An analysis of the Oxford Shoulder Score and its relationship to early joint revision in the New Zealand Joint Registry

Gupta, Vikesh; Kejriwal, Ritwik; Frampton, Chris

doi:10.1016/j.jse.2020.08.043

Cited by 3 publications

(14 citation statements)

References 31 publications

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“…This was used by 15 (20%) of the studies. 21 , 22 , 28 , 33 , 40 , 48 , 51 , 61 , 71 , 72 , 75 , 83 , 86 , 88 , 90 Eight of these 15 papers treated PROMs as an outcome only and sought to understand what clinical factors affect PROM scores, and/or used regression to understand how early PROMs were associated with longer term PROMs 21 , 33 , 40 , 48 , 51 , 61 , 83 , 90 ; and 2 papers treated PROMs both as a factor in regression analysis and as an outcome. 28 , 86 A fourth design identified was time-to-event studies, which used survival analysis to investigate outcomes, although this was used in only 3 (4%) papers.…”

Section: Resultsmentioning

confidence: 99%

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Patient-Reported Outcome Measures in High-Risk Medical Device Registries: A Scoping Review

Merenda,

Earnest,

Ruseckaite

et al. 2024

Aesthetic Surgery Journal Open Forum

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Little is known about the methods and outcomes of Patient Reported Outcome Measures (PROMs) use among high-risk medical device registries. The objective of this scoping review was to assess the utility and predictive ability of PROMs in high-risk medical device registries. We searched Ovid MEDLINE, Embase, APA PsychINFO, Cochrane Library and Scopus databases for published literature. After searching, 4323 titles and abstracts were screened and 262 full text were assessed for their eligibility. Seventy-six papers from across orthopaedic (n = 64), cardiac (n = 10), penile (n = 1) and hernia mesh (n = 1) device registries were identified. Studies predominantly used PROMs as an outcome measure when comparing cohorts or surgical approaches (n = 45), or to compare timepoints (n = 13) including pre and post-intervention. Fifteen papers considered the predictive ability of PROMs. Of these, 8 treated PROMs as an outcome, 5 treated PROMs as a risk factor through regression analysis, and 2 papers treated PROMs as both a risk factor and as an outcome. One paper described PROMs to study implant survival. To advance methods of PROM integration into clinical decision-making for medical devices, an understanding of their use in high-risk device registries is needed. This scoping review found there is a paucity of studies using PROMs to predict long-term patient and clinical outcomes in high-risk medical device registries. Determination as to why PROMs are rarely used for predictive purposes in long-term data collection is needed if PROMs data are to be considered suitable as real-world evidence for high-risk device regulatory purposes, as well as to support clinical decision-making.

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Section: Resultsmentioning

confidence: 99%

“…A subset of 5 papers out of the 15 predictive papers pertained to the use of PROMs as a predictive factor for clinical outcomes 22 , 71 , 72 , 75 , 88 ( Table 3 ). These 5 papers were classified based on the use of regression analysis, with PROMs built into the statistical model as a risk factor.…”

Section: Resultsmentioning

confidence: 99%

Patient-Reported Outcome Measures in High-Risk Medical Device Registries: A Scoping Review

Merenda,

Earnest,

Ruseckaite

et al. 2024

Aesthetic Surgery Journal Open Forum

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“…Gupta et al 4 have identified that a poor OSS at 6 months following shoulder arthroplasty is an independent risk factor for early revision. They analysed data on 1950 patients from the New Zealand NJR and determine that 'an OSS of <44 for aTSR, <40 for rTSR, and <33 for HAs accounted for 69%, 63%, and 51% revisions, respectively while capturing at least 85% of revisions for all prostheses within the following 2 years'.…”

Section: What Format Of Surveillance Can Identify a Failing Implant?mentioning

confidence: 99%

“…Analysis of the New Zealand NJR has identified that a poor Oxford Shoulder Score (OSS) at 6 months following shoulder arthroplasty is an independent risk factor for early revision. 4 However, the National Joint Registry (NJR) Annual Report 2022 3 reveals that only 25% of elective shoulder arthroplasty have a pre-operative Oxford Shoulder Score (OSS) submitted. Furthermore, NJR have 'identified that some patients who have worse postoperative PROMs scores, i.e., a poor outcome, are not captured by the metric of revision surgery.'…”

Section: Introductionmentioning

confidence: 99%

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Scoping review: Evidence for long-term follow-up and monitoring in shoulder and elbow arthroplasty

et al. 2023

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Aims Long-term follow-up and monitoring of asymptomatic shoulder and elbow arthroplasty remains contentious, with a wide spectrum of non-evidence-based mechanisms used. This scoping review aims to outline related evidence, thereby informing research requirements. Methods Studies relevant to shoulder and elbow arthroplasty follow-up, surveillance and time-related failure were included. The review included randomised controlled trials, systematic reviews and economic studies indexed in MEDLINE, Embase, Cochrane CDSR and Cochrane CENTRAL since 1 January 2012. In addition, all registry studies, follow-up studies, cohort studies and case reports indexed in MEDLINE since 1 January 2020 were included. The screening was undertaken by two reviewers. Key characteristics of each study were described, alongside a narrative review. Results Twenty-one articles were included. We were unable to identify evidence that long-term follow-up and monitoring of asymptomatic shoulder and elbow arthroplasty identifies failure or leads to a revision that is of reduced patient morbidity and cost. In addition, no evidence was apparent to inform whether patients will self-present with a failing implant. Several surveillance mechanisms were identified. Conclusion This scoping review highlights the paucity of evidence related to long-term follow-up and monitoring of shoulder and elbow arthroplasty, and the need for high-quality data to inform the development of evidence-based care pathways.

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Medium-term results of stemless, short, and conventional stem humeral components in anatomic total shoulder arthroplasty: a New Zealand Joint Registry study

Zhou

Frampton

Hirner

2023

Journal of Shoulder and Elbow Surgery

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An analysis of the Oxford Shoulder Score and its relationship to early joint revision in the New Zealand Joint Registry

Cited by 3 publications

References 31 publications

Patient-Reported Outcome Measures in High-Risk Medical Device Registries: A Scoping Review

Patient-Reported Outcome Measures in High-Risk Medical Device Registries: A Scoping Review

Scoping review: Evidence for long-term follow-up and monitoring in shoulder and elbow arthroplasty

Medium-term results of stemless, short, and conventional stem humeral components in anatomic total shoulder arthroplasty: a New Zealand Joint Registry study

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