Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision

Kelvin Kim; Ameer Elbuluk; Nathan Jia; Feroz Osmani; Joseph Levieddin; Joseph Zuckerman; Mandeep Virk

doi:10.1016/j.jor.2018.08.030

Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision

Kelvin Kim, Ameer Elbuluk, Nathan Jia, Feroz Osmani, Joseph Levieddin, Joseph Zuckerman, Mandeep Virk

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

Background: The study evaluates patient-reported outcomes in revision shoulder arthroplasty (RevSA) according to etiology. Methods: Twenty-three consecutive RevSA (minimum 2-year follow-up) were retrospectively reviewed. Patient-reported outcome (PRO) scores and range of motion were compared by the type of revision procedure and indication. Results: EQ5D-QOL, VAS-pain, ASES, and forward elevation improved after RevSA. The infection group had least improvements. Revision to a reverse total shoulder arthroplasty (RTSA) demonstrated the most improvement in VAS-pain, forward elevation, and ASES. Conclusions: Revision to RTSA significantly improved PRO scores compared to hemi- or total shoulder arthroplasty. RevSA for infection demonstrated the least improvement in outcomes.

Original language	English
Pages (from-to)	922-926
Number of pages	5
Journal	Journal of Orthopaedics
Volume	15
Issue number	4
DOIs	https://doi.org/10.1016/j.jor.2018.08.030
State	Published - Dec 2018
Externally published	Yes

Keywords

Infection
Patient-reported outcomes
Reverse shoulder arthroplasty
Revision shoulder arthroplasty
Rotator cuff tear
Total shoulder arthroplasty

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10.1016/j.jor.2018.08.030

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title = "Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision",

abstract = "Background: The study evaluates patient-reported outcomes in revision shoulder arthroplasty (RevSA) according to etiology. Methods: Twenty-three consecutive RevSA (minimum 2-year follow-up) were retrospectively reviewed. Patient-reported outcome (PRO) scores and range of motion were compared by the type of revision procedure and indication. Results: EQ5D-QOL, VAS-pain, ASES, and forward elevation improved after RevSA. The infection group had least improvements. Revision to a reverse total shoulder arthroplasty (RTSA) demonstrated the most improvement in VAS-pain, forward elevation, and ASES. Conclusions: Revision to RTSA significantly improved PRO scores compared to hemi- or total shoulder arthroplasty. RevSA for infection demonstrated the least improvement in outcomes.",

keywords = "Infection, Patient-reported outcomes, Reverse shoulder arthroplasty, Revision shoulder arthroplasty, Rotator cuff tear, Total shoulder arthroplasty",

author = "Kelvin Kim and Ameer Elbuluk and Nathan Jia and Feroz Osmani and Joseph Levieddin and Joseph Zuckerman and Mandeep Virk",

note = "Publisher Copyright: {\textcopyright} 2018 Prof. PK Surendran Memorial Education Foundation",

year = "2018",

month = dec,

doi = "10.1016/j.jor.2018.08.030",

language = "English",

volume = "15",

pages = "922--926",

journal = "Journal of Orthopaedics",

issn = "0972-978X",

publisher = "Reed Elsevier India Pvt. Ltd.",

number = "4",

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T1 - Revision shoulder arthroplasty

T2 - Patient-reported outcomes vary according to the etiology of revision

AU - Kim, Kelvin

AU - Elbuluk, Ameer

AU - Jia, Nathan

AU - Osmani, Feroz

AU - Levieddin, Joseph

AU - Zuckerman, Joseph

AU - Virk, Mandeep

PY - 2018/12

Y1 - 2018/12

N2 - Background: The study evaluates patient-reported outcomes in revision shoulder arthroplasty (RevSA) according to etiology. Methods: Twenty-three consecutive RevSA (minimum 2-year follow-up) were retrospectively reviewed. Patient-reported outcome (PRO) scores and range of motion were compared by the type of revision procedure and indication. Results: EQ5D-QOL, VAS-pain, ASES, and forward elevation improved after RevSA. The infection group had least improvements. Revision to a reverse total shoulder arthroplasty (RTSA) demonstrated the most improvement in VAS-pain, forward elevation, and ASES. Conclusions: Revision to RTSA significantly improved PRO scores compared to hemi- or total shoulder arthroplasty. RevSA for infection demonstrated the least improvement in outcomes.

AB - Background: The study evaluates patient-reported outcomes in revision shoulder arthroplasty (RevSA) according to etiology. Methods: Twenty-three consecutive RevSA (minimum 2-year follow-up) were retrospectively reviewed. Patient-reported outcome (PRO) scores and range of motion were compared by the type of revision procedure and indication. Results: EQ5D-QOL, VAS-pain, ASES, and forward elevation improved after RevSA. The infection group had least improvements. Revision to a reverse total shoulder arthroplasty (RTSA) demonstrated the most improvement in VAS-pain, forward elevation, and ASES. Conclusions: Revision to RTSA significantly improved PRO scores compared to hemi- or total shoulder arthroplasty. RevSA for infection demonstrated the least improvement in outcomes.

KW - Infection

KW - Patient-reported outcomes

KW - Reverse shoulder arthroplasty

KW - Revision shoulder arthroplasty

KW - Rotator cuff tear

KW - Total shoulder arthroplasty

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EP - 926

JO - Journal of Orthopaedics

JF - Journal of Orthopaedics

IS - 4

ER -

Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision

Abstract

Keywords

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