2023 ISAKOS Biennial Congress ePoster
Gender Analysis of Rotator Cuff Repair Utilization and Outcomes
Samuel S Rudisill, BS, Chicago, IL UNITED STATES
Christopher T Eberlin, BS, Boston, MA UNITED STATES
Michael Peter Kucharik, BS, Boston, Massachusetts UNITED STATES
Jacob Linker, BA, Dalton, PA UNITED STATES
Sara Naessig, BS, New York, Ny UNITED STATES
Wendy Madeline Meek, BBA, Boston, Massachusetts UNITED STATES
Nathan J Cherian, MD, Somerville, Massachusetts UNITED STATES
Zachary Logan LaPorte, BA, Boston, Massachusetts UNITED STATES
Matthew J Best, MD, Baltimore, MD UNITED STATES
Scott D Martin, MD, Boston, MA UNITED STATES
Department of Orthopaedic Surgery, Massachusetts General Hospital / Harvard Medical School, Boston, MA, UNITED STATES
FDA Status Not Applicable
Summary
Sex differences among patients undergoing arthroscopic rotator cuff repair are evident, indicating need for further research to understand and address root causes of inequality and optimize care for all.
ePosters will be available shortly before Congress
Abstract
Introduction
As the volume and proportion of patients treated arthroscopically for rotator cuff repair increases, it is important to recognize sex differences in utilization and outcomes.
Methods
Patients who underwent arthroscopic rotator cuff repair between 2010 and 2019 were identified in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) registry. Baseline demographic and clinical characteristics were collected, and information concerning utilization, operative time, length of hospital stay, days from operation to discharge, readmission, and adverse events were analyzed by sex.
Results
Of 42,443 included patients, 57.7% were male and 42.3% were female. Comparably, females were generally older and less healthy as indicated by ASA class and rates of obesity (52.0% vs. 47.8%), COPD (4.0% vs. 2.7%), and steroid use (2.7% vs. 1.6%). Females experienced shorter operative times (mean difference [MD] 11.5 minutes), longer hospital stays (MD 0.03 days), longer times from operation to discharge (MD 0.03 days), and more minor adverse events (odds ratio [OR] 1.75) after baseline adjustment. Conversely, rates of serious adverse events (OR 0.69) and readmissions (OR 0.88) were lower amongst females. Disparities in utilization increased over the study period, whereas length of stay and adverse events remained stable.
Discussion And Conclusion
Sex differences among patients undergoing arthroscopic rotator cuff repair are evident, indicating need for further research to understand and address root causes of inequality and optimize care for all.
ACKNOWLEDGEMENTS: Conine Family Foundation for Joint Preservation