{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:01:40Z","timestamp":1791435700387,"version":"4.3.3"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2017,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Despite the significance of anterior cruciate ligament (ACL) injuries, these conditions have been under-researched from a population-level perspective. It is important to determine the economic effect of these injuries in order to document the public health burden in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To describe the cost of outpatient arthroscopic ACL reconstruction and health care utilization among commercially insured beneficiaries in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Economic and decision analysis; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The study used the Truven Health Analytics MarketScan Commercial Claims and Encounters database, an administrative claims database that contains a large sample (approximately 148 million) of privately insured individuals aged &lt;65 years and enrolled in employer-sponsored plans. All claims with Current Procedural Terminology (CPT) code 29888 (arthroscopically aided ACL reconstruction or augmentation) from 2005 to 2013 were included. \u201cImmediate procedure\u201d cost was computed assuming a 3-day window of care centered on date of surgery. \u201cTotal health care utilization\u201d cost was computed using a 9-month window of care (3 months preoperative and 6 months postoperative).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 229,446 outpatient arthroscopic ACL reconstructions performed over the 9-year study period. Median immediate procedure cost was $9399.49. Median total health care utilization cost was $13,403.38. Patients who underwent concomitant collateral ligament (medial [MCL], lateral [LCL]) repair or reconstruction had the highest costs for both immediate procedure ($12,473.24) and health care utilization ($17,006.34). For patients who had more than 1 reconstruction captured in the database, total health care utilization costs were higher for the second procedure than the first procedure ($16,238.43 vs $15,000.36), despite the fact that immediate procedure costs were lower for second procedures ($8685.73 vs $9445.26).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These results provide a foundation for understanding the public health burden of ACL injuries in the United States. Our findings suggest that further research on the prevention and treatment of ACL injuries is necessary to reduce this burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2325967116684776","type":"journal-article","created":{"date-parts":[[2017,1,28]],"date-time":"2017-01-28T14:13:16Z","timestamp":1485612796000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":90,"title":["Cost of Outpatient Arthroscopic Anterior Cruciate Ligament Reconstruction Among Commercially Insured Patients in the United States, 2005-2013"],"prefix":"10.1177","volume":"5","author":[{"given":"Mackenzie M.","family":"Herzog","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."},{"name":"University of North Carolina Injury Prevention Research Center, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen W.","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."},{"name":"University of North Carolina Injury Prevention Research Center, Chapel Hill, North Carolina, USA."},{"name":"Department of Exercise and Sport Science, College of Arts and Sciences, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Lund","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Pate","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey T.","family":"Spang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,1,27]]},"reference":[{"key":"bibr1-2325967116684776","unstructured":"Altman D. The diseases we spend our health dollars on. The Wall Street Journal; 2015 http:\/\/blogs.wsj.com\/washwire\/2015\/03\/03\/the-diseases-we-spend-our-health-dollars-on\/. Accessed September 3, 2016."},{"key":"bibr2-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3478-3"},{"key":"bibr3-2325967116684776","first-page":"1","volume":"281","author":"The Bone and Joint Decade 2000-2010 for prevention and treatment of musculo-skeletal disorders","year":"1998","journal-title":"Acta Orthop Scand Suppl"},{"key":"bibr4-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2007.10.008"},{"key":"bibr5-2325967116684776","first-page":"2","volume-title":"Musculoskeletal Conditions in the United States","author":"Center for Health Statistics","year":"1999"},{"key":"bibr6-2325967116684776","unstructured":"Claims and Encounters Medicare Supplemental Source: Truven Health MarketScan Research Databases. Data Year 2013 Edition. Ann Arbor, MI: Truven Health Analytics; 2013."},{"key":"bibr7-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-0160(00)00035-1"},{"key":"bibr8-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.06.016"},{"key":"bibr9-2325967116684776","unstructured":"Injury Research Agenda 2009-2018 Atlanta, GA: US Department of Health and Human Services. Centers for Disease Control and Prevention. National Center for Injury Prevention and Control. http:\/\/www.cdc.gov\/injury\/ResearchAgenda\/pdf\/CDC_Injury_Research_Agenda-a.pdf. Accessed January 29, 2016."},{"key":"bibr10-2325967116684776","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01370"},{"key":"bibr11-2325967116684776","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-48.6.03"},{"key":"bibr12-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515577364"},{"key":"bibr13-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2009.069526"},{"key":"bibr14-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514542796"},{"key":"bibr15-2325967116684776","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01705"},{"key":"bibr16-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515584757"},{"key":"bibr17-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp0804745"},{"key":"bibr18-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.06.009"},{"key":"bibr19-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515573008"},{"key":"bibr20-2325967116684776","volume-title":"The Burden of Musculoskeletal Diseases in the United States: Prevalence, Societal and Economic Costs","author":"United States Bone and Joint Initiative","year":"2014","edition":"3"},{"key":"bibr21-2325967116684776","unstructured":"US Inflation Calculator 2016. http:\/\/www.usinflationcalculator.com. Accessed August 17, 2016."},{"key":"bibr22-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61729-2"},{"key":"bibr23-2325967116684776","unstructured":"Weinstein SI, Yelin EH, Watkins-Castillo SI. The big picture: Burden of Musculoskeletal Diseases (BMUS): The Burden of Musculoskeletal Diseases in the United States. http:\/\/www.boneandjointburden.org\/2014-report\/i0\/big-picture. Accessed February 1, 2016."},{"key":"bibr24-2325967116684776","doi-asserted-by":"publisher","DOI":"10.1053\/joca.2002.0795"}],"container-title":["Orthopaedic Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2325967116684776","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2325967116684776","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2325967116684776","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:30:27Z","timestamp":1777591827000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2325967116684776"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,1]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,1,1]]}},"alternative-id":["10.1177\/2325967116684776"],"URL":"https:\/\/doi.org\/10.1177\/2325967116684776","relation":{},"ISSN":["2325-9671","2325-9671"],"issn-type":[{"value":"2325-9671","type":"print"},{"value":"2325-9671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,1]]},"article-number":"2325967116684776"}}