The Perioperative Impact of Surgical Case Order in Primary Total Shoulder Arthroplasty.

John G Horneff, Usman Ali Syed, Adam Seidl, Jessica Britton, Gerald Williams, Joseph Abboud

Abstract readReview

In one paragraph

Review in The archives of bone and joint surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it

0cells of the map it votes in

2citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

Predictors for failed same-day discharge after total shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026
Article
A Comparison of Operative Time and Intraoperative Blood Volume Loss Between Stemless and Short-stem Anatomic Total Shoulder Arthroplasty: A Single Institution's Experience.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
Article

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

John G HorneffDepartment of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA.

Usman Ali SyedDepartment of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA.

Adam SeidlDepartment of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA.

Jessica BrittonDepartment of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA.

Gerald WilliamsDepartment of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA.

Joseph AbboudDepartment of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to determine a correlation between surgical case order and the length of operative time, total length of time in the operating room, time until discharge from the hospital, and the incidence of intraoperative complications for primary total shoulder arthroplasty cases.

methodsA retrospective review was conducted of records for all individual primary total shoulder arthroplasty and reverse total shoulder arthroplasty at a single hospital. In order to compare true parameters and minimize variables, only the cases performed by one senior author were analyzed. Operative and hospital records were reviewed.

resultsThere were 162 primary TSA and with the following order: 55 first order cases, 46 second order cases, 34 third order cases, 21 fourth order cases, and six fifth order cases. There were 71 primary rTSA patients included (27: 27:10:6:1). Length of stay was statistically increased for both female gender (8.3%; 95% confidence interval (CI)= 0.5-16.7%;

conclusionEven between anatomic TSA and reverse TSA patients, there was variability in what factors played a part in case inpatient length of stay. As such, we believe that this study highlights that case order can have an effect on operating room parameters for shoulder arthroplasty patients. The need for larger studies remains to better define that effect.

Indexed as

Length of stayOperative timeReverse total shoulder arthroplastyShoulder complicationsSurgical case orderTotal shoulder arthroplasty

Identifiers

PMID30805410

PMCPMC6372276

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