Impact of enhanced recovery after surgery protocols on patient-reported outcomes and satisfaction following shoulder arthroplasty: a systematic review.

Hussayn Shinwari, Asmaar Butt, Hanan Taimur Shinwari, Zakariya Mouyer, Saran Singh Gill, Abith Ganesh Kamath, Kapil Sugand

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Review in JSES reviews, reports, and techniques, 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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7 authors.

Hussayn ShinwariFaculty of Medicine, St George's University of London, London, UK.

Asmaar ButtFaculty of Medicine, St George's University of London, London, UK.

Hanan Taimur ShinwariFaculty of Medicine, University of Sheffield, Sheffield, UK.

Zakariya MouyerFaculty of Medicine, St George's University of London, London, UK.

Saran Singh GillFaculty of Medicine, Imperial College London, London, UK.

Abith Ganesh KamathFaculty of Medicine, Imperial College London, London, UK.

Kapil SugandFaculty of Medicine, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: As shoulder arthroplasty volume rises globally, evidence on optimal perioperative rehabilitation and analgesia remains limited. This systematic review evaluated enhanced recovery after surgery postoperative strategies on patient-reported outcomes and satisfaction. Methods: PubMed, Embase, MEDLINE, Global Health, and Cochrane Library were searched per Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020. Studies undergoing total shoulder arthroplasty or reverse total shoulder arthroplasty (RTSA) were included. Interventions: rehabilitation timing and analgesic protocols. Outcomes: American Shoulder and Elbow Surgeons (ASES) score, Simple Shoulder Test (SST), Single Assessment Numeric Evaluation (SANE), range of motion, Quality of Recovery-15, and satisfaction. Results: Eighteen studies including 1,722 patients (total shoulder arthroplasty: n = 7; RTSA: n = 2; mixed: n = 9) were analyzed. Delayed rehabilitation after RTSA improved early pain scores (ASES pain 26.3 ± 16.3 vs. 16.7 ± 11.6 at 6 months; Conclusion: Functional recovery following shoulder arthroplasty appeared robust across diverse rehabilitation and analgesic strategies. Delayed rehabilitation offered early pain advantages, and opioid-sparing approaches enhanced patient satisfaction without compromising outcomes. These findings supported a personalized, patient-centered approach to postoperative care and highlight the need for further high-quality comparative trials.

Indexed as

Analgesia protocolsEnhanced recovery after surgeryFunctional recoveryInterscalene nerve blockOpioid-sparingPatient-reported outcomesPostoperative rehabilitationShoulder arthroplasty

Identifiers

PMID42058616

DOI10.1016/j.xrrt.2026.100725

PMCPMC13122315

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