Evidence map›Paper›PMID 38147874›Full record

ArticleClinics in shoulder and elbow2024

Bilateral reverse shoulder arthroplasty versus bilateral anatomic shoulder arthroplasty: a meta-analysis and systematic review.

Mohammad Daher, Mohamad Y Fares, Jonathan Koa, Jaspal Singh, Joseph Abboud

Open access · diamondAbstract read
In one paragraph

Article in Clinics in shoulder and elbow, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Outcomes of reverseWorld journal of orthopedics · 2026
    Article
  3. 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

5 authors at 1 institution in 1 country.

Mohammad DaherDivision of Shoulder and Elbow Surgery, Rothman Orthopedic Institute, Thomas Jefferson Medical Center, Philadelphia, PA, USA.
Mohamad Y FaresDivision of Shoulder and Elbow Surgery, Rothman Orthopedic Institute, Thomas Jefferson Medical Center, Philadelphia, PA, USA.
Jonathan KoaDivision of Shoulder and Elbow Surgery, Rothman Orthopedic Institute, Thomas Jefferson Medical Center, Philadelphia, PA, USA.
Jaspal SinghDivision of Shoulder and Elbow Surgery, Rothman Orthopedic Institute, Thomas Jefferson Medical Center, Philadelphia, PA, USA.
Joseph AbboudDivision of Shoulder and Elbow Surgery, Rothman Orthopedic Institute, Thomas Jefferson Medical Center, Philadelphia, PA, USA.
Rothman Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs the population is aging and indications are expanding, shoulder arthroplasty is becoming more frequent, especially bilateral staged replacement. However, surgeons are hesitant to use bilateral reverse prostheses due to potential limitations on activities of daily living.

methodsThis meta-analysis was conducted to compare bilateral anatomic to bilateral reverse shoulder implants. PubMed, Cochrane, and Google Scholar (pages 1-20) were searched until April 2023. The clinical outcomes consisted of postoperative functional scores (American Shoulder and Elbow Surgeons [ASES], Single Assessment Numeric Evaluation [SANE], Physical Component Score [PCS], Mental Component Score, and Simple Shoulder Test), pain, and range of motion (external rotation and forward elevation). Three studies were included in this meta-analysis.

resultsBilateral anatomic implants had better postoperative functional outcomes and range of motion, but no significant difference was seen in postoperative pain when compared to the reverse prosthesis. Better ASES score, SANE score, and PCS as well as better external rotation and forward elevation were seen in the bilateral anatomic shoulder replacement group, but no significant difference in pain levels was seen between the two groups.

conclusionsThe results may be explained by the lower baseline seen in the reverse prosthesis group, which may be due to an older population and different indications. Nevertheless, more randomized controlled studies are needed to confirm these findings. Level of evidence: III.

Indexed as

AnatomicBilateralReverse shoulder arthroplastyShoulder osteoarthritisTotal shoulder arthroplasty

Identifiers

PMID38147874
PMCPMC11181065
OpenAlexW4390237279

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.