Desenlaces clínicos y económicos asociados al reemplazo articular de hombro en el régimen contributivo en Colombia

ilustraciones, fotografías, gráficas, tablas

Autores:
López Rincón, Laura Camila
Tipo de recurso:
Fecha de publicación:
2022
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/80885
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/80885
https://repositorio.unal.edu.co/
Palabra clave:
610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología
Artroplastia de Reemplazo
Reoperación
Arthroplasty, Replacement
Reoperation
Régimen contributivo en salud
Seguridad social-Legislación
Social security -- Law and legislation
Artroplastia
Reemplazo articular
Hombro
Resultados
Mortalidad
Reintervención
Arthroplasty
Replacement
Shoulder
Outcomes
Mortality
Reoperation
Rights
openAccess
License
Atribución-NoComercial-SinDerivadas 4.0 Internacional
id UNACIONAL2_b9afd260fe4db1e58232463be55000e2
oai_identifier_str oai:repositorio.unal.edu.co:unal/80885
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Desenlaces clínicos y económicos asociados al reemplazo articular de hombro en el régimen contributivo en Colombia
dc.title.translated.eng.fl_str_mv Clinical and economic outcomes of shoulder arthroplasty in the Colombia’s contributory health system
title Desenlaces clínicos y económicos asociados al reemplazo articular de hombro en el régimen contributivo en Colombia
spellingShingle Desenlaces clínicos y económicos asociados al reemplazo articular de hombro en el régimen contributivo en Colombia
610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología
Artroplastia de Reemplazo
Reoperación
Arthroplasty, Replacement
Reoperation
Régimen contributivo en salud
Seguridad social-Legislación
Social security -- Law and legislation
Artroplastia
Reemplazo articular
Hombro
Resultados
Mortalidad
Reintervención
Arthroplasty
Replacement
Shoulder
Outcomes
Mortality
Reoperation
title_short Desenlaces clínicos y económicos asociados al reemplazo articular de hombro en el régimen contributivo en Colombia
title_full Desenlaces clínicos y económicos asociados al reemplazo articular de hombro en el régimen contributivo en Colombia
title_fullStr Desenlaces clínicos y económicos asociados al reemplazo articular de hombro en el régimen contributivo en Colombia
title_full_unstemmed Desenlaces clínicos y económicos asociados al reemplazo articular de hombro en el régimen contributivo en Colombia
title_sort Desenlaces clínicos y económicos asociados al reemplazo articular de hombro en el régimen contributivo en Colombia
dc.creator.fl_str_mv López Rincón, Laura Camila
dc.contributor.advisor.spa.fl_str_mv Calixto Ballesteros, Luis Fernando
Buitrago, Giancarlo Gutiérrez
dc.contributor.author.spa.fl_str_mv López Rincón, Laura Camila
dc.subject.ddc.spa.fl_str_mv 610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología
topic 610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología
Artroplastia de Reemplazo
Reoperación
Arthroplasty, Replacement
Reoperation
Régimen contributivo en salud
Seguridad social-Legislación
Social security -- Law and legislation
Artroplastia
Reemplazo articular
Hombro
Resultados
Mortalidad
Reintervención
Arthroplasty
Replacement
Shoulder
Outcomes
Mortality
Reoperation
dc.subject.decs.spa.fl_str_mv Artroplastia de Reemplazo
Reoperación
dc.subject.decs.eng.fl_str_mv Arthroplasty, Replacement
Reoperation
dc.subject.lemb.spa.fl_str_mv Régimen contributivo en salud
Seguridad social-Legislación
dc.subject.lemb.eng.fl_str_mv Social security -- Law and legislation
dc.subject.proposal.spa.fl_str_mv Artroplastia
