PMID- 37969496
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240212
IS  - 2666-6383 (Electronic)
IS  - 2666-6383 (Linking)
VI  - 7
IP  - 6
DP  - 2023 Nov
TI  - Sex-related differences in PROMs prior to the outcome: comparison of preoperative 
      PROMIS physical function scores in female vs. male patients undergoing shoulder 
      arthroplasty.
PG  - 2473-2475
LID - 10.1016/j.jseint.2023.07.012 [doi]
AB  - BACKGROUND: Patient-reported outcome measures (PROMs) are increasingly used to 
      evaluate outcomes in patients undergoing shoulder arthroplasty. The 
      Patient-Reported Outcome Measures Information System (PROMIS) is popular due to 
      low cost and question burden. Females have been reported to have lower 
      postoperative PROMIS scores after shoulder surgery, but studies have not focused 
      on a dedicated cohort of shoulder arthroplasty patients or examined upstream 
      differences in preoperative scores. This study aimed to characterize sex 
      differences in baseline PROMIS scores among anatomic total shoulder arthroplasty 
      (TSA) and reverse total shoulder arthroplasty (rTSA) patients. METHODS: Data were 
      collected over a 9-month period. Demographics, Charlson Comorbidity Index (CCI), 
      smoking status, BMI, American Shoulder and Elbow Surgeons (ASES) scores, PROMIS 
      Pain, Physical Function (PF), Upper Extremity, Depression, and Anxiety scores, as 
      well as Single Assessment Numeric Evaluation (SANE) scores were collected. 
      Student t-tests were performed to determine correlation with baseline PROMs. A 
      minimal clinically important difference (MCID) of 4 was used to determine if a 
      PROMIS score difference between groups was clinically important. Significance was 
      set as P < .05. RESULTS: A total of 88 females (34 TSAs 54 rTSA) and 99 males (35 
      TSA, 64 rTSA) were enrolled. Only sex showed a correlation with preoperative 
      PROMIS score. In rTSA patients, females had significantly lower preoperative 
      PROMIS PF scores (P < .05). Among females undergoing TSA vs. rTSA, lower 
      preoperative PROMIS PF scores were found in rTSA (P < .05). These differences 
      exceeded the MCID of 4. The same difference was not found in men undergoing TSA 
      vs. rTSA. CONCLUSION: Preoperative sex-based differences in PROMIS scores are 
      underappreciated in the shoulder arthroplasty literature. This is the largest 
      study to date focusing on sex-based differences among a dedicated cohort of TSA 
      and rTSA patients, showing a difference in baseline PROMIS scores between males 
      and females above the MCID. These findings suggest that PROMIS scores are 
      affected by sex-based baseline differences in rTSA patients. Further study should 
      investigate sex-based differences in baseline scores to determine their effects 
      on ultimate outcome.
CI  - (c) 2023 The Authors.
FAU - Lai, Cara H
AU  - Lai CH
AD  - Department of Orthopaedic Surgery, Mayo Clinic, Phoenix, AZ, USA.
FAU - Chandak, Shreya
AU  - Chandak S
AD  - University of Arizona, Tucson, AZ, USA.
FAU - Karlapudi, Pragnya
AU  - Karlapudi P
AD  - University of Arizona, Tucson, AZ, USA.
FAU - Tokish, John
AU  - Tokish J
AD  - Department of Orthopaedic Surgery, Mayo Clinic, Phoenix, AZ, USA.
LA  - eng
PT  - Journal Article
DEP - 20230803
PL  - United States
TA  - JSES Int
JT  - JSES international
JID - 101763461
PMC - PMC10638589
OTO - NOTNLM
OT  - Anatomic total shoulder arthroplasty
OT  - PROMIS score
OT  - PROMs
OT  - Reverse total shoulder arthroplasty
OT  - Sex-related differences
OT  - Shoulder arthroplasty
EDAT- 2023/11/16 06:45
MHDA- 2023/11/16 06:46
PMCR- 2023/08/03
CRDT- 2023/11/16 04:22
PHST- 2023/11/16 06:46 [medline]
PHST- 2023/11/16 06:45 [pubmed]
PHST- 2023/11/16 04:22 [entrez]
PHST- 2023/08/03 00:00 [pmc-release]
AID - S2666-6383(23)00187-1 [pii]
AID - 10.1016/j.jseint.2023.07.012 [doi]
PST - epublish
SO  - JSES Int. 2023 Aug 3;7(6):2473-2475. doi: 10.1016/j.jseint.2023.07.012. 
      eCollection 2023 Nov.