The researchers conducted a systematic review of 10 studies covering 88,740 shoulder arthroplasties and 63,535 rotator cuff repairs. For arthroplasty, they found that fewer than 5 cases per year met the criteria for a low-volume surgeon and the cases were associated with increased length of stay, longer operating room time, increased in-hospital complications, and increased cost, but no significant increase in mortality. For rotator cuff surgery, fewer than 12 surgeries per year met the criteria for low volume, and were associated with increased length of stay, increased operating room time, and increased in reoperation rates. Learn more...