Researchers created a Markov decision model to estimate lifetime direct and indirect costs associated with surgical treatment and compared it with nonoperative treatment for full-thickness rotator cuff tears. Model assumptions were obtained from the literature and data analysis, and researchers obtained estimates of indirect costs using national survey data and patient-reported outcomes.
The study found that rotator cuff repair for full-thickness tears results in societal cost savings for patients and greater quality-adjusted life years. The age-weighted mean total societal savings from rotator cuff repair compared with nonoperative treatment was $13,771 over a patient’s lifetime. Savings were found to be higher for those between the ages of 30 and 39 as compared to those between the ages of 70 and 79, according to the study.
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