Reemplazo articular
Hombro
Resultados
Mortalidad
Reintervención
dc.subject.proposal.fra.fl_str_mv Arthroplasty
dc.subject.proposal.eng.fl_str_mv Replacement
Shoulder
Outcomes
Mortality
Reoperation
description ilustraciones, fotografías, gráficas, tablas
publishDate 2022
dc.date.accessioned.none.fl_str_mv 2022-02-04T22:49:16Z
dc.date.available.none.fl_str_mv 2022-02-04T22:49:16Z
dc.date.issued.none.fl_str_mv 2022-02-02
dc.type.spa.fl_str_mv Trabajo de grado - Especialidad Médica
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.content.spa.fl_str_mv Text
dc.type.redcol.spa.fl_str_mv http://purl.org/redcol/resource_type/TM
status_str acceptedVersion
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/80885
dc.identifier.instname.spa.fl_str_mv Universidad Nacional de Colombia
dc.identifier.reponame.spa.fl_str_mv Repositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourl.spa.fl_str_mv https://repositorio.unal.edu.co/
url https://repositorio.unal.edu.co/handle/unal/80885
https://repositorio.unal.edu.co/
identifier_str_mv Universidad Nacional de Colombia
Repositorio Institucional Universidad Nacional de Colombia
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.indexed.spa.fl_str_mv Bireme
dc.relation.references.spa.fl_str_mv 1. Neer CS 2nd, Craig E V, Fukuda H. Cuff-tear arthropathy. J Bone Joint Surg Am. 1983 Dec;65(9):1232–44.
2. Walch G, Edwards TB, Boulahia A, Nové-Josserand L, Neyton L, Szabo I. Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears: clinical and radiographic results of 307 cases. J shoulder Elb Surg. 2005;14(3):238–46.
3. Bergenudd H, Lindgärde F, Nilsson B, Petersson CJ. Shoulder pain in middle age. A study of prevalence and relation to occupational work load and psychosocial factors. Clin Orthop Relat Res. 1988 Jun;(231):234–8.
4. Chakravarty KK, Webley M. Disorders of the shoulder: an often unrecognised cause of disability in elderly people. BMJ. 1990 Mar;300(6728):848–9.
5. Chard MD, Hazleman R, Hazleman BL, King RH, Reiss BB. Shoulder disorders in the elderly: a community survey. Arthritis Rheum. 1991 Jun;34(6):766–9.
6. Wagner ER, Farley KX, Higgins I, Wilson JM, Daly CA, Gottschalk MB. The incidence of shoulder arthroplasty: rise and future projections compared with hip and knee arthroplasty. J Shoulder Elb Surg
7. Walker M, Brooks J, Willis M, Frankle M. How reverse shoulder arthroplasty works. Clin Orthop Relat Res. 2011 Sep;469(9):2440–51.
8. Lugli T. Artificial shoulder joint by Péan (1893): the facts of an exceptional intervention and the prosthetic method. Clin Orthop Relat Res. 1978 Jun;(133):215–8.
9. Wand RJ, Dear KEA, Bigsby E, Wand JS. A review of shoulder replacement surgery. J Perioper Pract. 2012 Nov;22(11):354–9.
10. Kontakis G, Koutras C, Tosounidis T, Giannoudis P. Early management of proximal humeral fractures with hemiarthroplasty: a systematic review. J Bone Joint Surg Br. 2008 Nov;90(11):1407–13.
11. Fehringer E V, Kopjar B, Boorman RS, Churchill RS, Smith KL, Matsen FA 3rd. Characterizing the functional improvement after total shoulder arthroplasty for osteoarthritis. J Bone Joint Surg Am. 2002 Aug;84(8):1349–53.
12. Dillon MT, Prentice HA, Burfeind WE, Chan PH, Navarro RA. The increasing role of reverse total shoulder arthroplasty in the treatment of proximal humerus fractures. 2021;(Cdc):5–7.
13. Kim SH, Wise BL, Zhang Y, Szabo RM. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am. 2011 Dec;93(24):2249–54.
14. Lübbeke A, Rees JL, Barea C, Combescure C, Carr AJ, Silman AJ. International variation in shoulder arthroplasty. Acta Orthop. 2017 Dec;88(6):592–9.
