ArticleJSES international2025
Lower socioeconomic status is not associated with worse 2-year outcomes following reverse total shoulder arthroplasty.
Article in JSES international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- The effect of Area Deprivation Index on clinical outcomes after total shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
- Social Work-Supported Strategies to Reduce Postoperative Readmissions in Orthopedic Surgery: A Narrative Review.Cureus · 2026Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The aim of this study was to evaluate the association between Area Deprivation Index (ADI) and patient outcomes following reverse total shoulder arthroplasty (rTSA). Methods: A retrospective analysis of patients who underwent an rTSA at a single institution between 2011 and 2021 with minimum 2-year follow-up. Each patient's home address was mapped to the ADI to determine the level of socioeconomic disadvantage. Patients were categorized into 5 groups based on socioeconomic status (SES): ADI group 1; the least deprived group and ADI group 5; the most deprived group. Bivariate analysis was performed to determine the association between the level of SES and 2-year postoperative American Shoulder and Elbow Surgeons (ASES) score. Multivariable regression analysis was utilized to assess the role of independent variables in achieving minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient acceptable symptomatic state (PASS) for ASES. Results: A total of 551 patients, mean age: 71.1 ± 9.1 year/old and overall mean follow-up time of 42.5 ± 29.9 months. The mean ADI value of all cohorts was 49.3 ± 29.4. The mean ADI for groups 1 through 5 were 9.0 ± 4.9, 30.1 ± 7.6, 47.6 ± 4.4, 70.9 ± 6.7, and 89.9 ± 5.2. There were no differences in age, sex, body mass index, or preoperative medical comorbidities. The average preoperative ASES score across ADI subgroups was 30.6 ± 18.0. Preoperative ASES scores were lowest in both ADI group 1:26.5 ± 15.3 and ADI group 5:25.9 ± 16.7. There was no difference in preoperative range of motion (ROM) across all ADI subgroups. The average postoperative ASES score was 74.2 ± 23.7. There was a significant inverse relationship between ADI and postoperative ASES ( Conclusion: The current study supports an inverse relationship between ADI and postoperative outcomes in patients undergoing rTSA. Additionally, our study found that a patient's ability to achieve MCID, SCB, or PASS for ASES at a minimum of 2 years after rTSA was not dependent on SES. Lastly, our study demonstrated that the risk of suffering an adverse event or undergoing a revision surgery were not associated with SES.
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