A comparison of perioperative outcomes in patients with and without rheumatoid arthritis after receiving a total shoulder replacement arthroplasty

Journal of Shoulder and Elbow Surgery
Dustin HambrightMichael P Bolognesi

Abstract

The long-term survival rate of total shoulder arthroplasty (TSA) is comparable to hip and knee arthroplasty. Although TSA is considered a safe and effective procedure with low complications in patients with osteoarthritis and rheumatoid arthritis (RA), data are lacking on perioperative complications. Complication rates and hospital disposition differences between patients with and without RA who underwent TSA were investigated. We hypothesized that RA patients would have poorer perioperative outcomes after TSA. Data from the Nationwide Inpatient Sample was used to capture 25,398 patients between 1988 and 2005 who underwent TSA. Of these, 1,186 patients had a primary diagnosis of RA and were compared with 24,212 patients without RA. Analyses addressed perioperative complications and hospital disposition factors using bivariate and logistic regression models. Overall complication rates were exceptionally low in both groups. Hospital disposition factors were significantly different between the 2 groups. The RA cohort had shorter average lengths of stay, higher likelihood of routine discharge, and lower inflation-adjusted cost before and after adjustment for covariates. The occurrence of complications in the perioperative setting w...Continue Reading

References

Mar 1, 1991·The Journal of Arthroplasty·A D BoydT S Thornhill
Jan 1, 1989·The Journal of Arthroplasty·W P BarrettC B Sledge
Nov 1, 1987·The Journal of Bone and Joint Surgery. British Volume·I G KellyW D Fisher
Jan 1, 1983·Skeletal Radiology·E A Lichtman
Oct 1, 1982·Clinical Orthopaedics and Related Research·C S Neer, R M Kirby
Sep 1, 1995·The Journal of Bone and Joint Surgery. American Volume·T W Wright, R H Cofield
Apr 1, 1996·The Journal of Bone and Joint Surgery. American Volume·M A Wirth, C A Rockwood
Jan 1, 1996·Journal of Shoulder and Elbow Surgery·O SneppenN H Andersen
Jan 1, 1996·Journal of Shoulder and Elbow Surgery·N M LynchR C Hermann
Jan 1, 1997·The Journal of Bone and Joint Surgery. British Volume·M P Stewart, I G Kelly
Jan 23, 1998·Journal of Shoulder and Elbow Surgery·M E TorchiaC R Settergren
Mar 12, 1998·Rheumatic Diseases Clinics of North America·F CuomoJ D Zuckerman
May 1, 1998·The Journal of Bone and Joint Surgery. American Volume·J W SperlingC M Rowland
Jul 9, 1998·The Journal of Bone and Joint Surgery. American Volume·J W Sperling, R H Cofield
Mar 24, 1999·Arthritis and Rheumatism·S E GabrielW M O'Fallon
Nov 30, 2000·Regional Anesthesia and Pain Medicine·G Ekatodramis, A Borgeat
Jan 12, 2001·Clinical Orthopaedics and Related Research·J W SperlingR H Cofield
Jun 16, 2001·Journal of Shoulder and Elbow Surgery·S A AntunaC M Rowland
Oct 16, 2002·Annals of the Rheumatic Diseases·E M Gravallese
Nov 14, 2002·The Journal of Bone and Joint Surgery. American Volume·John W Sperling, Robert H Cofield
Dec 5, 2002·The Journal of Bone and Joint Surgery. British Volume·I A Trail, D Nuttall
Mar 15, 2003·Scandinavian Journal of Rheumatology·Y OlofssonL T H Jacobsson
Jun 1, 1954·Annals of the Rheumatic Diseases·V A LAINEK PEKANMAKI
Oct 21, 2003·The Journal of Arthroplasty·Christopher B WhiteCharles M Rowland
Apr 8, 2004·The Journal of Bone and Joint Surgery. American Volume·Sanjay KumarRobert H Cofield
Oct 1, 2005·Journal of Shoulder and Elbow Surgery·Ashwin V DeshmukhThomas S Thornhill
Dec 13, 2005·Journal of Shoulder and Elbow Surgery·John W SperlingWilliam S Harmsen
Jan 18, 2006·Journal of Shoulder and Elbow Surgery·Patrick Y K ChinCathy Schleck
Oct 4, 2006·The Journal of Bone and Joint Surgery. American Volume·Kamal I BohsaliCharles A Rockwood
Mar 9, 2007·Scandinavian Journal of Rheumatology·M A J van de SandeP M Rozing
Nov 7, 2007·Der Orthopäde·A Hedtmann, A Werner
Jan 1, 2008·Arthritis and Rheumatism·Charles G HelmickUNKNOWN National Arthritis Data Workgroup
Apr 9, 2008·The Journal of the American Academy of Orthopaedic Surgeons·Scott P Steinmann, Emilie V Cheung
Dec 20, 2008·Journal of Shoulder and Elbow Surgery·Andrew A WillisStephen Fealy
Sep 2, 2009·The Journal of Bone and Joint Surgery. British Volume·H M BettsA J Brooksbank
Oct 20, 2009·Arthritis Research & Therapy·Jörg J Goronzy, Cornelia M Weyand

❮ Previous
Next ❯

Citations

Oct 1, 1986·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·S G SourmelisJ P Varian
Dec 10, 2013·Journal of Shoulder and Elbow Surgery·Jonathan D BarlowJohn W Sperling
Apr 22, 2014·Journal of Shoulder and Elbow Surgery·Brent A PonceFrancisco Soldado
Jan 23, 2015·Orthopedics·Pieter C GeervlietMichel P J van den Bekerom
Jan 17, 2015·Journal of Shoulder and Elbow Surgery·John C DunnPhilip J Belmont
Feb 24, 2015·Journal of Shoulder and Elbow Surgery·Mia SmucnyAlan L Zhang
Dec 3, 2014·Journal of Shoulder and Elbow Surgery·Brent A PonceMariano E Menendez
Aug 30, 2014·Journal of Shoulder and Elbow Surgery·Brent A PonceMariano E Menendez
Oct 9, 2015·The Open Orthopaedics Journal·Edward C A GeeAdnan Saithna
Dec 1, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Jacob E BermanDavid Kovacevic
Sep 14, 2018·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Joseph J KingThomas W Wright

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.