Evidence map›Paper›PMID 41049633›Full record

ReviewJSES international2025

Why do patients not return to sports or work after anatomical or reverse total shoulder arthroplasty? A systematic review and meta-analysis.

Wouter J van der Poel, Arno A Macken, Denise Eygendaal, Geert A Buijze, Michel P J van den Bekerom

Abstract readReview
In one paragraph

Review in JSES international, 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

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.

Wouter J van der PoelDepartment of Orthopaedics and Sports Medicine, Erasmus MC, Rotterdam, The Netherlands.
Arno A MackenDepartment of Orthopaedics and Sports Medicine, Erasmus MC, Rotterdam, The Netherlands.
Denise EygendaalDepartment of Orthopaedics and Sports Medicine, Erasmus MC, Rotterdam, The Netherlands.
Geert A BuijzeDepartment of Orthopaedic Surgery, Alps Surgery Institute, Annecy, France.
Michel P J van den BekeromDepartment of Orthopaedic Surgery, OLVG, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Several studies have been published regarding the rate of return to sports or work after shoulder arthroplasty. However, there are no systematic reviews regarding the reasons for not returning to sports or work. The aim of this study is to assess the rate of return to sports or work and the reasons not to return to sports or work in patients undergoing total shoulder arthroplasty. Methods: The search was performed on the 23rd of April 2024 in multiple databases. Studies reporting return to work or return to sport after anatomic total shoulder arthroplasty (aTSA) or reverse total shoulder arthroplasty (rTSA) with a minimum follow-up of 2 years and studies reporting the reasons for no return to sport or no return to work after anatomical or reverse shoulder arthroplasty were included. Results: Our search resulted in 393 articles, of which 31 studies were included. In total, 18 studies reported the reasons for not returning, whereas 13 did not. The mean (95% confidence interval) return rate to sport was 91% (86%-95%) after aTSA and 80% (72%-89%) after rTSA. Reasons not to return to sport were shoulder related in 13 of the 27 cases after aTSA and in 6 of the 19 cases after rTSA. The mean (95% confidence interval) return rate to work was 76% (59%-93%) after aTSA and 46% (26%-66%) after rTSA. Reasons not to return to work were shoulder related in 4 of the 15 cases after aTSA and in 8 of the 35 cases after rTSA. Conclusion: A high return to sport can be expected after total shoulder arthroplasty. The rate of return to work after aTSA is high; this is in contrast to patients with an rTSA who are less likely to return to work. Interestingly, most reasons not to return to sport or work after shoulder arthroplasty are not shoulder related. Reporting of reasons not to return to sport or work is limited; this should be considered in future studies.

Indexed as

Anatomical shoulder arthroplastyMeta-analysisReturn to sportReturn to workReverse shoulder arthroplastyShoulderSystematic review

Identifiers

PMID41049633
PMCPMC12490628

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