Evidence map›Paper›PMID 37607857›Full record

ArticleClinics in shoulder and elbow2023

Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty.

Troy Li, Akiro H Duey, Christopher A White, Amit Pujari, Akshar V Patel, Bashar Zaidat, Christine S Williams, Alexis Williams, Carl M Cirino, Dave Shukla and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Clinics in shoulder and elbow, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.2field-weighted citation impact, top 12% 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, 7 citations in OpenAlex.

  1. Article
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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

13 authors at 1 institution in 1 country.

Troy LiDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Akiro H DueyDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Christopher A WhiteDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Amit PujariDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Akshar V PatelDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Bashar ZaidatDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Christine S WilliamsDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Alexis WilliamsDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Carl M CirinoDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Dave ShuklaDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Bradford O ParsonsDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Evan L FlatowDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Paul J CagleDepartment of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Icahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the past decade, the number of anatomic total shoulder arthroplasty (aTSA) procedures has steadily increased. Patients over 65 years of age comprise the vast majority of recipients, and outcomes have been well documented; however, patients are opting for definitive surgical treatment at younger ages.We aim to report on the effects of age on the long-term clinical outcomes following aTSA.

methodsAmong the patients who underwent TSA, 119 shoulders were retrospectively analyzed. Preoperative and postoperative clinical outcome data were collected. Linear regression analysis (univariate and multivariate) was conducted to evaluate the associations of clinical outcomes with age. Kaplan-Meier curves and Cox regression analyses were performed to evaluate implant survival.

resultsAt final follow-up, patients of all ages undergoing aTSA experienced significant and sustained improvements in all primary outcome measures compared with preoperative values. Based on multivariate analysis, age at the time of surgery was a significant predictor of postoperative outcomes. Excellent implant survival was observed over the course of this study, and Cox regression survival analysis indicated age and sex to not be associated with an increased risk of implant failure.

conclusionsWhen controlling for sex and follow-up duration, older age was associated with significantly better patient-reported outcome measures. Despite this difference, we noted no significant effects on range of motion or implant survival. Level of evidence: IV.

Indexed as

AgingArthroplastyPatient reported outcome measuresShoulder replacement

Identifiers

PMID37607857
PMCPMC10497918
OpenAlexW4385952338

What OpenQuestion holds

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LicenceCC BY-NC
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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.