15. Bachman D, Nyland J, Krupp R. Reverse-total shoulder arthroplasty cost-effectiveness: A quality-adjusted life years comparison with total hip arthroplasty. World J Orthop. 2016 Feb;7(2):123–7.
16. Rosas S, Kurowicki J, Yee T, Momoh E, Kalandiak SP, Levy JC. Cost of Treatment for Proximal Humerus Fractures: An Acute and 90-Day Cost Evaluation. J Long Term Eff Med Implants. 2018;28(3):173–9.
17. Kennon JC, Songy CE, Marigi E, Visscher SL, Larson DR, Borah BJ, et al. Cost analysis and complication profile of primary shoulder arthroplasty at a high-volume institution. J Shoulder Elb Surg [Internet]. 2020;i:1–9. Available from: https://doi.org/10.1016/j.jse.2019.12.008
18. OECD. OECD Reviews of Health Systems: Colombia 2016 . 2016.
19. Meara JG, Leather AJM, Hagander L, Alkire BC, Alonso N, Ameh EA, et al. Global Surgery 2030: Evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015;386(9993):569–624.
20. Willems WJ. Journal of Arthroscopy and Joint Surgery History of shoulder arthroplasty. J Arthrosc Jt Surg [Internet]. 2021;8(1):2–6. Available from: https://doi.org/10.1016/j.jajs.2020.12.001
21. Boileau P, Watkinson DJ, Hatzidakis AM, Balg F. Grammont reverse prosthesis: design, rationale, and biomechanics. J shoulder Elb Surg. 2005;14(1 Suppl S):147S-161S.
22. Rs C, Goodier H, Ja S, Hopewell S, Jl R, Rs C, et al. Shoulder replacement surgery for osteoarthritis and rotator cu tear arthropathy (Review). 2020
23. Mansat P, Guity MR, Bellumore Y, Mansat M. Shoulder arthroplasty for late sequelae of proximal humeral fractures. 2004;305–12.
24. Scarlat MM. Complications with reverse total shoulder arthroplasty and recent evolutions. 2013;843–51.
25. Jain NB, Yamaguchi K. The contribution of reverse shoulder arthroplasty to utilization of primary shoulder arthroplasty. J shoulder Elb Surg. 2014 Dec;23(12):1905–12.
26. Rasmussen J V, Jakobsen J, Brorson S, Olsen BS. The Danish Shoulder Arthroplasty Registry : clinical outcome and short-term survival of 2 , 137 primary shoulder replace- ments. 2012;83(2):171–3.
27. Sharma S, Dreghorn CR. Registry of shoulder arthroplasty - the Scottish experience. Ann R Coll Surg Engl. 2006 Mar;88(2):122–6.
28. Kusnezov N, Dunn JC, Parada SA, Kilcoyne K, Waterman BR. Clinical Outcomes of Anatomical Total Shoulder Arthroplasty in a Young , Active Population. 2021;(Cdc):5–6.
29. Sperling JW, Cofield RH, Rowland CM. Minimum fifteen-year follow-up of Neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger. 2021;(Cdc):5–7.
30. Ricchetti ET, Abboud JA, Kuntz AF, Ramsey ML, Glaser DL, Jr GRW. Total Shoulder Arthroplasty in Older Patients. 2011;1042–9.
31. Kempton LB, Bs EA, Wiater JM. SYMPOSIUM : REVERSE TOTAL SHOULDER ARTHROPLASTY A Complication-based Learning Curve From 200 Reverse Shoulder Arthroplasties. 2011;2496–504.
32. Cho C, Song K, Koo T. Clinical Outcomes and Complications during the Learning Curve for Reverse Total Shoulder Arthroplasty : An Analysis of the First 40 Cases. 2017;213–7.
