Male patients experience similar improvement in clinical and functional outcomes despite higher revision rates following reverse shoulder arthroplasty compared to female patients: a systematic review and meta-analysis

Q4 Medicine

Seminars in Arthroplasty Pub Date : 2024-12-01 DOI:10.1053/j.sart.2024.07.008

Colton Mowers BS , Divesh Sachdev BS , Derrick M. Knapik MD , Christopher M. Brusalis MD , Benjamin T. Lack BS , Justin T. Childers BS, MS , Devin Q. John MD , Vani J. Sabesan MD , Garrett R. Jackson MD

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引用次数: 0

Abstract

Background

To compare patient-reported outcomes, range of motion, and rates of revision surgery following primary reverse shoulder arthroplasty (RSA) between male and female patients.

Methods

A systematic review was performed using the 2020 Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. A literature search was performed on January 20, 2024, using the PubMed, Embase, and Scopus library databases for human clinical studies reporting postoperative outcomes and revision rates following RSA between male and female patients. Studies were excluded if patients underwent RSA for proximal humerus fractures. Preoperative and postoperative outcome scores and revision rates were stratified by patient sex and quantitatively compared. The quality of the included studies was assessed using the Methodological Index for Non-Randomized Studies criteria.

Results

Five studies consisting of 3227 male (mean age, 72.2 years; mean follow-up, 29.4 months) and 5649 female (mean age, 72.7 years; mean follow-up, 29.2 months) patients were included. At final follow-up, male and female patients reported similar improvements in postoperative Constant scores (mean difference, −1.63; P = .17), American Shoulder and Elbow Surgeons scores (mean difference, −1.66; P = .26), external rotation (mean difference, −1.82°; P = .17), forward flexion (mean difference, 0.47°; P = .91), and abduction (mean difference, 0.85°; P = .82) when compared to female patients. Revision rates were significantly higher in males when compared to those in females (5.1% vs. 1.9%, respectively; P < .001).

Conclusion

Males undergoing RSA report similar improvement in postoperative patient-reported outcomes and range of motion values at a mean final follow-up of 29.4 months when compared to females with a mean final follow-up of 29.2 months. However, revision rates were significantly higher in males.

查看原文本刊更多论文

一项系统回顾和荟萃分析：尽管与女性患者相比，男性患者在肩关节置换术后的翻修率更高，但在临床和功能结果方面也有类似的改善

研究背景：比较男性和女性初次肩关节置换术（RSA）后患者报告的结果、活动范围和翻修手术率。方法采用2020年系统评价和荟萃分析指南首选报告项目进行系统评价。文献检索于2024年1月20日进行，使用PubMed， Embase和Scopus数据库进行人类临床研究，报告男性和女性患者RSA术后结果和翻修率。如果患者因肱骨近端骨折而行RSA手术，则排除研究。术前和术后结果评分和翻修率按患者性别分层并进行定量比较。纳入研究的质量采用非随机研究的方法学指数标准进行评估。结果5项研究共纳入3227名男性(平均年龄72.2岁；平均随访29.4个月)，女性5649人(平均年龄72.7岁；平均随访29.2个月)。在最后的随访中，男性和女性患者报告术后常数评分的改善相似(平均差为- 1.63；P = .17)，美国肩肘外科医生评分(平均差值为- 1.66；P = 0.26)，外旋(平均差为- 1.82°；P = 0.17)，前屈(平均差0.47°；P = 0.91)，外展(平均差0.85°；P = .82)。与女性相比，男性的复习率明显更高(分别为5.1%对1.9%；P & lt;措施)。结论：在平均29.4个月的最终随访中，与女性平均29.2个月的最终随访相比，接受RSA的男性在术后患者报告的结果和活动范围值方面有相似的改善。然而，男性的修改率明显更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Arthroplasty Medicine-Surgery

CiteScore

1.00

自引率

0.00%

发文量

104

期刊介绍： Each issue of Seminars in Arthroplasty provides a comprehensive, current overview of a single topic in arthroplasty. The journal addresses orthopedic surgeons, providing authoritative reviews with emphasis on new developments relevant to their practice.