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Lower operating vol...
Lower operating volume in shoulder arthroplasty is associated with increased revision rates in the early postoperative period : long-term analysis from the Australian Orthopaedic Association National Joint Replacement Registry
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- Brown, Jamie S. (författare)
- Lund University,Lunds universitet,Kliniska Vetenskaper, Helsingborg,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lund OsteoArthritis Division - Joint injury research group,Forskargrupper vid Lunds universitet,Clinical Sciences, Helsingborg,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Research Groups,St Andrew's War Memorial Hospital,Queensland University of Technology
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- Gordon, Robert J. (författare)
- Orthopaedics Toowoomba
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- Peng, Yi (författare)
- South Australian Health and Medical Research Institute
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- Hatton, Alesha (författare)
- South Australian Health and Medical Research Institute
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- Page, Richard S. (författare)
- Deakin University,Australian Orthopaedic Association National Joint Replacement Registry
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- Macgroarty, Kelly A. (författare)
- St Andrew's War Memorial Hospital
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(creator_code:org_t)
- Elsevier BV, 2020
- 2020
- Engelska 11 s.
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Ingår i: Journal of Shoulder and Elbow Surgery. - : Elsevier BV. - 1058-2746. ; 29:6, s. 1104-1114
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: Improved short-term outcomes have been demonstrated with higher surgical volume in shoulder arthroplasty. There is however, little data regarding long-term outcomes. Method: Revision data from the Australian Orthopaedic Association National Joint Replacement Registry from 2004-2017 was analyzed according to 3 selected surgeon volume thresholds: <10, 10-20, and >20 shoulder arthroplasty cases per surgeon, per year. Results: There was a significantly higher rate of revision for stemmed total shoulder arthroplasty (TSA) for osteoarthritis (OA) for the <10/yr compared with the >20/yr group for the first 1.5 years only (hazard ratio [HR] 1.36, 95% confidence interval [CI] 1.08-1.71, P =. 009). For reverse total shoulder arthroplasty (rTSA) performed for OA, there was a higher revision rate for the <10/yr compared with the >20/yr group for the first 3 months only (HR 2.58, 95% CI 1.67-3.97, P < .001). In rTSA for cuff arthropathy, there was a significantly higher rate of revision for the <10/yr compared with the >20/yr group throughout the follow-up period (HR 1.66, 95% CI 1.21-2.28, P =. 001). There was no significant difference for the primary diagnosis of fracture. Conclusion: Lower surgical volume was associated with higher all-cause revision rates in the early postoperative period in TSA and rTSA for OA and throughout the follow-up period in rTSA for cuff arthropathy. Despite increases in the volume of shoulder arthroplasties performed in recent years, more than 78% of surgeons undertake fewer than 10 procedures per year.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- arthroplasty register
- Australian Orthopaedic Association National Joint Replacement Registry
- Level III
- Retrospective Cohort Comparison with Large Database Analysis
- reverse shoulder arthroplasty
- revision rate
- surgical volume
- Total shoulder arthroplasty
- total shoulder replacement
- Treatment Study
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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