Severity of Glenohumeral Osteoarthritis Does Not Correlate With Patient-Reported Outcomes
Background Patient pain and clinical function are important factors in decision-making for patients with glenohumeral osteoarthritis (GHOA). The correlation between radiographic severity of arthritis and demographic factors with modern patient-reported outcome measures has not yet been well defined....
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-01-01
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| Series: | Journal of Shoulder and Elbow Arthroplasty |
| Online Access: | https://doi.org/10.1177/2471549220901873 |
| _version_ | 1819157926618595328 |
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| author | Eitan M Kohan MD Jeffrey Ryan Hill MD Joseph D Lamplot MD Alexander W Aleem MD Jay D Keener MD Aaron M Chamberlain MD |
| author_facet | Eitan M Kohan MD Jeffrey Ryan Hill MD Joseph D Lamplot MD Alexander W Aleem MD Jay D Keener MD Aaron M Chamberlain MD |
| author_sort | Eitan M Kohan MD |
| collection | DOAJ |
| description | Background Patient pain and clinical function are important factors in decision-making for patients with glenohumeral osteoarthritis (GHOA). The correlation between radiographic severity of arthritis and demographic factors with modern patient-reported outcome measures has not yet been well defined. Methods This cross-sectional study included 256 shoulders in 246 patients presenting with isolated GHOA. All patients obtained standard radiographs and completed the American Shoulder and Elbow Surgeons score, Simple Shoulder Test (SST), Shoulder Activity Scale, Visual Analog Scale, and Patient-Reported Outcome Measurement Information System (PROMIS) computer adaptive tests at the time of presentation. Radiographs were graded according to the Samilson–Prieto classification. Mean pain and functional scores were compared between the radiographic grades of osteoarthritis (OA) and demographic factors. Results There were 6 shoulders rated as grade 1 OA, 41 shoulders as grade 2, 149 shoulders as grade 3a, and 65 shoulders as grade 3b. There was excellent interobserver reliability in grade of OA (κ = 0.77). There were no significant differences in patient-reported pain or any validated measure of clinical function between radiographic grades of OA ( P > .05). Males reported higher function and lower pain scores than females ( P = .001–.066), although only the values for the SST and PROMIS physical function test were clinically relevant. Discussion While gender correlated with pain and function, the clinical relevance is limited. Radiographic severity of GHOA does not correlate with patient-reported pain and function, and symptoms should remain the primary determinants of surgical decision-making. Further investigation is necessary to examine whether radiographic severity of OA influences improvement following operative intervention in this population. |
| first_indexed | 2024-12-22T16:16:32Z |
| format | Article |
| id | doaj.art-cc5a211c7fab489896c7413bb0bd9d44 |
| institution | Directory Open Access Journal |
| issn | 2471-5492 |
| language | English |
| last_indexed | 2024-12-22T16:16:32Z |
| publishDate | 2020-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Shoulder and Elbow Arthroplasty |
| spelling | doaj.art-cc5a211c7fab489896c7413bb0bd9d442022-12-21T18:20:21ZengSAGE PublishingJournal of Shoulder and Elbow Arthroplasty2471-54922020-01-01410.1177/2471549220901873Severity of Glenohumeral Osteoarthritis Does Not Correlate With Patient-Reported OutcomesEitan M Kohan MD0Jeffrey Ryan Hill MD1Joseph D Lamplot MD2Alexander W Aleem MD3Jay D Keener MD4Aaron M Chamberlain MD5 Department of Orthopaedic Surgery, Washington University in Saint Louis, Saint Louis, Missouri Department of Orthopaedic Surgery, Washington University in Saint Louis, Saint Louis, Missouri Department of Orthopaedic Surgery, Washington University in Saint Louis, Saint Louis, Missouri Department of Orthopaedic Surgery, Washington University in Saint Louis, Saint Louis, Missouri Department of Orthopaedic Surgery, Washington University in Saint Louis, Saint Louis, Missouri Department of Orthopaedic Surgery, Washington University in Saint Louis, Saint Louis, MissouriBackground Patient pain and clinical function are important factors in decision-making for patients with glenohumeral osteoarthritis (GHOA). The correlation between radiographic severity of arthritis and demographic factors with modern patient-reported outcome measures has not yet been well defined. Methods This cross-sectional study included 256 shoulders in 246 patients presenting with isolated GHOA. All patients obtained standard radiographs and completed the American Shoulder and Elbow Surgeons score, Simple Shoulder Test (SST), Shoulder Activity Scale, Visual Analog Scale, and Patient-Reported Outcome Measurement Information System (PROMIS) computer adaptive tests at the time of presentation. Radiographs were graded according to the Samilson–Prieto classification. Mean pain and functional scores were compared between the radiographic grades of osteoarthritis (OA) and demographic factors. Results There were 6 shoulders rated as grade 1 OA, 41 shoulders as grade 2, 149 shoulders as grade 3a, and 65 shoulders as grade 3b. There was excellent interobserver reliability in grade of OA (κ = 0.77). There were no significant differences in patient-reported pain or any validated measure of clinical function between radiographic grades of OA ( P > .05). Males reported higher function and lower pain scores than females ( P = .001–.066), although only the values for the SST and PROMIS physical function test were clinically relevant. Discussion While gender correlated with pain and function, the clinical relevance is limited. Radiographic severity of GHOA does not correlate with patient-reported pain and function, and symptoms should remain the primary determinants of surgical decision-making. Further investigation is necessary to examine whether radiographic severity of OA influences improvement following operative intervention in this population.https://doi.org/10.1177/2471549220901873 |
| spellingShingle | Eitan M Kohan MD Jeffrey Ryan Hill MD Joseph D Lamplot MD Alexander W Aleem MD Jay D Keener MD Aaron M Chamberlain MD Severity of Glenohumeral Osteoarthritis Does Not Correlate With Patient-Reported Outcomes Journal of Shoulder and Elbow Arthroplasty |
| title | Severity of Glenohumeral Osteoarthritis Does Not Correlate With Patient-Reported Outcomes |
| title_full | Severity of Glenohumeral Osteoarthritis Does Not Correlate With Patient-Reported Outcomes |
| title_fullStr | Severity of Glenohumeral Osteoarthritis Does Not Correlate With Patient-Reported Outcomes |
| title_full_unstemmed | Severity of Glenohumeral Osteoarthritis Does Not Correlate With Patient-Reported Outcomes |
| title_short | Severity of Glenohumeral Osteoarthritis Does Not Correlate With Patient-Reported Outcomes |
| title_sort | severity of glenohumeral osteoarthritis does not correlate with patient reported outcomes |
| url | https://doi.org/10.1177/2471549220901873 |
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