33. Donigan JA, Frisella WA, Haase D, Dolan L, Wolf B. Pre-operative and intra-operative factors related to shoulder arthroplasty outcomes. Iowa Orthop J. 2009;29:60–6.
34. Murphy AB, Menendez ME, Watson SL, Ponce BA. Metabolic syndrome and shoulder arthroplasty : epidemiology and peri-operative outcomes. Int Orthop [Internet]. 2016; Available from: http://dx.doi.org/10.1007/s00264-016-3214-3
35. White CB, Sperling JW, Cofield RH, Rowland CM. Ninety-Day Mortality After Shoulder Arthroplasty. 2003;18(7):886–8.
36. Cvetanovich GL, Bohl DD, Frank RM, Verma NN, Cole BJ, Nicholson GP, et al. Reasons for Readmission Following Primary Total Shoulder Arthroplasty. 2021;(Cdc):5–6.
37. Belmont PJ, Goodman GP, Hamilton W, aterman BR, Bader JO, Schoenfeld AJ. Morbidity and mortality in the thirty-day period following total hip arthroplasty: Risk factors and incidence. J Arthroplasty [Internet]. 2014;29(10):2025–30. Available from: http://dx.doi.org/10.1016/j.arth.2014.05.015
38. King JJ, Patrick MR, Schnetzer RE, Farmer KW, Struk AM, Garvan C. Multivariate Analysis of Blood Transfusion Rates After Shoulder Arthroplasty. 2021;(Cdc):5–6.
39. Sun C, Zhang L, Mi L, Du G, Sun X, He S. Ef fi ciency and safety of tranexamic acid in reducing blood loss in total shoulder arthroplasty.
40. Streubel PN, Simone JP, Sperling JW, Cofield R. Thirty and ninety-day reoperation rates after shoulder arthroplasty. J Bone Joint Surg Am. 2014 Feb;96(3):e17.
41. López-Rincón L, Martínez T, Herrera-Rodríguez J, Trejos ÁD, Buitrago G. Prognostic Factors of Clinical and Economic Outcomes of Hip Arthroplasty in a Developing Country: A Multilevel Analysis with a 4-Year Cohort Study. Indian J Orthop [Internet]. 2022; Available from: https://doi.org/10.1007/s43465-021-00590-4
42. Buitrago G, Ortiz JR, Camacho F. Clinical outcomes, health care costs and prognostic factors for total knee arthroplasty: A multilevel analysis of a national cohort study using administrative claims data. J Knee Surg. 2020;1(212)
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dc.rights.license.spa.fl_str_mv Atribución-NoComercial-SinDerivadas 4.0 Internacional
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dc.format.extent.spa.fl_str_mv xv, 42 páginas
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dc.coverage.country.spa.fl_str_mv Colombia
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia
dc.publisher.program.spa.fl_str_mv Bogotá - Medicina - Especialidad en Ortopedia y Traumatología
dc.publisher.department.spa.fl_str_mv Departamento de Cirugía
dc.publisher.faculty.spa.fl_str_mv Facultad de Medicina
dc.publisher.place.spa.fl_str_mv Bogotá, Colombia
dc.publisher.branch.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá
institution Universidad Nacional de Colombia
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spelling Atribución-NoComercial-SinDerivadas 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Calixto Ballesteros, Luis Fernandod9973f8a7869093078dd3d0314e65712600Buitrago, Giancarlo Gutiérreze337479437d2624f055ac2aa61b521a6600López Rincón, Laura Camilacd72f39f53f790bc232255f60ef7ad332022-02-04T22:49:16Z2022-02-04T22:49:16Z2022-02-02https://repositorio.unal.edu.co/handle/unal/80885Universidad Nacional de ColombiaRepositorio Institucional Universidad Nacional de Colombiahttps://repositorio.unal.edu.co/ilustraciones, fotografías, gráficas, tablasIntroducción Este estudio tiene como objetivo estimar la tasa de mortalidad postoperatoria a los 30 días y los costos totales del episodio médico, así