ArticleJSES international2020
Sex differences in complications and readmission rates following shoulder arthroplasty in the United States.
Article in JSES international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Serious adverse events, readmission, and mortality after shoulder replacement due to fracture, osteoarthritis, and other indications: a population-based comparison with the general population.Acta orthopaedica · 2025Article
- The influence of sex: A Deep Dive into Reverse Total Shoulder Arthroplasty Outcomes.Seminars in arthroplasty · 2025Article
- Infection after shoulder replacement: A literature review and strategies on diagnosis, management, and clinical outcomes.Journal of clinical orthopaedics and trauma · 2025Review
- The risk of revision is higher following shoulder hemiarthroplasty compared with total shoulder arthroplasty for osteoarthritis: a matched cohort study of 11,556 patients from the National Joint Registry, UK.Acta orthopaedica · 2024Article
- Systemic medical complications following joint replacement: a review of the evidence.Annals of the Royal College of Surgeons of England · 2023Review
- Sex differences in utilization and perioperative outcomes of arthroscopic rotator cuff repair.JSES international · 2022Article
- Few UK vascular centres offer a fully NICE-compliant supervised exercise programme: a national audit.Annals of the Royal College of Surgeons of England · 2022Article
- Male Sex Is Associated with Higher Mortality and Increased Risk for Complications after Surgical Treatment of Proximal Humeral Fractures.Journal of clinical medicine · 2021Article
- Short-Term Complications and Readmission Following Total Shoulder Arthroplasty: A National Database Study.The archives of bone and joint surgery · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionShoulder arthroplasty (SA) procedures are increasingly performed in the United States. However, there is a lack of data evaluating how patient sex may affect perioperative complications. The purpose of this study was to evaluate sex-based differences in 30-day postoperative complication and readmission rates after SA.
methodsTotal SA and reverse SA cases between 2012-2016 were identified from the American College of Surgeons National Surgical Quality Improvement Program database. The 30-day complication rate, readmission rate, operation time, length of stay, and mortality were compared between women and men. Multivariable logistic regression analysis was performed to identify independent perioperative complications associated with patient sex.
resultsOf 12,530 SA cases, 6949 (55.4%) were female and 5499 (44.5%) were male. Compared with women, on average men were significantly younger, had lower body mass index, and were less likely to be functionally dependent, and less likely to have an American Society of Anesthesiologists score of 3+ (
conclusionThough the overall complication risk is similar between the sexes, their risk profiles are distinct. Men had decreased risk of UTI, blood transfusions, and shorter length of stay but increased risk of surgical site and longer operating time compared with women. This disparity should be discussed when counseling and risk-stratifying patients for SA.
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