Evidence map›Paper›PMID 30906752›Full record

ArticleAnnals of translational medicine2019

Short-term outcomes after anatomic total shoulder arthroplasty in patients with osteoarthritis versus osteonecrosis.

Sergio M Navarro, Heather S Haeberle, Anton Khlopas, Jared M Newman, Jaret M Karnuta, Michael A Mont, Prem N Ramkumar

Open access · diamondAbstract read
In one paragraph

Article in Annals of translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 36% of its field
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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

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

7 authors at 5 institutions in 1 country.

Sergio M NavarroDepartment of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX, USA.
Heather S HaeberleDepartment of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX, USA.
Anton KhlopasDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Jared M NewmanDepartment of Orthopaedic Surgery, SUNY Downstate, New York, NY, USA.
Jaret M KarnutaDepartment of Orthopaedic Surgery, Case Western University School of Medicine, Cleveland, OH, USA.
Michael A MontDepartment of Orthopaedic Surgery, Lenox Hill Hospital, New York, NY, USA.
Prem N RamkumarDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Baylor College of Medicine · USCleveland Clinic · USCase Western Reserve University · USLenox Hill Hospital · USSUNY Downstate Health Sciences University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe outcomes of anatomic total shoulder arthroplasty (TSA) for glenohumeral osteoarthritis (OA) have been extensively reported in the literature. However, there is a paucity of short-term outcomes data on perioperative and post-operative outcomes in patients receiving TSA for either glenoid or humeral head osteonecrosis (ON). We compared the short-term outcomes of TSA performed on patients who had glenohumeral OA and those who had ON. Specifically, we compared: (I) demographics; (II) length-of-stay (LOS); and (III) 30-day postoperative complication rates.

methodsData from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) was used to select 7,066 patients with a diagnosis of glenohumeral OA or ON who underwent TSA between January 1

resultsOverall complication rates were low in both groups, at 6.1% and 5.4% for the ON and OA cohorts respectively. The ON cohort had more comorbidities, including higher Charlson/Devo and American Society of Anesthesiologists (ASA) scores (P<0.05). Hospital disposition factors were not statistically different between the 2 groups. While not statistically significant, the ON cohort had a longer average (21.1% longer, P>0.05), an increased risk for developing any complication [odds ratio (OR) =2.07; 95% confidence interval (CI), 0.94 to 4.57; P=0.07], and a 134% higher risk for developing a minor complication compared to the OA (OR =2.34; 95% CI, 1.01 to 5.42; P=0.047).

conclusionsAlthough the patient populations who develop ON or shoulder OA have differences, there are not statistically or clinically meaningful differences in the short-term outcomes after anatomic TSA. Future studies are required to examine if differences exist in the long-term follow-up between the two groups.

Indexed as

osteoarthritis (OA)osteonecrosis (ON)short-term outcomesTotal shoulder arthroplasty (TSA)

Identifiers

PMID30906752
PMCPMC6389584
OpenAlexW2912243878

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.