Shoulder surgery in workers’ compensation patients What the figures say! John North Michael...
-
Upload
alvin-stephens -
Category
Documents
-
view
218 -
download
1
Transcript of Shoulder surgery in workers’ compensation patients What the figures say! John North Michael...
![Page 1: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/1.jpg)
Shoulder surgery in workers’ compensation patients
What the figures say!
John NorthMichael Francis
![Page 2: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/2.jpg)
Declaration
John NorthChairman, Orthopaedic Assessment Tribunal
Michael FrancisSecretary, Medical Assessment Tribunals (Q-COMP)
Data supplied by Q-COMP
![Page 3: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/3.jpg)
HypothesisSurgery for ‘adhesive capsulitis’
Significantly worse outcomes
Workers’ compensation patients
Compared to non-operative treatment
![Page 4: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/4.jpg)
Data & Assumptions• N= 531
• Claimants in the Qld workers’ compensation scheme
• Documented diagnosis of ‘adhesive capsulitis’
• Finalised claims 1 January 2005 & 31 December 2010
• Only included claims where– time lost from work – medical expenses paid
• Overnight hospitalisation payment = surgery
![Page 5: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/5.jpg)
What the figures say!Surgery led to MORE:Statutory workers comp’ payments
Time offAllied health costs
P.I. quantumCommon law quantum
![Page 6: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/6.jpg)
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
$45,000
Surgery No surgery
Statutory payments
![Page 7: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/7.jpg)
$-
$5,000
$10,000
$15,000
$20,000
$25,000
Surgery No surgery
Weekly Compensation Payments
![Page 8: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/8.jpg)
0
20
40
60
80
100
120
140
160
180
200
Surgery No surgery
Time off Work (days)
![Page 9: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/9.jpg)
$-
$50,000
$100,000
$150,000
$200,000
Surgery No surgery
Damages Payments
![Page 10: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/10.jpg)
$15,000
$16,000
$17,000
$18,000
$19,000
$20,000
$21,000
Surgery No surgery
Permanent impairment payments
![Page 11: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/11.jpg)
$-
$500
$1,000
$1,500
$2,000
Surgery No surgery
Phsiotherapy expenses
![Page 12: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/12.jpg)
Does this mean that surgery for workers’ compensation patients
should never occur?
Defined indications for surgery
Stringent surgical approval process
Non-operative options fully explored
Informed consent must be comprehensive
![Page 13: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/13.jpg)
ConclusionFigures correlational only BUT strongly suggest that
Surgical interventionfor compensated patients ‘adhesive capsulitis’ should always be carefully considered by
surgeons, insurers and patients.
![Page 14: Shoulder surgery in workers’ compensation patients What the figures say! John North Michael Francis.](https://reader036.fdocuments.in/reader036/viewer/2022062417/551bcc4f550346c3588b51ad/html5/thumbnails/14.jpg)
QUESTIONS?