Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty
Background In the past decade, the number of anatomic total shoulder arthroplasty (aTSA) procedures has steadily increased. Patients over 65 years of age comprise the vast majority of recipients, and outcomes have been well documented; however, patients are opting for definitive surgical treatment a...
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| Format: | Article |
| Language: | English |
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Korean Shoulder and Elbow Society
2023-09-01
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| Series: | Clinics in Shoulder and Elbow |
| Subjects: | |
| Online Access: | http://www.cisejournal.org/upload/pdf/cise-2023-00409.pdf |
| _version_ | 1797328928987152384 |
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| author | Troy Li Akiro H. Duey Christopher A. White Amit Pujari Akshar V. Patel Bashar Zaidat Christine S. Williams Alexis Williams Carl M. Cirino Dave Shukla Bradford O. Parsons Evan L. Flatow Paul J. Cagle |
| author_facet | Troy Li Akiro H. Duey Christopher A. White Amit Pujari Akshar V. Patel Bashar Zaidat Christine S. Williams Alexis Williams Carl M. Cirino Dave Shukla Bradford O. Parsons Evan L. Flatow Paul J. Cagle |
| author_sort | Troy Li |
| collection | DOAJ |
| description | Background In the past decade, the number of anatomic total shoulder arthroplasty (aTSA) procedures has steadily increased. Patients over 65 years of age comprise the vast majority of recipients, and outcomes have been well documented; however, patients are opting for definitive surgical treatment at younger ages.We aim to report on the effects of age on the long-term clinical outcomes following aTSA. Methods Among the patients who underwent TSA, 119 shoulders were retrospectively analyzed. Preoperative and postoperative clinical outcome data were collected. Linear regression analysis (univariate and multivariate) was conducted to evaluate the associations of clinical outcomes with age. Kaplan-Meier curves and Cox regression analyses were performed to evaluate implant survival. Results At final follow-up, patients of all ages undergoing aTSA experienced significant and sustained improvements in all primary outcome measures compared with preoperative values. Based on multivariate analysis, age at the time of surgery was a significant predictor of postoperative outcomes. Excellent implant survival was observed over the course of this study, and Cox regression survival analysis indicated age and sex to not be associated with an increased risk of implant failure. Conclusions When controlling for sex and follow-up duration, older age was associated with significantly better patient-reported outcome measures. Despite this difference, we noted no significant effects on range of motion or implant survival. Level of evidenceIV. |
| first_indexed | 2024-03-08T06:58:06Z |
| format | Article |
| id | doaj.art-9ec26221b33c47ac842394800e72a11f |
| institution | Directory Open Access Journal |
| issn | 2288-8721 |
| language | English |
| last_indexed | 2024-03-08T06:58:06Z |
| publishDate | 2023-09-01 |
| publisher | Korean Shoulder and Elbow Society |
| record_format | Article |
| series | Clinics in Shoulder and Elbow |
| spelling | doaj.art-9ec26221b33c47ac842394800e72a11f2024-02-03T06:28:21ZengKorean Shoulder and Elbow SocietyClinics in Shoulder and Elbow2288-87212023-09-0126323123710.5397/cise.2023.00409937Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplastyTroy Li0Akiro H. Duey1Christopher A. White2Amit Pujari3Akshar V. Patel4Bashar Zaidat5Christine S. Williams6Alexis Williams7Carl M. Cirino8Dave Shukla9Bradford O. Parsons10Evan L. Flatow11Paul J. Cagle12 Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USABackground In the past decade, the number of anatomic total shoulder arthroplasty (aTSA) procedures has steadily increased. Patients over 65 years of age comprise the vast majority of recipients, and outcomes have been well documented; however, patients are opting for definitive surgical treatment at younger ages.We aim to report on the effects of age on the long-term clinical outcomes following aTSA. Methods Among the patients who underwent TSA, 119 shoulders were retrospectively analyzed. Preoperative and postoperative clinical outcome data were collected. Linear regression analysis (univariate and multivariate) was conducted to evaluate the associations of clinical outcomes with age. Kaplan-Meier curves and Cox regression analyses were performed to evaluate implant survival. Results At final follow-up, patients of all ages undergoing aTSA experienced significant and sustained improvements in all primary outcome measures compared with preoperative values. Based on multivariate analysis, age at the time of surgery was a significant predictor of postoperative outcomes. Excellent implant survival was observed over the course of this study, and Cox regression survival analysis indicated age and sex to not be associated with an increased risk of implant failure. Conclusions When controlling for sex and follow-up duration, older age was associated with significantly better patient-reported outcome measures. Despite this difference, we noted no significant effects on range of motion or implant survival. Level of evidenceIV.http://www.cisejournal.org/upload/pdf/cise-2023-00409.pdfpatient reported outcome measuresagingarthroplastyshoulder replacement |
| spellingShingle | Troy Li Akiro H. Duey Christopher A. White Amit Pujari Akshar V. Patel Bashar Zaidat Christine S. Williams Alexis Williams Carl M. Cirino Dave Shukla Bradford O. Parsons Evan L. Flatow Paul J. Cagle Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty Clinics in Shoulder and Elbow patient reported outcome measures aging arthroplasty shoulder replacement |
| title | Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty |
| title_full | Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty |
| title_fullStr | Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty |
| title_full_unstemmed | Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty |
| title_short | Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty |
| title_sort | evaluating the effects of age on the long term functional outcomes following anatomic total shoulder arthroplasty |
| topic | patient reported outcome measures aging arthroplasty shoulder replacement |
| url | http://www.cisejournal.org/upload/pdf/cise-2023-00409.pdf |
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