Skip to main content

Table 2 Characteristics of included studies

From: Patient-related prognostic factors for function and pain after shoulder arthroplasty: a systematic review

Study ID

Study design

Country, setting

Analyzed participants

Time point

Prognostic factors/factors adjusted for

Outcomes

Type of multivariable regression

Carducci 2019a [20]

Prospective cohort

USA, New England Baptist Hospital, single surgeon

137 RSA patients with DJD, RCA or RCT, 2013–2016

Mean 29 months (± 8)

• RCA/RCT/DJD diagnosis

• Preoperative ASES score

• Opioid use

• Previous shoulder surgery

• Poor ASES score

• Bottom 30th percentile

• Poor ASES improvement

• Bottom 30th percentile

Logistic

Chang 2022 [21]

Retrospective cohort

USA + Canada, orthopedic departments, 25 surgeons in 23 centers

227 stemless TSA patients with GH arthritis

(KL ≥ 3), recruitment period unknown

Min. 2 years

• Gender

• Age

• Preoperative ASES score

• Improved ASES score

• No further definition

Logistic

Chawla 2022 [22]

Retrospective cohort

USA, University of Washington Medical Center, 3 surgeons

33 RSA patients and 39 CTA-H patients diagnosed with CTA, 2010–2013

Mean 2.2 years (± 0.3)

• Medicare/WC/Commercial insurance

• Preoperative SST score (for CTA-H group only)

• SST raw score

Linear

Cho 2017 [23]

Prospective cohort

USA, Massachusetts General Hospital, single surgeon

46 TSA patients with GH arthritis, 2013–2015

1 year

• Gender

• Age

• HADS anxiety

• HADS depression

• Duration of symptoms

• Involved side

• ASES raw score

• SSV raw score

• VAS pain raw score (0–10)

Linear

Dekker 2022 [24]

Retrospective cohort

USA, Steadman Philippon Research Institute, single surgeon

168 TSA patients with mostly primary OA, 2006–2016

Mean 4.6 years (2–12 years)

• Gender

• Age

• Glenoid retroversion

• Glenoid inclination

• Walch classification

• Preoperative ASES score

• Preoperative SANE score

• Preoperative QuickDASH score

• Subluxation

• ASES raw score

• SANE raw score

• QuickDASH raw score

Linear

Edwards 2020 [25]

Retrospective cohort

UK, Southmead Hospital, single surgeon

32 TSA patients with GH arthritis, 2006–2011

Mean 67 months (49–94 months)

• Fatty infiltration

• Atrophy

• Tendinopathy grade

• Age

• Gender

• OSS raw score

• QuickDASH raw score

Linear

Fehringer 2002 [26]

Retrospective cohort

USA, University of Washington, single surgeon

102 TSA patients with GH arthritis, 1993–1997

30–60 months

• Preoperative SST score

• Age

• Gender

• SST raw score

• SST change score

• Change in no. of functions that could be performed expressed as percentage of no. that could not be performed before surgery

• Change in ability to perform each of SST functions

General linear model analysis of variance

Forlizzi 2022a [27]

Retrospective cohort

USA, New England Baptist Hospital, single surgeon

162 RSA patients with mostly OA or CTA, 2015–2018

Mean 28.3 months

(± 8.1)

• OA/CTA/other diagnosis

• Private/Medicaid/Medicare insurance

• No. of patient-reported allergies

• Depression

• Previous surgery

• Preoperative ASES score

• Preoperative opioid use

• ASES top vs bottom quartile

Logistic

Franovic 2020 [28]

Retrospective cohort

USA, Henry Ford Health System, single surgeon

73 RSA patients with CTA, recruitment period unknown

Mean 9.6 months

(± 5.0)

• Preoperative PROMIS-UE score

• Preoperative PROMIS-PI score

• Preoperative PROMIS-D score

• Age

• Gender

• BMI

• ASA

• MCID PROMIS-UE

• MCID PROMIS-PI

• MCID PROMIS-D

Logistic

Friedman 2018 [29]

