Evidence map›Paper›PMID 40702456›Full record

ArticleBMC musculoskeletal disorders2025

The impact of alcohol use on the outcomes of shoulder joint replacement in traumatic indications type of study: clinical study - comparison of functional outcomes of shoulder replacement in alcohol use disorder and control groups.

Fulin Petr, Hert Jan, Walder Jiri, Kratochvil Adam, Kubasova Kristyna, Grzelecki Dariusz, Pokorny David

Abstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2025. 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
–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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

7 authors.

Fulin Petr1st Orthopaedic Clinic First Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic. petrfulin@gmail.com.
Hert Jan1st Orthopaedic Clinic First Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.
Walder Jiri1st Orthopaedic Clinic First Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.
Kratochvil AdamDepartment of Mechanics, Biomechanics and Mechatronics, Faculty of Mechanical Engineering, Czech Technical University in Prague, Prague, Czech Republic.
Kubasova KristynaDepartment of Mechanics, Biomechanics and Mechatronics, Faculty of Mechanical Engineering, Czech Technical University in Prague, Prague, Czech Republic.
Grzelecki DariuszDepartment of Orthopaedics and Rheumoorthopaedic, Centre of Postgraduate Medical Education, Otwock, Poland.
Pokorny David1st Orthopaedic Clinic First Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.

Funding

Univerzita Karlova v Praze COOPERATIO
6 · The paper itself

Abstract

purposeAlcohol use disorder (AUD) is a medical condition characterized by an impaired ability to stop or control alcohol consumption despite adverse social, occupational, or health consequences. The aim of the study is to evaluate the outcomes of shoulder joint replacement in traumatic conditions in patients with AUD and compare them with the results of the control group.

methodsWe evaluated the outcomes of hemiarthroplasty and reverse shoulder arthroplasty divided into subgroups (AUD and control). The study includes a total of 238 patients with an average follow-up of 8 years. Clinical evaluation included the Constant Shoulder Score (CSS), abduction of the arm and pain. The results were statistically evaluated.

resultsWe found no significant differences between the hemi-control and hemi-abusus groups in either measurement (CSS: p = 0.312, Cohen's d = 0.262; abduction: p = 0.771, Cohen's d = 0.073) or between the reverse-control and reverse-abusus groups in the abduction parameter (p = 0.394, Cohen's d = 0.153). However, a significant difference was observed in the CSS parameter within the reverse group (p = 0.015, Cohen's d = 0.447). Additionally, we identified a higher incidence of postoperative complications in patients with AUD for both implant types (hemi group: χ²(1) = 7.11, p = 0.0077; reverse group: χ²(1) = 11.25, p = 0.00080).

conclusionsIn this prospective study, we demonstrated the negative effect of alcohol use on the outcomes and function of shoulder joint replacements in cases of traumatic indications. The negative impact was observed following both hemiarthroplasty and reverse shoulder arthroplasty implantation. In both groups, a higher number of complications were recorded in patients with AUD.

Indexed as

Alcohol DrinkingAlcoholismArthroplasty, Replacement, ShoulderHemiarthroplastyShoulder JointAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRecovery of FunctionTreatment OutcomeAlcohol use disorderAUDConstant scoreShoulder arthroplasty

Identifiers

PMID40702456
PMCPMC12285152

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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.