Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleDemographic Analysis of Open and Arthroscopic Distal Clavicle Excision in a Private Insurance Database
Section snippets
Methods
The PearlDiver Patient Record Database (www.pearldiverinc.com; PearlDiver, Warsaw, IN) was used to find all patients who underwent DCE between 2004 and 2009. PearlDiver is an online database of national insurance billing records of patients for whom at least one orthopaedic diagnosis code has been recorded using either the International Classification of Diseases, Ninth Revision (ICD-9) or Current Procedural Terminology (CPT) codes.20 The PearlDiver database was used because it allows a query
Results
Between 2004 and 2009, 11,153,039 patients were identified as having an orthopaedic diagnosis or undergoing an orthopaedic procedure in the PearlDiver Patient Record Database. A total of 73,231 DCEs were performed, which equates to an incidence of 65.7 for every 10,000 patients with an orthopaedic ICD-9 or CPT code. Seventy-four percent (54,170) of these procedures were arthroscopic DCEs, whereas 26.0% (19,061) were open DCEs. Table 1 shows the distribution of DCEs by sex, age, region, and
Discussion
Distal clavicle excision is a proven procedure for the treatment of selected AC pathologic conditions. The purpose of this study was to report the current trends in both open and arthroscopic DCE and the concomitant performance of rotator cuff repair and SAD. In the current analysis, a significant increase in the overall incidence of DCE was observed from 2004 to 2009. Further stratification revealed a significant increase in the arthroscopic approach over that same period, with a significant
Conclusions
This analysis of DCE using a private insurance database found that arthroscopic DCEs progressively increased, whereas open DCEs concomitantly decreased between 2004 and 2009. The majority of DCEs were performed in men between the ages of 50 and 59 years. Both arthroscopic and open DCEs are frequently performed in conjunction with rotator cuff repair or SAD.
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Cited by (0)
The authors report the following potential conflict of interest or source of funding in relation to this article: J.C.W. receives support from North American Spine Society, Cervical Spine Research Society, Collaborative Spine Research Foundation, Arthritis Foundation, Synthes, Biomet, Aesculap, Osprey, Stryker, Alphatech, Amedica, and Seaspine.