como determinar los factores pronósticos asociados a estos desenlaces en pacientes adultos que se han sometido a una artroplastia de hombro en el sistema contributivo de salud de Colombia. Método Cohorte retrospectiva de datos administrativos de pacientes adultos inscritos en el sistema contributivo de salud de Colombia que se sometieron a artroplastia de hombro entre los años 2012 y 2017. Los desenlaces evaluados fueron tasa de mortalidad, ingreso a UCI y requerimiento de trasfusión durante los primeros 30 días, tasa de mortalidad, fracturas, infección y revisiones a 1 año y el costo total del episodio médico incurrido por el tercer pagador durante los 90 días posteriores al procedimiento. También se generaron modelos de regresión lineal multinivel para determinar los factores pronósticos asociados con los resultados presentados. Resultados El estudio incluyó a 2.471 pacientes, el grupo de edad entre 65 y 79 años representa el 55% de la totalidad, siendo más frecuente en el sexo femenino. las tasas complicaciones dentro de los primeros 30 días por cada 100 procedimientos fue de 0.36 para mortalidad, 2.14 para ingreso a UCI y 0.57 para requerimiento transfusional. las tasas complicaciones a un año por cada 100 procedimientos fue de 2.67 para mortalidad, 0.97 para revisiones e infecciones peri protésicas y 0.89 para fracturas peri protésicas. Se encontró que a mayor edad e índice de comorbilidad de Charlson (ICC) se incrementa la tasa de mortalidad; menor edad y el sexo masculino están asociados con mayor tasa de revisión al año. Se encontró que el costo total promedio del episodio médico fue de USD$2031.12. El modelo multivariado encontró tendencias crecientes en el costo a medida que aumenta el ICC. Conclusiones Se trata de un estudio poblacional que incluye la cohorte estudiada para mortalidad en reemplazo de hombro más extensa a las publicadas hasta el momento. El comportamiento en cuanto mortalidad es mayor en Colombia, se reportan menores costos desde el punto de vista del sistema de salud. La edad y el ICC son factores asociados con mortalidad. (Texto tomado de la fuente).Introduction This study aims to estimate the postoperative mortality rate at 30 days and the total costs of the medical episode, as well as to determine the prognostic factors associated with these outcomes in adult patients who have undergone shoulder arthroplasty in the Colombia’s contributory system of health. Method Retrospective cohort of administrative data of adult patients enrolled in the Colombia’s contributory health system who underwent shoulder arthroplasty between 2012 and 2017. The outcomes evaluated were mortality, ICU admission, and transfusion requirement rate during the first 30 days, mortality, fractures, infection, and revisions rate at 1 year and the total cost of the medical event incurred by the third payer during the 90 days after the procedure. Multilevel linear regression models were also generated to determine the prognostic factors associated with the results presented. Results 2,471 patients were included, the age group between 65 and 79 years represents 55% of these, being more frequent in the female sex. Complication rates within the first 30 days per 100 procedures were 0.36 for mortality, 2.14 for ICU admission, and 0.57 for transfusion requirements. Complication rates at one year per 100 procedures were 2.67 for mortality, 0.97 for revisions and periprosthetic infections, and 0.89 for periprosthetic fractures. It was found that the higher the age and the