Dr. Gombera studies how patients view the costs related to hip and knee replacement surgeries. He specifically examines how much patients believe these surgeries should cost and how much they think healthcare providers, like surgeons and hospitals, earn from them. His research reveals that many patients significantly overestimate the earnings of surgeons and the total costs of surgeries. This is important because accurate understanding of these costs can help patients make informed choices about their healthcare and engage in meaningful discussions with their providers.
Key findings
Patients estimated that surgeons made about $12,000 per procedure, which is much higher than the actual amounts.
The average reimbursement to hospitals for these surgeries was estimated at $28,000, while actual costs were closer to $24,000.
The artificial joint used in the surgery was believed to cost around $6,500 by patients, highlighting a misunderstanding of prosthetic prices.
Frequently asked questions
Does Dr. Gombera study the costs of surgeries?
Yes, Dr. Gombera investigates patients' perceptions of the costs involved in total hip and knee replacement surgeries.
What specific health procedures is Dr. Gombera focused on?
He focuses specifically on total hip and knee arthroplasties, which are surgeries to replace damaged joints.
Why is understanding surgery costs important?
Understanding surgery costs is essential for patients to make informed decisions about their healthcare and talk effectively with their doctors.
Publications in plain English
Trauma fellowship impact on trends and complications of operatively treated clavicle fractures in recently trained orthopedic surgeons.
2021
Journal of clinical orthopaedics and trauma
Gombera MM, Morris BJ, Elkousy HA, Laughlin MS, Vidal EA +1 more
Plain English This study looked at how orthopedic surgeons who had special trauma training performed surgery on broken collarbones (clavicle fractures) compared to those without that training. Between 2005 and 2017, over 6,000 surgeries were reviewed, and it was found that trauma-trained surgeons did more operations and their patients were usually older. While trauma candidates had fewer early surgical complications, they faced more medical issues, but overall rates of reoperations and complications were similar across all groups of surgeons.
Who this helps: This research benefits orthopedic surgeons and their patients by highlighting the impact of specialized training on surgical outcomes.
The impact of fellowship type on trends and complications following total shoulder arthroplasty for osteoarthrosis by recently trained board-eligible orthopedic surgeons.
2020
Journal of shoulder and elbow surgery
Gombera MM, Laughlin MS, Vidal EA, Brown BS, Morris BJ +2 more
Plain English This study looked at how the type of specialized training orthopedic surgeons receive affects their success with total shoulder replacements for patients with arthritis. Out of 854 surgeons, those who completed a Shoulder fellowship performed, on average, 8 surgeries each year and had 17.9% complication rates, which is lower than 23.7% for Sports Medicine and 25.0% for Hand and Upper Extremity trained surgeons. This matters because patients can have better outcomes with surgeons who have focused training in shoulder procedures.
Who this helps: Patients needing shoulder surgery.
The Quality and Accuracy of Online Resources for Total and Reverse Shoulder Replacement.
2019
Journal of surgical orthopaedic advances
Monroe EJ, Selley RS, Gombera MM, Nair R, Martusiewicz A +3 more
Plain English This study looked at the quality of online resources for people considering shoulder replacement surgeries. Researchers found that out of 84 websites reviewed, the overall quality score for total shoulder replacement resources was 22.8 out of 45, and 24.2 out of 45 for reverse shoulder replacement, indicating that these websites often provide low-quality and incomplete information. It matters because patients rely on these resources for important health decisions, and those created by professional societies were found to be more reliable than others.
Who this helps: Patients considering shoulder replacement surgery.
Radiographic comparison of finned, cementless central pegged glenoid component and conventional cemented pegged glenoid component in total shoulder arthroplasty: a prospective randomized study.
2018
Journal of shoulder and elbow surgery
Kilian CM, Morris BJ, Sochacki KR, Gombera MM, Haigler RE +2 more
Plain English This study examined two types of components used in shoulder replacement surgery: a new finned, cementless design and a traditional cemented design. Researchers followed 50 patients over at least two years and found that only 5% of patients with the new design showed signs of glenoid lucency, compared to 9% with the cemented version, which indicates no major difference in performance. Importantly, both designs worked well to secure the glenoid component without significant issues from loosening.
Who this helps: This research benefits patients undergoing shoulder replacement surgery by providing options that may lead to better long-term outcomes.
Isolated Acetabuloplasty and Labral Repair for Combined-Type Femoroacetabular Impingement: Are We Doing Too Much?