Retrospective cohort

USA, University of Florida and NYU Langone Orthopedic Hospital, 13 surgeons

660 RSA patients with CTA or OA with RC tear, 2007–2014

Variable time points (range < 3–96 months)

• Gender

• Age

• ASES change score

• SST change score

• SPADI change score

Linear mixed model

Green 2020 [30]

Retrospective cohort

USA, Brown University, single surgeon

176 TSA patients with advanced OA, recruitment period unknown

2 years

• Mean preoperative expectation score

• Gender

• Age

• Dominant side

• College education

• Work status

• Comorbidities

• Depression/anxiety

• Preoperative DASH score

• Preoperative SST score

• Preoperative VAS pain

• DASH raw score

• DASH change score

• SST raw score

• SST change score

• VAS pain score

• VAS pain change

Linear

Huber 2020 [31]

Retrospective cohort

International, 5 clinics specialized in shoulder surgery (3 in Germany, 2 in France, 1 in Switzerland)

168 RSA patients with cuff arthropathy, recruitment period unknown

2 years

• Hamada grade

• Age

• Gender

• Dominant side

• ASA score

• ASES TE

Linear

Kadum 2018b [32]

Prospective cohort

Sweden, Sundsvall Teaching Hospital, 2 surgeons

63 TSA patients with OA, 2014–2016

1 year

• Gender

• Age

• Preoperative electrical pain threshold (operative side and contralateral side)

• Preoperative pain at rest

• Preoperative pain on exertion

• Preoperative QuickDASH score

• QuickDASH raw score

Linear

Kohan 2020 [33]

Retrospective cohort

USA, Washington University, 4 surgeons

111 TSA patients with OA, 2015–2017

Mean 20.5 months (12–29 months)

• Glenoid concentricity

• Anxiety

• Depression

• Gender

• Age

• CCI

• Smoking status

• Dominant side

• ASES raw score

• WOOS raw score

• Pain on 0–10 scale

• PROMIS-UE raw score

• PROMIS-PF score

• PROMIS-PI score

Linear

Lansdown 2021e [34]

Prospective cohort

USA, University of California, 4 surgeons

491 TSA/RSA/HA patients with mostly OA/CTA, 2012–2017

Min. 2 years

• Age

• BMI

• Gender

• CCI

• Private/Medicare/Medicaid insurance

• Zip code-based income

• ASES raw score

Linear

Lapner 2015 [35]

Retrospective cohort

Canada, multicenter

62 TSA patients with OA, 2006–2009

1 year

• Preoperative SSP FI

• Preoperative SSP occupation area

• Preoperative SSP atrophy grade

• Preoperative ISP FI

• Preoperative ISP atrophy grade

• Age

• Gender

• Hand dominance

• Preoperative SSP strength

• RA vs OA

• ASES raw score

• WOOS raw score

Linear

Matsen 2019 [36]

Retrospective cohort

International, multicenter (11 centers)

691 TSA patients with OA, 2000–2016

1 year and 2 years

• Gender

• Preoperative glenoid version (continuous)

• Preoperative glenoid anteversion/retroversion/

• neutral version

• Previous surgery

• Gender

• Age

• Walch classification

• Preoperative ASES score

• Preoperative SST100 score

• ASES raw score

• ASES %MPI

• SST100 raw score

• SST100%MPI

Linear

McFarland 2021 [37]

Retrospective cohort

USA, Johns Hopkins University, single surgeon

44 RSA patients, 2009–2016

Mean 34 months (24–62 months (SSDI group)), mean 36 months (24–96 months (WC group))

• 2 or more previous surgeries

• Age

• Gender

• Dominant side

• College education

• Marital status

• Smoking

• BMI

• Comorbidities

• Level of activity at work

• Poor ASES score (cut-point unknown)

Logistic

Moverman 2021a

Retrospective cohort

USA, New England Baptist Hospital, single surgeon

480 TSA/RSA patients with DJD/RCA, 2015–2018

2 years

• Presence of functional somatic disorder

• No. of patient-reported allergies

• Gender

• Anxiety

• Chronic preoperative opioid use

• Diagnosis

• Preoperative ASES score

• Preoperative SANE score

• Preoperative VAS score

• ASES raw score

• SANE raw score

• VAS pain raw score

Linear

Okoroha 2019d [39]

