Evidence map›Paper›PMID 37692872›Full record

ArticleShoulder & elbow2023

The effect of pre-operative shoulder injections on post-operative opioid use, infection and revision following shoulder arthroplasty.

Nicholas J Lemme, Daniel Yang, Christopher Lama, Edward J Testa, Myles Dworkin, Jacob M Modest, Brett D Owens, Alan H Daniels, Steven F DeFroda

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

Article in Shoulder & elbow, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

9 authors at 2 institutions in 1 country.

Nicholas J LemmeDepartment of Orthopaedic Surgery, Brown University, Providence, RI, USA.ORCID https://orcid.org/0000-0002-3136-7177
Daniel YangDepartment of Orthopaedic Surgery, Brown University, Providence, RI, USA.
Christopher LamaDepartment of Orthopaedic Surgery, Brown University, Providence, RI, USA.
Edward J TestaDepartment of Orthopaedic Surgery, Brown University, Providence, RI, USA.ORCID https://orcid.org/0000-0002-8693-1396
Myles DworkinDepartment of Orthopaedic Surgery, Brown University, Providence, RI, USA.
Jacob M ModestDepartment of Orthopaedic Surgery, Brown University, Providence, RI, USA.
Brett D OwensDepartment of Orthopaedic Surgery, Brown University, Providence, RI, USA.
Alan H DanielsDepartment of Orthopaedic Surgery, Brown University, Providence, RI, USA.
Steven F DeFrodaDepartment of Orthopaedic Surgery, University of Missouri, Columbia, MO, USA.
Brown University · USUniversity of Missouri · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Treatment of glenohumeral osteoarthritis (GHOA) may include conservative management with use of intraarticular injections, prior to considering total shoulder arthroplasty (TSA). The purpose of this study was to assess trends in the use of preoperative cortisone (CO) and hyaluronic acid (HA) injections, as well as investigate the relationship between injection use and infection or revision arthroplasty following TSA. Methods: Pearl Driver was used to identify all patients undergoing TSA for GHOA between 2010 and 2018. Patients were categorized based on the type and number of injections they received. Outcomes of interest included post-operative opioid use, post-operative infection, and risk of revision surgery within 1 year of the index procedure. Results: The incidence of patients receiving a CO or HA injections within 1 year of their TSA decreased by 83% and 54%, respectively. Patients who had received 1 or more steroid injections had higher odds of prolonged opiate use following surgery. Patients that received 1 or 2 CO injection prior to TSA had an increased risk of needing revision surgery. Discussion: Use of intraarticular injections for the management of GHOA has declined. Patients receiving preoperative injections had increased odds of prolonged opiate use and the need for revision surgery.

Indexed as

cortisoneinjectionrevision arthroplastyshoulder arthroplasty

Identifiers

PMID37692872
PMCPMC10492524
OpenAlexW4286491670

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.