{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:58:30Z","timestamp":1790621910652,"version":"4.1.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,3,29]],"date-time":"2020-03-29T00:00:00Z","timestamp":1585440000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The primary objective of this study was to examine the relationship between vitamin D deficiency and implant-related and medical complications following total shoulder arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the PearlDiver database, patients who underwent total shoulder arthroplasty from 2005 to 2016 with vitamin D deficiency were identified. These were compared to a 3:1 control group matched by age, sex, and presence of a concomitant osteoporosis diagnosis. Primary outcome measures were implant-related complications (loosening, periprosthetic fracture, periprosthetic joint infection, and revision total shoulder arthroplasty) in addition to medical complications within 90 days of surgery. A multivariable logistic regression analysis was utilized to control for patient demographics and comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One thousand and six hundred and seventy-four patients with vitamin D deficiency were identified and compared to 5022 controls. There was a significantly higher rate of revision total shoulder arthroplasty in the vitamin D deficient patients compared to controls (2.3% versus 0.8%, odds ratio 3.3, p\u2009&lt;\u20090.0001). After controlling for confounding variables, there were no significant differences in any of the remaining implant-related or medical complications with the exception of higher rates of urinary tract infections in patients with vitamin D deficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Vitamin D deficiency is associated with a higher rate of all-cause revision total shoulder arthroplasty but not medical complications compared to controls. Level of evidence: Level III case control study<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1758573220906520","type":"journal-article","created":{"date-parts":[[2020,3,30]],"date-time":"2020-03-30T00:04:36Z","timestamp":1585526676000},"page":"99-105","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Vitamin D deficiency and total shoulder arthroplasty complications"],"prefix":"10.1177","volume":"13","author":[{"given":"J Michael","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jourdan M","family":"Cancienne","sequence":"additional","affiliation":[{"name":"Midwest Orthopaedics at Rush, Chicago, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen F","family":"Brockmeier","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7956-2123","authenticated-orcid":false,"given":"Brian C","family":"Werner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,3,29]]},"reference":[{"key":"bibr1-1758573220906520","first-page":"e2741","volume":"10","author":"Parva NR","year":"2018","journal-title":"Cureus"},{"key":"bibr2-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/135.11.2739S"},{"key":"bibr3-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra070553"},{"key":"bibr4-1758573220906520","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01231"},{"key":"bibr5-1758573220906520","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20180424-04"},{"key":"bibr6-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000001812"},{"key":"bibr7-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-3172-7"},{"key":"bibr8-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2017.02.038"},{"key":"bibr9-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2013.95.8.569"},{"key":"bibr10-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B3.23535"},{"key":"bibr11-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-014-2338-6"},{"key":"bibr12-1758573220906520","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20160606-04"},{"key":"bibr13-1758573220906520","doi-asserted-by":"publisher","DOI":"10.4065\/81.3.353"},{"key":"bibr14-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513505421"},{"key":"bibr15-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/95.12.787"},{"key":"bibr16-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512456519"},{"key":"bibr17-1758573220906520","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1002\/jcp.22004","volume":"222","author":"Bahar-Shany K","year":"2010","journal-title":"J Cell Physiol"},{"key":"bibr18-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B12.22481"},{"key":"bibr19-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.02.014"},{"key":"bibr20-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.09.032"},{"key":"bibr21-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114512000578"},{"key":"bibr22-1758573220906520","first-page":"277","volume":"49","author":"Hayes CE","year":"2003","journal-title":"Cell Mol Biol"},{"key":"bibr23-1758573220906520","doi-asserted-by":"publisher","DOI":"10.4161\/derm.3.4.15027"},{"key":"bibr24-1758573220906520","doi-asserted-by":"crossref","unstructured":"Hegde, V, Dworsky, EM, Stavrakis, AI, et al. Single-dose, preoperative vitamin-d supplementation decreases infection in a mouse model of periprosthetic joint infection.\n                      J Bone Joint Surg Am\n                      2017; 99: 1737\u20131744.","DOI":"10.2106\/JBJS.16.01598"},{"key":"bibr25-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1007\/s00223-004-0167-0"},{"key":"bibr26-1758573220906520","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.04.027"}],"container-title":["Shoulder &amp; Elbow"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1758573220906520","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1758573220906520","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1758573220906520","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:14:47Z","timestamp":1777587287000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1758573220906520"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,29]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1177\/1758573220906520"],"URL":"https:\/\/doi.org\/10.1177\/1758573220906520","relation":{},"ISSN":["1758-5732","1758-5740"],"issn-type":[{"value":"1758-5732","type":"print"},{"value":"1758-5740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,29]]}}}