Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Dec 19;25(1):1026.
doi: 10.1186/s12891-024-08117-2.

Optimizing post-surgical outcomes: unveiling the importance of patient-reported outcomes with insights from the schulthess local shoulder arthroplasty registry

Asimina Lazaridou  1   2 , Tim Schneller  3 , Florian Freislederer  3 , Philipp Moroder  3 , Markus Scheibel  3   4
Affiliations

Optimizing post-surgical outcomes: unveiling the importance of patient-reported outcomes with insights from the schulthess local shoulder arthroplasty registry

Asimina Lazaridou et al. BMC Musculoskelet Disord. .

Erratum in

Abstract

Objective: The establishment of clinical registries is essential for the comprehensive evaluation of surgical outcomes. In 2006, the Schulthess Shoulder Arthroplasty Registry (SAR) was launched to systematically assess safety, implant longevity, functional outcomes, pain levels, quality of life, and patient satisfaction in individuals undergoing shoulder arthroplasty. This paper aims to outline the registry data and demonstrate how it is leveraged to improve clinical outcomes. Additionally, we provide guidance for organizations currently collecting or planning to collect similar data.

Participants: Our SAR systematically records adult patients' data undergoing either anatomic or reverse shoulder joint replacement at the Schulthess Clinic. Both primary and revision surgeries are comprehensively documented within the registry.

Current outcomes: From March 2006 to December 2023, the SAR included 98% of eligible operations. A total of 2301 patients were recruited, accounting for 3576 operations and 14,487 person-years of follow-up. At baseline, the mean age was 71 (range: 20-95), with 65% being female patients. The most prevalent indication was cuff tear arthropathy (46%), and the mean preoperative Constant Score was (31 ± 15). Notably, functional recovery peaked at 12 months postoperatively, displaying no clinically significant deterioration during the initial ten follow-up years in the overall cohort (including both primary arthroplasty and revisions). The registry has been instrumental in addressing various clinical and methodological inquiries, focusing particularly on comparing different implant configurations and surgical techniques to optimize functional recovery. Additionally, SAR data played a pivotal role in substantiating the clinical significance and reliability of radiological monitoring for cortical bone resorption, scapular notching, and glenoid component loosening.

Keywords: Clinical registry; Functional outcomes; Implant longevity; Patient-reported outcomes; Schulthess Shoulder Arthroplasty Registry (SAR); Shoulder arthroplasty; Shoulder joint replacement.

PubMed Disclaimer

Conflict of interest statement

Declarations. Ethics approval and consent to participate: The study received approval by the Ethics Committee of Zurich (Kantonale Ethikkommission [KEK], Stampfenbachstrasse 121, CH-8090 Zurich, Switzerland; KEK-ZH-Nr. 2014–0483) and is performed in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. All patients provided written informed consent prior to patient enrolment / data collection and use of their data for research purposes. Consent for publication: Not applicable. Competing interests: We declare the following financial interests/personal relationships, which may be considered as potential competing interests: M.S. and F.F. report personal fees from Stryker, outside the submitted work. P.M. reports personal fees from Arthrex, outside the submitted work. A.L. and T.S., their immediate family, or any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article.

Figures

Fig. 1
Fig. 1
Annual number of RSA (%)
Fig. 2
Fig. 2
A Distalized medialized design; B Lateralized design; C and D Distalized-Lateralized design
Fig. 3
Fig. 3
Data acquisition and completeness
Fig. 4
Fig. 4
Overview of registry workflow
Fig. 5
Fig. 5
Patient Registry Flow Chart
Fig. 6
Fig. 6
Longitudinal CS
Fig. 7
Fig. 7
Longitudinal SSV
Fig. 8
Fig. 8
Longitudinal SPADI
Fig. 9
Fig. 9
Longitudinal QuickDASH
Fig. 10
Fig. 10
Annual Number of surgeries by implant type
See this image and copyright information in PMC

References

    1. Delaunay C. Registries in orthopaedics. Orthop Traumatol Surg Res. 2015;101(1 Suppl):S69–75. - DOI - PubMed
    1. Breckenridge JD, McAuley JH. Shoulder Pain and Disability Index (SPADI). J Physiother. 2011;57(3):197. - DOI - PubMed
    1. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987(214):160–4. - PubMed
    1. Vrotsou K, Ávila M, Machón M, Mateo-Abad M, Pardo Y, Garin O, et al. Constant-Murley score: systematic review and standardized evaluation in different shoulder pathologies. Qual Life Res. 2018;27(9):2217–26. - DOI - PMC - PubMed
    1. Gilbart MK, Gerber C. Comparison of the subjective shoulder value and the constant score. J Shoulder Elb Surg. 2007;16(6):717–21. - DOI - PubMed

LinkOut - more resources