Retrospective cohort

International, multicenter (3 in USA, 1 in France)

2364 TSA/RSA patients with mostly OA/RCT/RCA, 2007–2015

Mean 45.9 months

(± 23.7 (women)), 46.4 months (± 23.6 (men))

• Gender

• Age

• BMI

• History of surgery

• Diagnosis

• ASES raw score

• SST raw score

Linear

Patel 2019d [40]

Retrospective cohort

International, multicenter (3 in USA, 1 in France)

1135 TSA patients with OA, 2006–2015

Mean 4.2 years (± 2.3 (age < 55)), 4.3 years (± 2.4 (age > 55))

• Age

• Gender

• BMI

• Previous surgery

• Diagnosis

• ASES raw score

• ASES change score

• SST raw score

• SST change score

• SPADI raw score

• SPADI change score

• VAS pain raw score

• VAS pain change score

Linear

Pettit 2022a [41]

Retrospective cohort

USA, New England Baptist Hospital, single surgeon

197 RSA patients with OA, 2015–2018

Mean 28 months

(± 7.6)

• Age

• Gender

• Previous shoulder surgery

• Preoperative ASES score

• Walch classification

• ASES raw score

Linear

Polce 2021 [42]

Retrospective cohort

USA, Rush University, 5 surgeons

105 RSA patients with OA/CTA/mRCT, 2016–2018

Min. 2 years

• Gender

• WC/other insurance

• Diabetes mellitus

• Dominant side

• ASES %MOI

• SANE %MOI

Logistic

Rauck 2018c [43]

Retrospective cohort

USA, Hospital for Special Surgery, multiple surgeons

137 RSA patients with mostly OA/CTA, 2008–2015

2 years

• Total no. of preoperative expectations

• Expectation “Relieving nighttime pain”

• Expectation “Improving nonoverhead sports”

Age

Gender

SF-36 subscales

Preoperative VAS pain score

• Preoperative VAS fatigue score

• Preoperative VAS general health score

• ASES raw score

• SAS raw score

• VAS pain raw score

• VAS pain change score

Linear

Saini 2022a [44]

Retrospective cohort

USA, New England Baptist Hospital, single surgeon

311 RSA patients with OA/CTA, 2015–2018

Mean 28.1 months

(± 7.6 (OA)), 27.6 months

(± 7.3 (CTA))

• Age

• Gender

• Previous surgery

• Preoperative ASES score

• Diagnosis

• ASES raw score

Linear

Sayed-Noor 2018b [45]

Prospective cohort

Sweden, Sundsvall Teaching Hospital

63 TSA patients with OA, 2014–2016

3 months

1 year

• Gender

• Age

• Preoperative SSP FI

• Preoperative SSP atrophy

• Preoperative ISP FI

• Preoperative ISP atrophy

• Preoperative QuickDASH score

• QuickDASH raw score

Linear

Shields 2017 [46]

Retrospective cohort

USA, Beaumont Health, single surgeon

272 RSA patients with CTA/OARCT/mRCT, 2007–2014

Mean 25 months (± 13 (Previous RCR))

Mean 26 months (± 13 (Control))

• Previous RCR

• Age

• Gender

• BMI

• ASES raw score

• ASES change score

• ASES ADL raw score

• ASES ADL change score

• SSV raw score

• SSV change score

• VAS pain raw score

• VAS pain change score

Linear

Somerson 2016 [47]

Retrospective cohort

USA, University of Texas Health Science

Center San Antonio, 2 surgeons

42 HA patients with CTA, 1991–2007

Mean 48 months (24–132 months)

• Preoperative active external rotation

• Preoperative SST score

• Preoperative VAS pain score

• Tear limited to SSP and ISP

• 30% of MPI in SST score

Logistic

Strotman 2020 [48]

