PMID- 37927713 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231107 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 15 IP - 10 DP - 2023 Oct TI - Reverse Shoulder Arthroplasty Patients Younger Than 60 Years Old Exhibit Lower Clinically Significant Single Assessment Numeric Evaluation (SANE) Scores Compared to Older Patients. PG - e46492 LID - 10.7759/cureus.46492 [doi] LID - e46492 AB - INTRODUCTION: The incidence of reverse shoulder arthroplasty (RTSA) in the United States has increased. Patients under 60 years old with failed rotator cuff repairs or degenerative joint disease with glenoid deformity may be candidates for RTSA and contribute to this increase. The single assessment numeric evaluation (SANE) score is a reliable post-operative scoring technique when compared with other post-operative measures. This study aimed to compare the effect of age on the likelihood of reaching clinically significant SANE scores following RTSA. METHODS: A multicenter retrospective review was performed with a consecutive series of RTSA from December 2015 to September 2021. Patients were stratified into groups based on their age at the time of operation: (1) less than 60 years old, (2) 60-69 years old, (3) 70-79 years old, and (3) greater than 80 years old. The proportions of patients in all cohorts reaching and surpassing clinically significant thresholds at each visit were determined. Likelihood ratios were determined for each age cohort to compare the likelihood of reaching clinically significant SANE scores. RESULTS: A total of 292 of 885 (33%) patients had completed survey data over two years and were included in the study. The 70-79-year-old group was 3.152 (p=.035) times more likely to achieve minimal clinically important difference (MCID) and 2.125 (p=.048) times more likely to achieve patient-acceptable symptomatic state (PASS) compared with patients <60 years old. The cohort who was 80+ years old was also 4.867 (p=.045) times more likely to achieve MCID compared to the <60-year-old cohort. The <60 cohort had the lowest proportion of all patient cohorts achieving MCID. CONCLUSION: A lower proportion of patients younger than 60 years old undergoing RTSA achieved clinically significant post-operative SANE scores. The 70-79-year-old age group was more likely to reach MCID and PASS, and the patients who were 80+ years old were more likely to reach MCID compared to patients younger than 60 years old. CI - Copyright (c) 2023, Stewart et al. FAU - Stewart, Brendan P AU - Stewart BP AD - Department of Orthopedics, UConn Health, Farmington, USA. FAU - Hawthorne, Benjamin C AU - Hawthorne BC AD - Department of Orthopedics, UConn School of Medicine, Farmington, USA. FAU - Dorsey, Caitlin G AU - Dorsey CG AD - Department of Orthopedics, UConn Health, Farmington, USA. FAU - Wellington, Ian J AU - Wellington IJ AD - Department of Orthopedics, UConn Health, Farmington, USA. FAU - Cote, Mark AU - Cote M AD - Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, USA. FAU - Mazzocca, Augustus AU - Mazzocca A AD - Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, USA. LA - eng PT - Journal Article DEP - 20231004 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC10624330 OTO - NOTNLM OT - clinical outcomes OT - clinical significance OT - reverse total shoulder arthroplasty OT - sane scores OT - shoulder arthroplasty outcomes COIS- The authors have declared financial relationships, which are detailed in the next section. EDAT- 2023/11/06 06:43 MHDA- 2023/11/06 06:44 PMCR- 2023/10/04 CRDT- 2023/11/06 04:22 PHST- 2023/10/03 00:00 [accepted] PHST- 2023/11/06 06:44 [medline] PHST- 2023/11/06 06:43 [pubmed] PHST- 2023/11/06 04:22 [entrez] PHST- 2023/10/04 00:00 [pmc-release] AID - 10.7759/cureus.46492 [doi] PST - epublish SO - Cureus. 2023 Oct 4;15(10):e46492. doi: 10.7759/cureus.46492. eCollection 2023 Oct.