Evidence map›Paper›PMID 33717223›Full record

ArticleShoulder & elbow2021

Vitamin D deficiency and total shoulder arthroplasty complications.

J Michael Smith, Jourdan M Cancienne, Stephen F Brockmeier, Brian C Werner

Open access · bronzeAbstract read
In one paragraph

Article in Shoulder & elbow, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Vitamin D deficiency and periprosthetic fractures.Journal of clinical orthopaedics and trauma · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Osteoporosis Management for Shoulder Surgeons.Current reviews in musculoskeletal medicine · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
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

4 authors at 2 institutions in 1 country.

J Michael SmithDepartment of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, USA.
Jourdan M CancienneMidwest Orthopaedics at Rush, Chicago, USA.
Stephen F BrockmeierDepartment of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, USA.
Brian C WernerDepartment of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, USA.ORCID https://orcid.org/0000-0002-7956-2123
University of Virginia Health System · USRush University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe primary objective of this study was to examine the relationship between vitamin D deficiency and implant-related and medical complications following total shoulder arthroplasty.

methodsUsing the PearlDiver database, patients who underwent total shoulder arthroplasty from 2005 to 2016 with vitamin D deficiency were identified. These were compared to a 3:1 control group matched by age, sex, and presence of a concomitant osteoporosis diagnosis. Primary outcome measures were implant-related complications (loosening, periprosthetic fracture, periprosthetic joint infection, and revision total shoulder arthroplasty) in addition to medical complications within 90 days of surgery. A multivariable logistic regression analysis was utilized to control for patient demographics and comorbidities.

resultsOne thousand and six hundred and seventy-four patients with vitamin D deficiency were identified and compared to 5022 controls. There was a significantly higher rate of revision total shoulder arthroplasty in the vitamin D deficient patients compared to controls (2.3% versus 0.8%, odds ratio 3.3, p < 0.0001). After controlling for confounding variables, there were no significant differences in any of the remaining implant-related or medical complications with the exception of higher rates of urinary tract infections in patients with vitamin D deficiency.

conclusionsVitamin D deficiency is associated with a higher rate of all-cause revision total shoulder arthroplasty but not medical complications compared to controls.

Indexed as

complicationstotal shoulder arthroplastyVitamin D deficiency

Identifiers

PMID33717223
PMCPMC7905506
OpenAlexW3014744592

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.