HTA - Sahlgrenska Universitetssjukhuset

8. How prosthetic arhroplasty affect
resources?
9. Is prosthetic arhroplasty in conflict with
professional values?
10. Does prosthetic arhroplasty change the
role of the professional in relation to the
patient?
11. Does prosthetic arhroplasty affect, or
does it put any new demands on, a third
party?
12. Is there any legislation of relevance with
regard to prosthetic arhroplasty?
13. Is there any risk of conflict between the
procedure of prosthetic arhroplasty and
values of the society, or values of different
groups?
14. Is there a risk that an introduction of
prosthetic arhroplasty will cause a conflict
with particular interests?
15. Can an introduction prosthetic
arhroplasty influence the trust of the health
care system?
2012-10-23/os
An increase of shoulder arthroplasty will require more resources in terms of personnel, education, and
accessibility to operating rooms, equipment and implants. Therefore, there will be an increasing need of
economic resources.
No.
No.
No.
No.
No.
Yes. The use of shoulder arthroplasty has not been convincingly documented to be superior to
alternative interventions. The latter may be preferred by other care givers (both non-profit and profit
organisations) within the health care sector.
Most probably not.
CONCLUSIONS Shoulder arthroplasty need to be compared with other interventions in well-designed controlled studies
before it is introduced in the clinical routine on a large scale. However, in individual patients with
severe pain or disability it may well be ethically acceptable to offer such surgical intervention.
2 2012-07-11/OS