Evidence map›Paper›PMID 37426907›Full record

ArticleJSES international2023

The incidence of shoulder arthroplasty infection presents a substantial economic burden in the United States: a predictive model.

Samuel Schick, Joseph Elphingstone, Sudarsan Murali, Karen Carter, William Davis, Gerald McGwin, Thomas Evely, Brent Ponce, Amit Momaya, Eugene Brabston

Open access · goldAbstract read
In one paragraph

Article in JSES international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
9.2field-weighted citation impact, top 1% 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

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
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  4. Assessment of a painful shoulder arthroplasty.Journal of clinical orthopaedics and trauma · 2025
    Article
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  6. Review
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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

10 authors at 2 institutions in 1 country.

Samuel SchickDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Joseph ElphingstoneDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Sudarsan MuraliDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Karen CarterDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
William DavisDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Gerald McGwinDepartment of Epidemiology, University of Alabama at Birmingham School of Public Health, Birmingham, AL, USA.
Thomas EvelyDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Brent PonceHughston Clinic, Columbus, GA, USA.
Amit MomayaDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Eugene BrabstonDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
University of Alabama at Birmingham · USHughston Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Periprosthetic joint infections (PJIs) are a major cause of morbidity after shoulder arthroplasty. Prior national database studies have estimated the trends of shoulder PJI up to 2012. Methods: The Nationwide Inpatient Sample database was queried for primary and revision anatomic total shoulder arthroplasty, reverse total shoulder arthroplasty, and hemiarthroplasty from 2011-2018. Multivariate regression was used to predict cases and charges through the year 2030 adjusted to 2021 purchasing power parity. Results: From 2011 to 2018, PJI was found to be 1.1% shoulder arthroplasties, from 0.8% (2011) to 1.4% (2018). Anatomic total shoulder arthroplasty experienced the greatest proportion of infections at 2.0%, followed by hemiarthroplasty at 1.0% and reverse total shoulder arthroplasty at 0.3%. Total hospital charges grew 324%, from $44.8 million (2011) to $190.3 million (2018). Our regression model projects 176% growth in cases and 141% growth in annual charges by 2030. Conclusion: This study demonstrates the large economic burden that shoulder PJIs pose on the American healthcare system, which is predicted to reach nearly $500 million in charges annually by 2030. Understanding trends in procedure volume and hospital charges will be critical in evaluating strategies to reduce shoulder PJIs.

Indexed as

AnatomicChargesHemiarthroplastyInfectionProsthetic joint infectionReverseShoulder arthroplasty

Identifiers

PMID37426907
PMCPMC10328787
OpenAlexW4364361061

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.