The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysis
<h2>Purpose</h2> <p>To meet the increasing demands of total shoulder arthroplasty (TSA) while reducing its financial burden, there has been a shift toward outpatient surgery. This systematic review and meta-analysis aimed to evaluate the safety of outpatient TSA.</p> <h2&g...
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| مؤلفون آخرون: | , , , , , , |
| منشور في: |
2022
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| _version_ | 1864513568086425600 |
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| author | Abdulaziz F. Ahmed (14150082) |
| author2 | Ashraf Hantouly (14150289) Ammar Toubasi (9165524) Osama Alzobi (14150292) Shady Mahmoud (9165527) Saeed Qaimkhani (14150295) Ghalib O. Ahmed (14150277) Mohammed Al Ateeq Al Dosari (14150280) |
| author2_role | author author author author author author author |
| author_facet | Abdulaziz F. Ahmed (14150082) Ashraf Hantouly (14150289) Ammar Toubasi (9165524) Osama Alzobi (14150292) Shady Mahmoud (9165527) Saeed Qaimkhani (14150295) Ghalib O. Ahmed (14150277) Mohammed Al Ateeq Al Dosari (14150280) |
| author_role | author |
| dc.creator.none.fl_str_mv | Abdulaziz F. Ahmed (14150082) Ashraf Hantouly (14150289) Ammar Toubasi (9165524) Osama Alzobi (14150292) Shady Mahmoud (9165527) Saeed Qaimkhani (14150295) Ghalib O. Ahmed (14150277) Mohammed Al Ateeq Al Dosari (14150280) |
| dc.date.none.fl_str_mv | 2022-11-22T21:11:57Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00264-021-04940-7 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/The_safety_of_outpatient_total_shoulder_arthroplasty_a_systematic_review_and_meta-analysis/21596976 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Clinical sciences Orthopedics and Sports Medicine Surgery |
| dc.title.none.fl_str_mv | The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysis |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h2>Purpose</h2> <p>To meet the increasing demands of total shoulder arthroplasty (TSA) while reducing its financial burden, there has been a shift toward outpatient surgery. This systematic review and meta-analysis aimed to evaluate the safety of outpatient TSA.</p> <h2>Methods</h2> <p>The primary objective was to compare re-admission rates and postoperative complications in outpatient versus inpatient TSA. The secondary objectives were functional outcomes and costs. PubMed, Google Scholar, and Web of Science were searched until March 28, 2020. The inclusion criteria were studies reporting at least complications or readmission rates within a period of 30 days or more.</p> <h2>Results</h2> <p>Ten level III retrospective studies were included with 7637 (3.8%) and 192,025 (96.2%) patients underwent outpatient and inpatient TSA, respectively. Outpatient TSA had relatively younger and healthier patients. There were no differences between outpatient and inpatient arthroplasty for 30- and 90-day readmissions. Furthermore, unadjusted comparisons demonstrated significantly less total and major surgical complications, less total, major, and minor medical complications in favour of outpatient TSA. However, subgroup analyses demonstrated that there were no significant differences in all complication if the studies had matched controls and regardless of data source (database or nondatabase studies). The revision rates were similar between both groups at a 12–24 months follow-up. Two studies reported a significant reduction in costs in favour of outpatient TSA.</p> <h2>Conclusion</h2> <p>This study highlights that outpatient TSA could be a safe and effective alternative to inpatient TSA in appropriately selected patients. It was evident that outpatient TSA does not lead to increased readmissions, complications, or revision rates. A potential additional benefit of outpatient TSA was cost reduction.</p><h2>Other Information</h2> <p> Published in: International Orthopaedics<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00264-021-04940-7" target="_blank">http://dx.doi.org/10.1007/s00264-021-04940-7</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_ed40e2eb78cea05ceb5638e781709123 |
| identifier_str_mv | 10.1007/s00264-021-04940-7 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/21596976 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysisAbdulaziz F. Ahmed (14150082)Ashraf Hantouly (14150289)Ammar Toubasi (9165524)Osama Alzobi (14150292)Shady Mahmoud (9165527)Saeed Qaimkhani (14150295)Ghalib O. Ahmed (14150277)Mohammed Al Ateeq Al Dosari (14150280)Clinical sciencesOrthopedics and Sports MedicineSurgery<h2>Purpose</h2> <p>To meet the increasing demands of total shoulder arthroplasty (TSA) while reducing its financial burden, there has been a shift toward outpatient surgery. This systematic review and meta-analysis aimed to evaluate the safety of outpatient TSA.</p> <h2>Methods</h2> <p>The primary objective was to compare re-admission rates and postoperative complications in outpatient versus inpatient TSA. The secondary objectives were functional outcomes and costs. PubMed, Google Scholar, and Web of Science were searched until March 28, 2020. The inclusion criteria were studies reporting at least complications or readmission rates within a period of 30 days or more.</p> <h2>Results</h2> <p>Ten level III retrospective studies were included with 7637 (3.8%) and 192,025 (96.2%) patients underwent outpatient and inpatient TSA, respectively. Outpatient TSA had relatively younger and healthier patients. There were no differences between outpatient and inpatient arthroplasty for 30- and 90-day readmissions. Furthermore, unadjusted comparisons demonstrated significantly less total and major surgical complications, less total, major, and minor medical complications in favour of outpatient TSA. However, subgroup analyses demonstrated that there were no significant differences in all complication if the studies had matched controls and regardless of data source (database or nondatabase studies). The revision rates were similar between both groups at a 12–24 months follow-up. Two studies reported a significant reduction in costs in favour of outpatient TSA.</p> <h2>Conclusion</h2> <p>This study highlights that outpatient TSA could be a safe and effective alternative to inpatient TSA in appropriately selected patients. It was evident that outpatient TSA does not lead to increased readmissions, complications, or revision rates. A potential additional benefit of outpatient TSA was cost reduction.</p><h2>Other Information</h2> <p> Published in: International Orthopaedics<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00264-021-04940-7" target="_blank">http://dx.doi.org/10.1007/s00264-021-04940-7</a></p>2022-11-22T21:11:57ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00264-021-04940-7https://figshare.com/articles/journal_contribution/The_safety_of_outpatient_total_shoulder_arthroplasty_a_systematic_review_and_meta-analysis/21596976CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215969762022-11-22T21:11:57Z |
| spellingShingle | The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysis Abdulaziz F. Ahmed (14150082) Clinical sciences Orthopedics and Sports Medicine Surgery |
| status_str | publishedVersion |
| title | The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysis |
| title_full | The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysis |
| title_fullStr | The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysis |
| title_full_unstemmed | The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysis |
| title_short | The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysis |
| title_sort | The safety of outpatient total shoulder arthroplasty: a systematic review and meta-analysis |
| topic | Clinical sciences Orthopedics and Sports Medicine Surgery |