Reverse Total Shoulder Arthroplasty in Patients Who Exceeded Their Life-expectancy: a Retrospective Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 110
- 试验地点
- 1
- 主要终点
- Quality adjusted life year (QALY)
研究概览
简要总结
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.
详细描述
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).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 83 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients older than 83 years at time of surgery
- •Patients who received a reverse total shoulder arthroplasty
排除标准
- •Patients younger than 83 years at time of surgery
结局指标
主要结局
Quality adjusted life year (QALY)
时间窗: 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
时间窗: until august 2020
American Shoulder and Elbow Society (ASES) Score
Mortality
时间窗: until august 2020
Survivership
Patient reported outcome score: VAS
时间窗: until august 2020
Visual analog score (VAS)
Patient reported outcome score: QuickDASH
时间窗: until august 2020
Quick Disabilities of the arm, shoulder and hand (DASH) Score,
Complication rate
时间窗: until august 2020
postoperative complications requiring surgical intervention
次要结局
- Patient demographics(at time of surgery)
研究者
Mai Lan Dao Trong
Attending physician shoulder and elbow surgery
Bürgerspital Solothurn