clin North Am 49:73–79
Cimino AM, Hawkins JK, Mcgwin G et al (2021) Is outpatient shoulder arthroplasty safe? A systematic review and meta-analysis. J Shoulder Elbow Surg 30:1968–1976
Cointat C, Gauci MO, Azar M et al (2021) Outpatient shoulder prostheses: feasibility, acceptance and safety. Orthop Traumatol Surg Res 107:102913
Ernstbrunner L, Andronic O, Grubhofer F et al (2019) Long-term results of reverse total shoulder arthroplasty for rotator cuff dysfunction: a systematic review of longitudinal outcomes. J Shoulder Elbow Surg 28:774–781
Ernstbrunner L, Suter A, Catanzaro S et al (2017) Reverse total shoulder arthroplasty for massive, irreparable rotator cuff tears before the age of 60 years: long-term results. J Bone Joint Surg Am 99:1721–1729
Fournier MN, Brolin TJ, Azar FM et al (2019) Identifying appropriate candidates for ambulatory outpatient shoulder arthroplasty: validation of a patient selection algorithm. J Shoulder Elbow Surg 28:65–70
Goyal N, Chen AF, Padgett SE et al (2017) Otto aufranc award: a multicenter, randomized study of outpatient versus inpatient total hip arthroplasty. Clin Orthop Relat Res 475:364–372
Huddleston HP, Mehta N, Polce EM et al (2021) Complication rates and outcomes after outpatient shoulder arthroplasty: a systematic review. JSES Int 5:413–423
Lehtimaki K, Rasmussen JV, Mokka J et al (2018) Risk and risk factors for revision after primary reverse shoulder arthroplasty for cuff tear arthropathy and osteoarthritis: a Nordic Arthroplasty Register Association study. J Shoulder Elbow Surg 27:1596–1601
Leroux TS, Basques BA, Frank RM et al (2016) Outpatient total shoulder arthroplasty: a population-based study comparing adverse event and readmission rates to inpatient total shoulder arthroplasty. J Shoulder Elbow Surg 25:1780–1786
Leroux TS, Zuke WA, Saltzman BM et al (2018) Safety and patient satisfaction of outpatient shoulder arthroplasty. JSES Open Access 2:13–17
Lovald ST, Ong KL, Malkani AL et al (2014) Complications, mortality, and costs for outpatient and short-stay total knee arthroplasty patients in comparison to standard-stay patients. J Arthroplasty 29:510–515
Meneghini RM, Ziemba-Davis M, Ishmael MK et al (2017) Safe selection of outpatient joint arthroplasty patients with medical risk stratification: the “outpatient arthroplasty risk assessment score”. J Arthroplasty 32:2325–2331
Ode GE, Odum S, Connor PM et al (2020) Ambulatory versus inpatient shoulder arthroplasty: a population-based analysis of trends, outcomes, and charges. JSES Int 4:127–132
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K. Beitzel ist Berater für Arthrex und Medi.
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T. Gensior, Neuss
R. Müller-Rath, Neuss
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Beitzel, K. Möglichkeiten der ambulanten Schulterendoprothetik. Arthroskopie 37, 32–35 (2024). https://doi.org/10.1007/s00142-023-00648-5
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DOI: https://doi.org/10.1007/s00142-023-00648-5