The impact of noninfective enteritis and colitis on outcomes following shoulder arthroplasty: a propensity-matched retrospective cohort study of 8,574 patients.

Debra H Chan, Ahlam Ashkar, Sudarsan Murali, Lincoln D Koyejo, Rodrigo Saad Berreta, Umasuthan Srikumaran

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Article in JSES international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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Authors and funding

6 authors.

Debra H ChanDepartment of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.

Ahlam AshkarDepartment of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.

Sudarsan MuraliDepartment of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.

Lincoln D KoyejoDepartment of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.

Rodrigo Saad BerretaDepartment of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.

Umasuthan SrikumaranDepartment of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with noninfective enteritis and colitis (NIEC), a term including Crohn's disease, ulcerative colitis, and other chronic inflammatory bowel diseases, are more likely to have decreased bone mineral density due to chronic inflammation and impaired vitamin D absorption. Previous studies have assessed acute post-operative complications of patients with NIEC undergoing shoulder arthroplasty (SA). The purpose of this study is to explore the long-term impact of NIEC on SA revision rates and mechanical complications. Methods: A retrospective cohort study using the TriNetX Research Network investigated patients who underwent SA. Patients diagnosed with NIEC within 5 years before their SA were compared to a non-NIEC cohort, and 1:1 propensity matched for demographics and comorbidities. Primary outcomes included revision rates and mechanical complications at 3, 5, 7, and 10 years. Secondary outcomes included prosthetic joint infections (PJIs), shoulder instability, and 90-day medical complications. Risk ratios (RRs), 95% confidence intervals, and Results: After matching, each cohort included 8,574 patients. At 90 days post-operatively, the NIEC cohort had significantly higher risk of pneumonia (RR = 1.52; Conclusion: Patients with NIEC have a higher long-term risk of revision surgery and PJIs following SA, suggesting a complex association that should be considered.

Indexed as

Crohn's diseaseLong-term outcomesNoninfective enteritis and colitisRevision ratesShoulder arthroplastyUlcerative colitis

Identifiers

PMID42007417

DOI10.1016/j.jseint.2026.101644

PMCPMC13091502

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