Charlson comorbidity index (CCI), the mortality rate increases; Younger age and male gender are associated with a higher revision rate per year. The average total cost of the medical episode was found to be USD$2031.12. The multivariate model found increasing trends in cost as the ICC increases. Conclusions This is a population-based study that includes the largest cohort studied for mortality in shoulder replacement to those published to date in Colombia and developing countries. The behavior in terms of mortality is higher in Colombia, lower costs are reported from the point of view of the health system. Age and ICC are factors associated with higher mortality.Especialidades MédicasEspecialista en Ortopedia y TraumatologíaCirugía de hombro, reemplazos articulares, economía en saludxv, 42 páginasapplication/pdfspaUniversidad Nacional de ColombiaBogotá - Medicina - Especialidad en Ortopedia y TraumatologíaDepartamento de CirugíaFacultad de MedicinaBogotá, ColombiaUniversidad Nacional de Colombia - Sede Bogotá610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiologíaArtroplastia de ReemplazoReoperaciónArthroplasty, ReplacementReoperationRégimen contributivo en saludSeguridad social-LegislaciónSocial security -- Law and legislationArtroplastiaReemplazo articularHombroResultadosMortalidadReintervenciónArthroplastyReplacementShoulderOutcomesMortalityReoperationDesenlaces clínicos y económicos asociados al reemplazo articular de hombro en el régimen contributivo en ColombiaClinical and economic outcomes of shoulder arthroplasty in the Colombia’s contributory health systemTrabajo de grado - Especialidad Médicainfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/acceptedVersionTexthttp://purl.org/redcol/resource_type/TMColombiaBireme1. Neer CS 2nd, Craig E V, Fukuda H. Cuff-tear arthropathy. J Bone Joint Surg Am. 1983 Dec;65(9):1232–44.2. Walch G, Edwards TB, Boulahia A, Nové-Josserand L, Neyton L, Szabo I. Arthroscopic tenotomy of the long head of the biceps in the treatment of rotator cuff tears: clinical and radiographic results of 307 cases. J shoulder Elb Surg. 2005;14(3):238–46.3. Bergenudd H, Lindgärde F, Nilsson B, Petersson CJ. Shoulder pain in middle age. A study of prevalence and relation to occupational work load and psychosocial factors. Clin Orthop Relat Res. 1988 Jun;(231):234–8.4. Chakravarty KK, Webley M. Disorders of the shoulder: an often unrecognised cause of disability in elderly people. BMJ. 1990 Mar;300(6728):848–9.5. Chard MD, Hazleman R, Hazleman BL, King RH, Reiss BB. Shoulder disorders in the elderly: a community survey. Arthritis Rheum. 1991 Jun;34(6):766–9.6. Wagner ER, Farley KX, Higgins I, Wilson JM, Daly CA, Gottschalk MB. The incidence of shoulder arthroplasty: rise and future projections compared with hip and knee arthroplasty. J Shoulder Elb Surg7. Walker M, Brooks J, Willis M, Frankle M. How reverse shoulder arthroplasty works. Clin Orthop Relat Res. 2011 Sep;469(9):2440–51.8. Lugli T. Artificial shoulder joint by Péan (1893): the facts of an exceptional intervention and the prosthetic method. Clin Orthop Relat Res. 1978 Jun;(133):215–8.9. Wand RJ, Dear KEA, Bigsby E, Wand JS. A review of shoulder replacement surgery. J Perioper Pract. 2012 Nov;22(11):354–9.10. Kontakis G, Koutras C, Tosounidis T, Giannoudis P. Early management of proximal humeral fractures with hemiarthroplasty: a systematic review. J Bone Joint Surg Br. 2008 Nov;90(11):1407–13.11. Fehringer E V, Kopjar B, Boorman RS, Churchill RS, Smith KL, Matsen FA 3rd. Characterizing the functional improvement after total shoulder arthroplasty for osteoarthritis. J Bone Joint Surg Am. 2002 Aug;84(8):1349–53.12. Dillon MT, Prentice HA, Burfeind WE, Chan PH, Navarro RA. The increasing role of reverse total shoulder arthroplasty in the treatment of proximal humerus fractures. 