Reverse Total Shoulder Arthroplasty in Patients Who Exceeded Their Life-expectancy: a Retrospective Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Reverse Total Shoulder Arthroplasty
- Sponsor
- Bürgerspital Solothurn
- Enrollment
- 110
- Locations
- 1
- Primary Endpoint
- Quality adjusted life year (QALY)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
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).
Investigators
Mai Lan Dao Trong
Attending physician shoulder and elbow surgery
Bürgerspital Solothurn
Eligibility Criteria
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
Outcomes
Primary Outcomes
Quality adjusted life year (QALY)
Time Frame: 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
Time Frame: until august 2020
American Shoulder and Elbow Society (ASES) Score
Mortality
Time Frame: until august 2020
Survivership
Patient reported outcome score: VAS
Time Frame: until august 2020
Visual analog score (VAS)
Patient reported outcome score: QuickDASH
Time Frame: until august 2020
Quick Disabilities of the arm, shoulder and hand (DASH) Score,
Complication rate
Time Frame: until august 2020
postoperative complications requiring surgical intervention
Secondary Outcomes
- Patient demographics(at time of surgery)