Evidence map›Paper›PMID 32819933›Full record

ArticleBMJ open2020

Fast track rehabilitation after reversed total shoulder arthroplasty: a protocol for an international multicentre prospective cohort study.

Tom van Essen, Anke Kornuijt, Lieke Maria Anna de Vries, Remco Stokman, Walter van der Weegen, Rob Bogie, Robert Jan Hillen, D A van Kampen

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

8 authors at 2 institutions in 2 countries.

Tom van EssenOrthopaedic Surgery, Dijklander Ziekenhuis, Purmerend, The Netherlands tomvanessen11@gmail.com.ORCID 0000-0001-9256-9269
Anke KornuijtOrthopaedic Surgery, Sint Annaziekenhuis, Geldrop, Noord-Brabant, The Netherlands.
Lieke Maria Anna de VriesOrthopaedic Surgery, Dijklander Ziekenhuis, Hoorn, The Netherlands.
Remco StokmanOrthopaedic Surgery, Sint Elisabeth Hospitaal, Willemstad, Curaçao.
Walter van der WeegenOrthopaedic Surgery, Sint Annaziekenhuis, Geldrop, Noord-Brabant, The Netherlands.
Rob BogieOrthopaedic Surgery, Sint Annaziekenhuis, Geldrop, Noord-Brabant, The Netherlands.
Robert Jan HillenOrthopaedic Surgery, Dijklander Ziekenhuis, Purmerend, The Netherlands.
D A van KampenOrthopedic Surgery and Traumatologie, Dijklander Ziekenhuis, Hoorn, The Netherlands.
St. Anna Ziekenhuis · NLSt. Elisabeth Hospital · CW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of reversed total shoulder arthroplasty (rTSA) has increased because of an increasing number of indications for this procedure and by ageing of the population. Usual postoperative care consists of immobilisation of the shoulder for a period of 2-6 weeks to allow healing of the subscapularis tendon and protection of the joint. However, new literature proved that reattachment of the subscapularis tendon is unnecessary. Therefore we hypothesised that immobilisation of the shoulder is not necessary and patients can start safely with mobilisation on the first postoperative day. We expect this fast track protocol to be safe and result in better short-term and long-term functional outcomes. METHODS AND ANALYSIS: In our prospective cohort, we will include at least 75 patients aged 50 years and older indicated for rTSA, with acute fracture treatment as an exclusion criterion. Patients will be selected and operated in three hospitals: two in the Netherlands and one in Curacao.Patients will visit the outpatient clinic preoperative, at 6 weeks, 3 months and 1 year postoperative. The data that will be collected includes baseline characteristics, reason for surgery, complications and adverse events, patient reported outcomes (Oxford Shoulder Score, EuroQol-5D and Numeric Rating Scale for pain) and range of motion of the shoulder.All patients will be instructed to use a sling only for 1 day and to follow a progressive physiotherapy schedule for 12 weeks. The primary outcome is the occurrence of complications and adverse events. ETHICS AND DISSEMINATION: The Medical Ethics Committee from the VUmc and Curacao reviewed this study protocol and granted exemption from ethical approval (METC VUmc 2019.111, METC Curacao 2019-02). Study results will be presented at (inter)national conferences and published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: Netherlands Trial Register (NL7656).

Indexed as

Arthroplasty, Replacement, ShoulderAgedCohort StudiesHumansMiddle AgedMulticenter Studies as TopicNetherlandsProspective StudiesRange of Motion, ArticularTreatment Outcomeelbow & shoulderrehabilitation medicineshoulder

Identifiers

PMID32819933
PMCPMC7440714
OpenAlexW3080314344

What OpenQuestion holds

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Registered trials

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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.