Select online articleSuperior labrum anterior-to-posterior repair incidence: a longitudinal investigation of community and academic databases
Section snippets
Materials and methods
The SPARCS database was used for part A of this study; it has been used for numerous studies investigating aspects of practice in surgical subspecialties.32, 45 The inclusion criteria for part A of the study were (1) all SLAP lesion repair procedures (Current Procedural Terminology [CPT] code 29807) and (2) all other orthopaedic surgical procedures (CPT codes 20000 through 29999) that were reported in each year of the SPARCS ambulatory surgery database from 2002 (the year in which CPT code
Descriptive statistics for part A
From 2002 to 2009, in the New York SPARCS database, there were 1.45 million orthopaedic surgery ambulatory procedures reported. Of these, 11,549 were SLAP repair procedures. In 2002, there were 678 SLAP repairs among 108,707 orthopaedic surgery ambulatory procedures (0.6%). Table I summarizes SLAP repair cases in the SPARCS database from 2002 to 2009. On the basis of New York census data,41 the population incidence of SLAP repairs in 2002 was 3.54 per 100,000 population. In 2009, there were
Discussion
Successful identification and treatment of pathology of the superior labrum have been challenging for orthopaedic surgeons since the initial recognition and description of SLAP tears in the late 1980s and early 1990s.1, 38, 39 In the face of these challenges and with an increasing foundation of knowledge, the rates at which SLAP tears are being treated surgically is increasing in the United States. This report shows that the incidence of SLAP repairs consistently increased between 2002 and 2009
Conclusions
There has been an increase in the overall volume and population-based incidence of SLAP repairs in community-based state databases. No such increases were seen in the cases reported to the ABOS by surgeons who had recently finished academic surgical training. When viewed in the context of contemporary literature on lesions of the superior labrum and SLAP repairs, these findings suggest that lesions of the superior labrum have been over-treated with SLAP repair over the past decade but also that
Disclaimer
The authors, their immediate families, and any research foundations with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article.
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2018, Clinics in Sports MedicineCitation Excerpt :Many European countries have administrative databases that track basic procedural and diagnostic codes from all inpatient and outpatient hospital encounters. The Statewide Planning and Research Cooperative System (SPARCS) database is an administrative database that collects New York State hospital data and has been used in several sports medicine studies.15–17 The SPARCS database evolved from a pure hospital discharge database to one that collects information from all inpatient and outpatient encounters, including procedural and diagnostic coding, across all insurance types.
Overview
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This study was approved by the Columbia University Institutional Review Board under protocol IRB-AAAI0051.