Retrospective cohort

USA, Loyola University Medical Center

91 TSA/RSA patients with mostly OA/CTA, 2013–2016

Min. 1 year

• Private/Medicare/WC/Medicaid insurance

• Preoperative ASES score

• ASES raw score

• VAS pain raw score

Linear mixed model

Swarup 2017c [49]

Retrospective cohort

USA, Hospital for Special Surgery, multiple surgeons

67 TSA patients with OA, 2007–2008

2 years

• No. of “Very important expectations”

Age

Gender

Preoperative VAS pain score

Preoperative VAS general health score

SF-36 subscales

• ASES raw score

• ASES change score

• VAS pain raw score

• VAS pain change score

Linear

Werner 2016c [50]

Retrospective cohort

USA, Hospital for Special Surgery

490 TSA/RSA patients with GH arthritis/CTA, 2007–2013

2 years

• Preoperative ASES score

• Living alone

• Comorbidity back pain

• Diagnosis

• MCID ASES score

• SCB ASES score

Logistic

Werner 2017c [51]

Retrospective cohort

USA, Hospital for Special Surgery

264 TSA patients with GH arthritis, 2007–2013

2 years

• Depression

Age

Gender

ASA

Previous surgery

Subscapularis management

RC status

Total no. of comorbidities

BMI

Preoperative ASES score

• ASES change score

Linear

Wong 2017e [52]

Prospective cohort

USA, University of California, 3 surgeons

117 RSA patients with RCA/OARCT, 2009–2015

Min. 1 year

• Gender

• BMI

• Age

• CCI

• Dominant side

• Smoking

• ASES function raw score

• ASES pain raw score

• ASES raw score

• VAS pain raw score

Linear

  1. For factors in italic print, it is unknown which factors were retained in the final model
  2. (m)RCT (massive) rotator cuff tear, (Quick)DASH (Quick) Disabilities of Arm; Shoulder and Hand, ASA American Society of Anesthesiologists, ASES American Shoulder and Elbow Surgeons, BMI Body mass index, CCI Charlson Comorbidity Index, CTA Cuff tear arthropathy, CTA-H Cuff tear arthropathy—hemiarthroplasty, DJD Degenerative joint disease, FI Fatty infiltration, GH Glenohumeral, HA Hemiarthroplasty, HADS Hospital Anxiety and Depression Scale, ISP Infraspinatus, KL Kellgren & Lawrence, MCID Minimal clinically important difference, MOI Maximal outcome improvement, MPI Maximal possible improvement, OA Osteoarthritis, OARCT Osteoarthritis with rotator cuff tear, OSS Oxford Shoulder Score, PROMIS-D Patient-Reported Outcomes Measurement Information System—Depression, PROMIS-PF Patient-Reported Outcomes Measurement Information System—Physical Functioning, PROMIS-PI Patient-Reported Outcomes Measurement Information System—Pain Interference, PROMIS-UE Patient-Reported Outcomes Measurement Information System—Upper Extremity, RA Rheumatoid arthritis RC Rotator cuff, RCA Rotator cuff arthropathy, RCR Rotator cuff repair, RSA Reverse shoulder arthroplasty, SANE Single Assessment Numeric Evaluation, SCB Substantial clinical benefit, SF-36 36-Item Short Form Health Survey, SPADI Shoulder Pain and Disability Index SSDI Social security disability insuranc, SSP Supraspinatus, SST Simple Shoulder Test, SSV Subjective Shoulder Value, TE treatment effects, TSA Total shoulder arthroplasty, USA United States of America, UK United Kingdom, VAS Visual Analogue Scale, WC Workers’ compensation, WOOS Western Ontario Osteoarthritis of the Shoulder
  3. aForlizzi 2022, Moverman 2021, Pettit 2022, and Saini 2022 appear to have used the same source population (Carducci 2019 partly)
  4. bKadum 2018 and Sayed-Noor 2018 appear to have used the same source population
  5. cWerner 2016 and Werner 2017 appear to have used the same source population and possibly overlap with Rauck 2018 and Swarup 2017
  6. dOkoroha 2019 and Patel 2019 appear to have (partly) used the same source population
  7. eLansdown 2021 and Wong 2017 appear to have partly used the same source population