Zusammenfassend kann festgestellt werden, dass die ambulante – vor allem arthroskopische – Schulterchirurgie sich als sicheres Verfahren etabliert hat. In Bezug auf die therapeutische Effizienz konnten keine Studien gefunden werden, die gegen die ambulante Therapie sprechen. Im Vergleich zu früheren Studien sind unerwünschte Ereignisse und Krankenhauseinweisungen heute seltener geworden. Nach geeigneter Patientenauswahl und bei entsprechenden technischen und organisatorischen Voraussetzungen ist die ambulante Schulterchirurgie sicher und darüber hinaus für den Versicherer kosteneffizient. Faktoren, die Klinikaufnahmen und UE verhindern, sind im Wesentlichen die kontrollierte Schmerztherapie, normaler BMI, kurze OP-Zeiten, geringe Invasivität und spezialisierte Zentren mit erfahrenen Teams.

Interessenkonflikt: Keine angegeben

Korrespondenzadresse

PD Dr. med. Erhan Basad

ATOS-Klinik

Zentrum für Hüft-, Knie-Endoprothetik und Regenerative Gelenkchirurgie

Bismarckstraße 9–15, 69115 Heidelberg

basad@atos.de

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