2017
Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Tjong VK, Gombera MM, Kahlenberg CA, Patel RM, Han B +2 more
Plain English This study looked at the results of a hip surgery method called isolated acetabuloplasty and labral repair in 86 patients with a condition known as combined-type femoroacetabular impingement (FAI). The patients showed significant improvements in hip function scores: those with less joint damage scored an average of 83.5 points on the modified Harris Hip Score compared to 71.5 for those with more damage. This is important because it suggests that this surgical approach can effectively treat hip impingement while reducing the risks associated with more invasive surgeries.
Who this helps: This helps patients with hip impingement, especially those with minimal arthritis.
Preexisting Rotator Cuff Tears as a Predictor of Outcomes in National Football League Athletes.
2016
Sports health
Gibbs DB, Lynch TS, Gombera MM, Saltzman MD, Nuber GW +3 more
Plain English This study looked at how existing injuries, specifically rotator cuff tears, affect NFL players’ chances of being drafted and their career performance. It found that players with these tears were less likely to be drafted (55.1% compared to 77.5% for those without injuries) and, if they were drafted, they started fewer games (23.7 vs 43.0), played fewer years (4.3 vs 5.7), and had fewer game appearances (47.1 vs 68.4). This matters because it shows that pre-existing shoulder injuries can have a serious impact on an athlete’s career in the NFL.
Who this helps: This helps players and teams make better decisions about player health and career prospects.
All-arthroscopic suprapectoral versus open subpectoral tenodesis of the long head of the biceps brachii.
2015
The American journal of sports medicine
Gombera MM, Kahlenberg CA, Nair R, Saltzman MD, Terry MA
Plain English This study compared two surgical methods for treating shoulder pain related to the long head of the biceps tendon: a minimally invasive all-arthroscopic technique and a more traditional open approach. Both methods provided similar results, with 92.3% pain relief in the arthroscopic group and 88.9% in the open group, and nearly the same satisfaction scores, showing that either technique can effectively treat this condition. However, the open method had a slightly higher risk for complications, highlighting that the less invasive arthroscopic approach is a safer option.
Who this helps: This benefits patients suffering from shoulder pain due to biceps tendon issues.
A Computed Tomography Study of Gender Differences in Acetabular Version and Morphology: Implications for Femoroacetabular Impingement.
2015
Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Tannenbaum EP, Zhang P, Maratt JD, Gombera MM, Holcombe SA +3 more
Plain English This study looked at the shape and orientation of hip sockets (acetabula) in men and women to see if there are differences that could lead to hip problems like femoroacetabular impingement (FAI). Researchers analyzed data from 878 patients and found that women had a mean acetabular version of 22.2 degrees, while men had a mean of 19.1 degrees, indicating that overall, women have a different hip socket shape. Importantly, they also found that true acetabular retroversion was similar in both genders, which challenges the idea that women are more likely to have hip deformities leading to impingement.
Who this helps: This research benefits doctors and healthcare providers as they assess and treat hip conditions in both men and women.
Patients' perceptions of the costs of total hip and knee arthroplasty.
2015
American journal of orthopedics (Belle Mead, N.J.)
Maratt JD, Gagnier JJ, Gombera MM, Reske SE, Hallstrom BR +1 more
Plain English Researchers asked 284 patients who had hip or knee replacement surgery what they thought these procedures cost and who got paid how much. Patients guessed the surgeon made about $12,000, the hospital was reimbursed about $28,000, the hospital's actual costs were about $24,000, and the artificial joint itself cost about $6,500.
The patients got most of these numbers significantly wrong—they dramatically overestimated how much money the surgeon pocketed, thinking surgeons got a much bigger slice of the pie than they actually do.
This matters because when patients don't understand where healthcare money actually goes, they can't make informed decisions about their care or have realistic conversations with doctors and hospitals about costs.
Rotator cuff tear and glenohumeral instability : a systematic review.
2014
Clinical orthopaedics and related research
Gombera MM, Sekiya JK
Plain English This study examined how rotator cuff tears can occur after shoulder dislocations and when they should be treated. It found that patients with ongoing pain or dysfunction after a dislocation often also had a rotator cuff tear, and those who had surgery experienced better pain relief and satisfaction than those treated without surgery. The research highlights the importance of checking for these tears in older patients and athletes after a shoulder dislocation to improve recovery.
Who this helps: This benefits patients with shoulder dislocations, especially athletes and older individuals.
Mufaddal M Gombera Brent J Morris Matthew D Saltzman M Mustafa Gombera Hussein A Elkousy Mitzi S Laughlin Emily A Vidal T Bradley Edwards Rueben Nair Cynthia A Kahlenberg
Physician data sourced from the
NPPES NPI Registry
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Publication data from
PubMed
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Plain-English summaries generated by AI.
Not medical advice.