Predictive factors for postoperative outcomes after reverse shoulder arthroplasty: a systematic review

The use of reverse total shoulder arthroplasty (RTSA) has increased at a greater rate than other shoulder procedures. In general, clinical and functional outcomes after RTSA have been favorable regardless of indication. However, little evidence exists regarding patient specific factors associated wi...

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Bibliographic Details
Published in:	BMC musculoskeletal disorders Vol. 25; no. 1; p. 439
Main Authors:	Crutsen, J R W, Lambers Heerspink, F O, van Leent, E A P, Janssen, E R C
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 04-06-2024 BioMed Central BMC
Subjects:	Age Analysis Arthroplasty Arthroplasty, Replacement, Shoulder - adverse effects Back surgery Bias Bone surgery Clinical outcomes Decision making Humans Joint surgery Medical research Medicine, Experimental Nomograms Orthopedics Patient satisfaction Patients Postoperative outcomes Postoperative period Predictive outcomes Prognostic factors Range of Motion, Articular Reverse shoulder arthroplasty Shoulder Shoulder arthroplasty Shoulder Joint - physiopathology Shoulder Joint - surgery Systematic review Treatment Outcome Predictive outcomes Shoulder arthroplasty Postoperative outcomes Prognostic factors Reverse shoulder arthroplasty
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Summary:	The use of reverse total shoulder arthroplasty (RTSA) has increased at a greater rate than other shoulder procedures. In general, clinical and functional outcomes after RTSA have been favorable regardless of indication. However, little evidence exists regarding patient specific factors associated with clinical improvement after RTSA. Predicting postoperative outcomes after RTSA may support patients and physicians to establish more accurate patient expectations and contribute in treatment decisions. The aim of this study was to determine predictive factors for postoperative outcomes after RTSA for patients with degenerative shoulder disorders. EMBASE, PubMed, Cochrane Library and PEDro were searched to identify cohort studies reporting on predictive factors for postoperative outcomes after RTSA. Authors independently screened publications on eligibility. Risk of bias for each publication was assessed using the QUIPS tool. A qualitative description of the results was given. The GRADE framework was used to establish the quality of evidence. A total of 1986 references were found of which 11 relevant articles were included in the analysis. Risk of bias was assessed as low (N = 7, 63.6%) or moderate (N = 4, 36.4%). According to the evidence synthesis there was moderate-quality evidence indicating that greater height predicts better postoperative shoulder function, and greater preoperative range of motion (ROM) predicts increased postoperative ROM following. Preoperative predictive factors that may predict postoperative outcomes are: patient height and preoperative range of motion. These factors should be considered in the preoperative decision making for a RTSA, and can potentially be used to aid in preoperative decision making. Level I; Systematic review.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	1471-2474 1471-2474
DOI:	10.1186/s12891-024-07500-3