Incidence, characteristics, and risk factors of venous thromboembolism in shoulder arthroplasty—a systematic review

Na, Sang-Soo; Kim, Du Hwan; Choi, Byung-Chan; Cho, Chul-Hyun

doi:10.1007/s00264-022-05496-w

Cited by 6 publications

(4 citation statements)

References 23 publications

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“…While increased age, smoking, obesity, diabetes, chronic kidney disease, and cardiovascular conditions have a wellestablished negative impact on recovery from general anesthesia and surgery, [37][38][39][40] they did not appear to directly affect patient readiness to have surgery in our study. History of steroid use has a negative impact on the subchondral humeral head support that may lead to microfracture and early failure of the implant.…”

Section: Discussioncontrasting

confidence: 58%

Assessing Appropriateness for Shoulder Arthroplasty Using a Shared Decision-Making Process

Razmjou

Christakis

Nam

et al. 2023

Journal of Shoulder and Elbow Arthroplasty

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Purpose The primary purpose of this study was to validate an appropriateness decision-aid tool as a part of engaging patients with glenohumeral arthritis in their surgical management. The associations between the final decision to have surgery and patient characteristics were examined. Materials and Methods This was an observational study. The demographics, overall health, patient-specific risk profile, expectations, and health-related quality of life were documented. Visual analog scale and the American Shoulder & Elbow Surgeon (ASES) measured pain and functional disability, respectively. Clinical and imaging examination documented clinical findings and extent of degenerative arthritis and cuff tear arthropathy. Appropriateness for arthroplasty surgery was documented by a 5-item Likert response survey and the final decision was documented as ready, not-ready, and would like to further discuss. Results Eighty patients, 38 women (47.5%), mean age: 72(8) participated in the study. The appropriateness decision aid showed excellent discriminate validity (area under the receiver operating characteristic curve value of 0.93) in differentiating between patients who were “ready” and those who were “not-ready” to have surgery. Gender ( P = 0.037), overall health ( P = .024), strength in external rotation ( P = .002), pain severity ( P = .001), ASES score ( P < .0001), and expectations ( P = .024) were contributing factors to the decision to have surgery. Imaging findings did not play a significant role in the final decision to have surgery. Conclusions A 5-item tool showed excellent validity in differentiating patients who were ready to have surgery versus those who were not. Patient's gender, expectations, strength, and self-reported outcomes were important factors in reaching the final decision.

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Section: Discussioncontrasting

confidence: 58%

Assessing Appropriateness for Shoulder Arthroplasty Using a Shared Decision-Making Process

Razmjou

Christakis

Nam

et al. 2023

Journal of Shoulder and Elbow Arthroplasty

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“…Within arthroplasty patients, a higher DVT rate was observed for RSA (1.4%) than for Hemi (0.48%). Previous studies 10 , 18 have found that a longer operative time and advanced age are VTE risk factors in patients undergoing shoulder arthroplasty, which may explain higher rates of DVT in RSA compared to Hemi.…”

Section: Discussionmentioning

confidence: 94%

“…General VTE risk factors include obesity, advanced age, diabetes, trauma, immobilization, cancer, and hypertension, among others. 4 , 18 Three studies in this review identified specific risk factors for VTE with age being the most commonly reported. 10 , 13 , 22 Petrigliano et al 22 in a large series of over 9000 patients treated with ORIF described an increased risk of PE associated with male sex (odds ratio (OR) = 2.2, P = .007) and patient age ≥ 75 years (OR = 3.6, P = .001).…”

Section: Discussionmentioning

confidence: 99%

“…In the field of shoulder arthroplasty (SA), a recent systematic review by Na et al 18 including a total of 9 studies with 12,566 shoulders found an overall incidence rate of 0.81% for VTE, with an associated mortality rate of 4.1%. Hypoalbuminemia (<3.5 g/dL), a prolonged length of stay, and African American ethnicity were found to be independent risk factors for VTE within 30 days following primary total shoulder arthroplasty (TSA) in a large database study.…”

mentioning

confidence: 99%

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Venous thromboembolism following surgical management of proximal humerus fractures: a systematic review

Marigi¹,

Sperling²,

Marinis³

et al. 2023

JSES Reviews, Reports, and Techniques

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Editorial Commentary: Combined Anterior Cruciate Ligament/Medial Collateral Ligament Injuries: Surgeons Should Have a Low Threshold to Operate on the Medial Collateral Ligament

Hays,

Barnum,

Levy

2024

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Incidence, characteristics, and risk factors of venous thromboembolism in shoulder arthroplasty—a systematic review

Cited by 6 publications

References 23 publications

Assessing Appropriateness for Shoulder Arthroplasty Using a Shared Decision-Making Process

Assessing Appropriateness for Shoulder Arthroplasty Using a Shared Decision-Making Process

Venous thromboembolism following surgical management of proximal humerus fractures: a systematic review

Editorial Commentary: Combined Anterior Cruciate Ligament/Medial Collateral Ligament Injuries: Surgeons Should Have a Low Threshold to Operate on the Medial Collateral Ligament

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