A large-scale assessment of the healthcare burden of adhesive capsulitis of the shoulder joint
BACKGROUND AND AIM Frozen shoulder is a poorly understood pathological entity that is characterised by a painful and stiff shoulder. To analyse the socioeconomic impact of frozen shoulder in terms of cost generation and prolonged absence from work, we conducted a retrospective cohort stu...
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| Format: | Article |
| Language: | English |
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SMW supporting association (Trägerverein Swiss Medical Weekly SMW)
2020-02-01
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| Series: | Swiss Medical Weekly |
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| Online Access: | https://www.smw.ch/index.php/smw/article/view/2737 |
| _version_ | 1811289152004554752 |
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| author | Samy Bouaicha Karl Wieser Philipp Kriechling Stefan M. Scholz-Odermatt |
| author_facet | Samy Bouaicha Karl Wieser Philipp Kriechling Stefan M. Scholz-Odermatt |
| author_sort | Samy Bouaicha |
| collection | DOAJ |
| description |
BACKGROUND AND AIM
Frozen shoulder is a poorly understood pathological entity that is characterised by a painful and stiff shoulder. To analyse the socioeconomic impact of frozen shoulder in terms of cost generation and prolonged absence from work, we conducted a retrospective cohort study based on shoulder injuries through accidents in Switzerland.
METHODS
Data were obtained from the comprehensive database of the Statistical Service for the Swiss National Accident Insurances (SSUV). Cases with shoulder injuries (ICD-10 codes S4* and M84.3*) and/or an additional code of adhesive capsulitis (M75.0) were extracted. Outcomes were work incapacity, with long-term work incapacity defined as absence from work for >90 days and very-long-term cases with >360 days lost. Healthcare and treatment costs as well as total insurance expenses were measured over a 5-year follow-up. Multivariate statistical analyses were used to quantify the effect of the frozen shoulder complication.
RESULTS
Among all 456,926 patients with a shoulder injury, 5% or a total of 22,228 posttraumatic frozen shoulder cases were observed over the 8-year period. Patients suffering from a frozen shoulder after shoulder injury showed significantly longer sick leave periods with 30.8% long-term and 9.7% very-long-term cases compared with 9.4% and 1.3%, respectively, in the non-frozen shoulder cohort. Overall costs per case for an injured shoulder without developing a frozen shoulder was roughly CHF 8000, whereas expenses for cases with posttraumatic and postoperative frozen shoulder were CHF 34,000 per case.
CONCLUSION
Developing a frozen shoulder after a shoulder injury is associated with significant longer work incapacities (3.3–7.5 times) and is responsible for costs of CHF 78 million every year. The presented numbers are for cases covered by the compulsory accident insurance only and do not include the even more frequent idiopathic frozen shoulder cases.
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| first_indexed | 2024-04-13T03:51:04Z |
| format | Article |
| id | doaj.art-482417585c414810a62da49f70b5ce3a |
| institution | Directory Open Access Journal |
| issn | 1424-3997 |
| language | English |
| last_indexed | 2024-04-13T03:51:04Z |
| publishDate | 2020-02-01 |
| publisher | SMW supporting association (Trägerverein Swiss Medical Weekly SMW) |
| record_format | Article |
| series | Swiss Medical Weekly |
| spelling | doaj.art-482417585c414810a62da49f70b5ce3a2022-12-22T03:03:50ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972020-02-01150070810.4414/smw.2020.20188A large-scale assessment of the healthcare burden of adhesive capsulitis of the shoulder jointSamy Bouaicha0Karl Wieser1Philipp Kriechling2Stefan M. Scholz-Odermatt3Department of Orthopaedics, University of Zurich, Balgrist University Hospital, Zurich, SwitzerlandDepartment of Orthopaedics, University of Zurich, Balgrist University Hospital, Zurich, SwitzerlandDepartment of Orthopaedics, University of Zurich, Balgrist University Hospital, Zurich, SwitzerlandSuva (Swiss Accident Insurance Fund), Lucerne, Switzerland BACKGROUND AND AIM Frozen shoulder is a poorly understood pathological entity that is characterised by a painful and stiff shoulder. To analyse the socioeconomic impact of frozen shoulder in terms of cost generation and prolonged absence from work, we conducted a retrospective cohort study based on shoulder injuries through accidents in Switzerland. METHODS Data were obtained from the comprehensive database of the Statistical Service for the Swiss National Accident Insurances (SSUV). Cases with shoulder injuries (ICD-10 codes S4* and M84.3*) and/or an additional code of adhesive capsulitis (M75.0) were extracted. Outcomes were work incapacity, with long-term work incapacity defined as absence from work for >90 days and very-long-term cases with >360 days lost. Healthcare and treatment costs as well as total insurance expenses were measured over a 5-year follow-up. Multivariate statistical analyses were used to quantify the effect of the frozen shoulder complication. RESULTS Among all 456,926 patients with a shoulder injury, 5% or a total of 22,228 posttraumatic frozen shoulder cases were observed over the 8-year period. Patients suffering from a frozen shoulder after shoulder injury showed significantly longer sick leave periods with 30.8% long-term and 9.7% very-long-term cases compared with 9.4% and 1.3%, respectively, in the non-frozen shoulder cohort. Overall costs per case for an injured shoulder without developing a frozen shoulder was roughly CHF 8000, whereas expenses for cases with posttraumatic and postoperative frozen shoulder were CHF 34,000 per case. CONCLUSION Developing a frozen shoulder after a shoulder injury is associated with significant longer work incapacities (3.3–7.5 times) and is responsible for costs of CHF 78 million every year. The presented numbers are for cases covered by the compulsory accident insurance only and do not include the even more frequent idiopathic frozen shoulder cases. https://www.smw.ch/index.php/smw/article/view/2737Frozen shoulderhealthcare costhealth statistics |
| spellingShingle | Samy Bouaicha Karl Wieser Philipp Kriechling Stefan M. Scholz-Odermatt A large-scale assessment of the healthcare burden of adhesive capsulitis of the shoulder joint Swiss Medical Weekly Frozen shoulder healthcare cost health statistics |
| title | A large-scale assessment of the healthcare burden of adhesive capsulitis of the shoulder joint |
| title_full | A large-scale assessment of the healthcare burden of adhesive capsulitis of the shoulder joint |
| title_fullStr | A large-scale assessment of the healthcare burden of adhesive capsulitis of the shoulder joint |
| title_full_unstemmed | A large-scale assessment of the healthcare burden of adhesive capsulitis of the shoulder joint |
| title_short | A large-scale assessment of the healthcare burden of adhesive capsulitis of the shoulder joint |
| title_sort | large scale assessment of the healthcare burden of adhesive capsulitis of the shoulder joint |
| topic | Frozen shoulder healthcare cost health statistics |
| url | https://www.smw.ch/index.php/smw/article/view/2737 |
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