Patient variables determining treatment protocol and related economical impact in occupational rotator cuff tears
Faculty of Applied Economics
WSEAS transactions on biology and biomedicine
, p. 24-33
University of Antwerp
Rotator cuff tears occur in almost three percent of all industrial accidents in Belgium. There are two treatment options for this type of injury: the non-surgical or conservative option and the considerably more expensive surgical option. As the total cost associated with the treatment of rotator cuff tears has, over the past ten years, risen considerably in Belgium, we tried to identify variables that are related to an increased risk for need of such surgical treatment. The objective of this study is to evaluate the use of different treatment options and their economic impact following rotator cuff tearing resulting from an occupational accident in the Belgian context. Patient age and rupture size were interrelated and both significantly associated with need for surgical treatment and prolonged temporarily and even permanent disability with increasing social and medical costs. Occupation type, although itself a risk factor for the development of rotator cuff tears, was not significantly associated with increased need for surgical treatment.