2021;(Cdc):5–7.13. Kim SH, Wise BL, Zhang Y, Szabo RM. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am. 2011 Dec;93(24):2249–54.14. Lübbeke A, Rees JL, Barea C, Combescure C, Carr AJ, Silman AJ. International variation in shoulder arthroplasty. Acta Orthop. 2017 Dec;88(6):592–9.15. Bachman D, Nyland J, Krupp R. Reverse-total shoulder arthroplasty cost-effectiveness: A quality-adjusted life years comparison with total hip arthroplasty. World J Orthop. 2016 Feb;7(2):123–7.16. Rosas S, Kurowicki J, Yee T, Momoh E, Kalandiak SP, Levy JC. Cost of Treatment for Proximal Humerus Fractures: An Acute and 90-Day Cost Evaluation. J Long Term Eff Med Implants. 2018;28(3):173–9.17. Kennon JC, Songy CE, Marigi E, Visscher SL, Larson DR, Borah BJ, et al. Cost analysis and complication profile of primary shoulder arthroplasty at a high-volume institution. J Shoulder Elb Surg [Internet]. 2020;i:1–9. Available from: https://doi.org/10.1016/j.jse.2019.12.00818. OECD. OECD Reviews of Health Systems: Colombia 2016 . 2016.19. Meara JG, Leather AJM, Hagander L, Alkire BC, Alonso N, Ameh EA, et al. Global Surgery 2030: Evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015;386(9993):569–624.20. Willems WJ. Journal of Arthroscopy and Joint Surgery History of shoulder arthroplasty. J Arthrosc Jt Surg [Internet]. 2021;8(1):2–6. Available from: https://doi.org/10.1016/j.jajs.2020.12.00121. Boileau P, Watkinson DJ, Hatzidakis AM, Balg F. Grammont reverse prosthesis: design, rationale, and biomechanics. J shoulder Elb Surg. 2005;14(1 Suppl S):147S-161S.22. Rs C, Goodier H, Ja S, Hopewell S, Jl R, Rs C, et al. Shoulder replacement surgery for osteoarthritis and rotator cu tear arthropathy (Review). 202023. Mansat P, Guity MR, Bellumore Y, Mansat M. Shoulder arthroplasty for late sequelae of proximal humeral fractures. 2004;305–12.24. Scarlat MM. Complications with reverse total shoulder arthroplasty and recent evolutions. 2013;843–51.25. Jain NB, Yamaguchi K. The contribution of reverse shoulder arthroplasty to utilization of primary shoulder arthroplasty. J shoulder Elb Surg. 2014 Dec;23(12):1905–12.26. Rasmussen J V, Jakobsen J, Brorson S, Olsen BS. The Danish Shoulder Arthroplasty Registry : clinical outcome and short-term survival of 2 , 137 primary shoulder replace- ments. 2012;83(2):171–3.27. Sharma S, Dreghorn CR. Registry of shoulder arthroplasty - the Scottish experience. Ann R Coll Surg Engl. 2006 Mar;88(2):122–6.28. Kusnezov N, Dunn JC, Parada SA, Kilcoyne K, Waterman BR. Clinical Outcomes of Anatomical Total Shoulder Arthroplasty in a Young , Active Population. 2021;(Cdc):5–6.29. Sperling JW, Cofield RH, Rowland CM. 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EVESURBIFBPUiBMQSBTRUNSRVRBUsONQSBHRU5FUkFMLiAqTEEgVEVTSVMgQSBQVUJMSUNBUiBERUJFIFNFUiBMQSBWRVJTScOTTiBGSU5BTCBBUFJPQkFEQS4gCgpBbCBoYWNlciBjbGljIGVuIGVsIHNpZ3VpZW50ZSBib3TDs24sIHVzdGVkIGluZGljYSBxdWUgZXN0w6EgZGUgYWN1ZXJkbyBjb24gZXN0b3MgdMOpcm1pbm9zLiBTaSB0aWVuZSBhbGd1bmEgZHVkYSBzb2JyZSBsYSBsaWNlbmNpYSwgcG9yIGZhdm9yLCBjb250YWN0ZSBjb24gZWwgYWRtaW5pc3RyYWRvciBkZWwgc2lzdGVtYS4KClVOSVZFUlNJREFEIE5BQ0lPTkFMIERFIENPTE9NQklBIC0gw5psdGltYSBtb2RpZmljYWNpw7NuIDE5LzEwLzIwMjEK

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