Reverse Total Shoulder Arthroplasty
Conditions
Keywords
reverse total shoulder arthroplasty, RTSA, elderly, proximal humerus fracture, cuff arthropathy, outcome, complications
Brief summary
Reverse total shoulder arthroplasty (RTSA) has become an established treatment for cuff arthropathy, severe osteoarthritis and in certain fracture cases. Due to the increasingly aging population, patients who have already exceeded their life-expectancy pose a significant challenge to the shoulder surgeon. Therefore, we wanted to investigate patient demographics, hospital stay length, complication rate functional outcome, patient reported outcome scores and mortality retrospectively for patients, who were older than 83 years at time of implantation of a RTSA.
Detailed description
This is a retrospective single institution study. All patients older than 83 years who received a reverse shoulder arthroplasty from 2008 until 2019 are included. Elective cases are compared to fracture cases (patient demographics, length of hospital stay, complication rate, functional outcome, patient reported outcome scores and mortality).
Interventions
Implantation of a Reverse Total Shoulder Arthroplasty
Sponsors
Bürgerspital Solothurn
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
83 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients older than 83 years at time of surgery * Patients who received a reverse total shoulder arthroplasty
Exclusion criteria
* Patients younger than 83 years at time of surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality adjusted life year (QALY) | until august 2020 | The quality adjusted life year (QALY) ) is a well-established indicator of the life quality for the remaining years and was calculated as the years of life following the operation, multiplied by the utility value, for the current study, defined as the postoperative American Shoulder and Elbow Surgeons Shoulder Score (ASES) score (0-1 points) at last follow-up. |
| Patient reported outcome score: ASES | until august 2020 | American Shoulder and Elbow Society (ASES) Score |
| Complication rate | until august 2020 | postoperative complications requiring surgical intervention |
| Patient reported outcome score: VAS | until august 2020 | Visual analog score (VAS) |
| Mortality | until august 2020 | Survivership |
| Patient reported outcome score: QuickDASH | until august 2020 | Quick Disabilities of the arm, shoulder and hand (DASH) Score, |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient demographics | at time of surgery | male/female ratio, age, BMI, ASA (American Society of Anesthesiologists) classification, hospital stay length, range of motion |
Countries
Switzerland
Outcome results
None listed