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Description of Patient Characteristics and Clinical and Economic Outcomes of Orthopedic Sutures Used for Rotator Cuff Repair

Corso, K.; Smith, C.; Varughese, B.; Wood, J.; Ruppenkamp, J.; Putnam, M.

2024-11-22 sports medicine
10.1101/2024.11.21.24317728 medRxiv
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BackgroundA better understanding of real-world clinical and economic outcomes associated with orthopedic sutures used for rotator cuff repair is needed. Research Design and MethodsA retrospective, descriptive cohort study using Premier Healthcare Database hospital-based data evaluated patients treated with Dynacord or FiberWire(R) for rotator cuff repair between January 2017-February 2022. Baseline patient characteristics and twelve-month outcomes were assessed. Each suture cohort was analyzed separately. No comparative analyses were performed in this study. ResultsBaseline demographics of 1 074 patients treated with Dynacord and 19 899 treated with FiberWire(R), respectively, were mean age 59.4, 59.9 years; 59.4% and 58.5% male. All-cause twelve-month hospital revisits were observed in 31.4% and 42.4%, and the incidence proportion with shoulder-related hospital revisits was 12.6% and 14.0%, respectively. The incidence of twelve-month rotator cuff re-repair was 1.2% for Dynacord and 1.8% for FiberWire(R). Dynacord twelve-month all-cause revisit costs (standard deviation [SD]) were $1 649 ($5 870) and $2 230 ($7 204) for FiberWire(R). Twelve-month complications, device removals, and manipulations were [≤]1% for both cohorts. ConclusionsThis study contributes clinical and economic real-world evidence on two types of orthopedic sutures used for rotator cuff repair.

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