Evidence map›Paper›PMID 34162369›Full record

ArticleBMC musculoskeletal disorders2021

Correlation and responsiveness of global health, upper extremity-specific, and shoulder-specific functional outcome measures following reverse total shoulder arthroplasty for proximal humerus fracture.

James Barger, Dafang Zhang, Derek S Stenquist, Peter Ostergaard, Matthew Hall, George S M Dyer, Brandon E Earp, Arvind von Keudell

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 38% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

8 authors at 3 institutions in 1 country.

James BargerDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, 55 Fruit Street, MA, 02115, Boston, USA. jbarger@mgh.harvard.edu.
Dafang ZhangDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, 55 Fruit Street, MA, 02115, Boston, USA.
Derek S StenquistDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, 55 Fruit Street, MA, 02115, Boston, USA.
Peter OstergaardDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, 55 Fruit Street, MA, 02115, Boston, USA.
Matthew HallDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, 55 Fruit Street, MA, 02115, Boston, USA.
George S M DyerDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, 55 Fruit Street, MA, 02115, Boston, USA.
Brandon E EarpDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, 55 Fruit Street, MA, 02115, Boston, USA.
Arvind von KeudellDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, 55 Fruit Street, MA, 02115, Boston, USA.
Lemuel Shattuck Hospital · USHarvard University · USBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeReverse total shoulder arthroplasty (rTSA) is effective and increasingly utilized for the management of proximal humerus fracture (PHF). However, the optimal patient-reported outcome metrics (PROMs) for the evaluation of patient outcomes after this surgery are unclear. We investigated the correlation among global, upper extremity-specific, and shoulder-specific PROMs in patients undergoing rTSA for PHF as well as the responsiveness of these PROMs as assessed by floor and ceiling effects. We hypothesized that patients' post-operative outcome would be best reflected by a combination of these metrics.

methodsThirty patients with a history of rTSA for ipsilateral PHF filled out the following outcomes questionnaires at a minimum of 3 years post-op: EQ-5D, EQ-5D VAS, PROMIS physical function, DASH, SSV, SPADI, and ASES. Correlation between metrics was assessed using the Spearman correlation coefficient. Responsiveness was assessed by comparing the proportion of patients reaching floor or ceiling values using McNemar's test.

resultsGlobal health metrics (EQ-5D and PROMIS physical function) were strongly correlated with the upper extremity-specific metric (DASH). Shoulder-specific outcomes (SPADI, ASES, and ASES) were moderately correlated with both the global metrics and DASH. There was no significant difference between PROMs with regards to floor and ceiling effects.

conclusionsThe DASH score has been shown to be valid and responsive for shoulder interventions, and our data demonstrate that it correlates strongly with overall quality of life. Shoulder-specific metrics are valid and responsive for shoulder interventions but correlate less with global quality of life. An optimal PROM strategy in rTSA for PHF might involve both DASH and a shoulder-specific score. Based on our assessment of floor and ceiling effects, none of these metrics should be excluded for poor responsiveness.

Indexed as

Arthroplasty, Replacement, ShoulderGlobal HealthHumansHumerusOutcome Assessment, Health CarePatient Reported Outcome MeasuresQuality of LifeShoulderTreatment OutcomeUpper ExtremityCeiling effectCorrelationFloor effectFunctional outcomeProximal humerus fractureResponsivenessReverse total shoulder arthroplasty

Identifiers

PMID34162369
PMCPMC8223380
OpenAlexW3173505604

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.