2021 Annual Meeting Knee Access Pass-Case Volume as a Predictor of Graft Selection and Cost for Anterior Cruciate Ligament Reconstruction

Case Volume as a Predictor of Graft Selection and Cost for Anterior Cruciate Ligament Reconstruction

Video Transcription

Video Summary

The video transcript summarizes a study conducted by a fellow at Brown University in conjunction with Dr. Brett Owens, which explores the relationship between case volume, graft selection, and cost for anterior cruciate ligament (ACL) reconstruction. The study utilizes the HCUP ambulatory surgery database for Florida and employs multivariate regression analysis. The results indicate that low-volume surgeons and centers are associated with higher risk factors and increased reoperation rates. Allograft utilization and hospital admission significantly increase costs, while high-volume surgeons and facilities are more cost-effective despite performing more meniscal repair procedures. Limitations include the use of charge as a proxy for costs and lack of graft type analysis. Allograft usage is highlighted as a factor that can be controlled by surgeons and has a significant impact on ACL reconstruction costs.

Asset Caption

Dr. Steven Bokshan | ACL Graft and Revision

Keywords

study

case volume

graft selection

cost

ACL reconstruction