Gender differences in expectations and outcomes for total shoulder arthroplasty: a prospective cohort study

Are Age and Patient Gender Associated With Different Rates and Magnitudes of Clinical Improvement After Reverse Shoulder Arthroplasty?

“…Prior research has identified associations between gender and patient age at the time of surgery with results of many orthopaedic procedures, including anterior cruciate ligament reconstruction, osteoarthritis, shoulder instability, and hip fracture surgery [4,6,8,18]. Reverse total shoulder arthroplasty (rTSA) has been performed in the United States since its 510k clearance in November 2003 and was initially indicated for rotator cuff tear arthropathy in the elderly patient [2,3,7,9,12,13,[15][16][17].…”

“…Reverse total shoulder arthroplasty (rTSA) has been performed in the United States since its 510k clearance in November 2003 and was initially indicated for rotator cuff tear arthropathy in the elderly patient [2,3,7,9,12,13,[15][16][17]. Gender and age differences have previously been shown to be associated with different patient expectations for anatomic total shoulder arthroplasty (aTSA), but no such study has evaluated any association of gender and age differences with rTSA [4,6].…”

Early outcomes of shoulder arthroplasty according to sex

“…In addition to differences in outcomes, evidence suggests that female patients are less willing to undergo joint replacement and expect lower-demand activities of daily living with aging. Jawa et al 9 surveyed 63 patients undergoing TSA and found that men most often desired to return to athletic activity or sports and women aspired to return to their daily routines and chores. Hawker et al 6 performed a questionnaire study of 48,218 patients to identify the willingness of patients with hip and knee pain to undergo arthroplasty.…”

“…Although previous studies have found differences based on sex preoperatively and immediately postoperatively in patients undergoing SA,3, 4, 8, 9, 13 there are limited data on sex-based outcomes after SA with at least 2 years of follow-up 9 . The purpose of this study was to assess the early sex-based outcomes of patients undergoing SA at short-term follow-up.…”

“…Among patients undergoing shoulder arthroplasty (SA), the literature has suggested that female sex is associated with greater risks of perioperative complications 4, 13, 17, 27. Studies have also shown that female patients maintain lower functional demands postoperatively than male patients 9 . These studies have suggested that a difference in expectations may contribute to differences in functional outcomes.…”