ArticleOsteoarthritis and cartilage open2026
Management of glenohumeral osteoarthritis in the younger patient: A population level analysis of usual care delivery in a large health system.
Article in Osteoarthritis and cartilage open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To characterize healthcare utilization in a younger population with glenohumeral osteoarthritis. Methods: Adults seeking care for glenohumeral osteoarthritis between July 2013 and March 2019 were analyzed. Ambulatory visits, pharmacological, and non-pharmacological treatment, and surgical and radiological procedures, were compared by active-duty status and sex. The association between exercise therapy receipt and subsequent surgery was modeled using an adjusted logistic regression, reporting adjusted odds ratios (OR). Results: There were 21,369 individuals (29.4 % female; mean age 50.3 [standard deviation (SD) 9.9] years), with 24.1 % military patients. The mean number of ambulatory shoulder visits per patient was 9.4 (SD 12.5). For pharmacological care 26.2 % received an injection, 14.8 % received non-steroidal anti-inflammatory drugs, 13.4 % opioids, 11.8 % muscle relaxants, and 9.9 % other analgesics. Non-pharmacological care included 44.5 % receiving exercise therapy, 41.6 % physiotherapy, and 32.6 % manual therapy, while 54.0 % received none of these. Radiographs were obtained for 51.3 % and advanced imaging for 47.1 %. Arthroscopic surgery occurred in 18.9 % and arthroplasty in 0.2 %. Military patients received less pharmacological and more non-pharmacological treatment that non-military patients. Males had 1.5x the odds of surgery and higher pharmacological treatment use than females. Receipt of exercise therapy (adjusted OR = 0.01; 95 % confidence interval 0.01, 0.02) significantly reduced the odds of arthroscopic surgery. Conclusion: Many patients received no interventions. For those receiving care, <50 % received guideline-recommended non-pharmacological care, including exercise therapy which significantly reduced the likelihood of surgery. Military patients had overall less pharmacological but more non-pharmacological treatment than non-military patients. A greater frequency of males had surgery. These findings indicate the need to further explore health care delivery for glenohumeral osteoarthritis in younger populations, highlighting potential guideline to practice gaps.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.