Evidence map›Paper›PMID 37008973›Full record

ArticleClinics in orthopedic surgery2023

Surgical Trends of Shoulder Arthroplasty: Nationwide Epidemiologic Study in South Korea.

Jin Sik Park, Hee Jae Lee, Young-Hoon Jo, Myoung Keun Lee, Bong Gun Lee

Abstract read
In one paragraph

Article in Clinics in orthopedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Trial
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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

5 authors.

Jin Sik ParkDepartment of Orthopaedic Surgery, Hanyang University Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-5566-0642
Hee Jae LeeDepartment of Orthopaedic Surgery, Hanyang University Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-2283-4164
Young-Hoon JoDepartment of Orthopaedic Surgery, Hanyang University Guri Hospital, Guri, Korea.ORCID https://orcid.org/0000-0002-4299-2496
Myoung Keun LeeDepartment of Orthopaedic Surgery, Hanyang University Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-3977-8031
Bong Gun LeeDepartment of Orthopaedic Surgery, Hanyang University Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-4003-5529

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The aim of this study was to determine the nationwide shoulder arthroplasty trends in South Korea based on an analysis of nationwide data acquired from the Korean Health Insurance Review and Assessment Service (HIRA). Methods: We analyzed a nationwide database acquired from the HIRA that covered 2008 to 2017. International Classification of Diseases, 10th Revision (ICD-10) codes and procedure codes were used to identify patients who underwent shoulder arthroplasty, including total shoulder arthroplasty (TSA), hemiarthroplasty (HA), and revision shoulder arthroplasty. Results: From 2008 to 2017, a total of 19,831 shoulder arthroplasties were performed; there were 16,162 TSAs and 3,669 hemiarthroplasties. During the 10-year study period, there was an exponential increase in the incidence of TSA (from 513 cases in 2008 to 3,583 cases in 2017), while the number of hemiarthroplasties remained steady. The most common diagnoses for TSA were rotator cuff tears (6,304 cases, 39.0%) and osteoarthritis (6,589 cases, 40.8%) for all 9 years. Osteoarthritis was the most common reason for TSA during the first 3 years (2008-2010), but rotator cuff tears ultimately surpassed osteoarthritis during the last 3 years (2015-2017). HA was performed to treat proximal humerus fracture (1,770 cases, 48.2%) and osteoarthritis (774 cases, 21.1%). In terms of hospital types, the rate of TSA in hospitals with 30-100 inpatient beds increased from 21.83% to 46.27%, while the rates of the other types of surgery decreased. A total of 430 revision surgeries were performed during the study period, and infection (152 cases, 35.3%) was the most common reason for revision surgery. Conclusions: Overall, the total count and incidence of TSA, unlike HA, increased rapidly between 2008 and 2017 in South Korea. Moreover, at the end of the study period, nearly half of the TSAs were performed in small hospitals (30 to 100 beds). Rotator cuff tears were the leading cause of TSA at the end of the study period. These findings revealed an explosive increase in reverse TSA surgery.

Indexed as

Arthroplasty, Replacement, ShoulderHemiarthroplastyOsteoarthritisRotator Cuff InjuriesShoulder JointHumansReoperationRetrospective StudiesTreatment OutcomeEpidemiologyInternational Classification of DiseasesKoreaNational health insuranceShoulder replacements

Identifiers

PMID37008973
PMCPMC10060777

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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.