{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:34:40Z","timestamp":1792510480510,"version":"4.5.0"},"reference-count":13,"publisher":"SLACK, Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p>\n            Sleep disturbance is commonly encountered in patients with glenohumeral joint arthritis and can be a factor that drives patients to consider surgery. The prevalence of sleep disturbance before or after anatomic total shoulder arthroplasty has not been reported. The authors identified 232 eligible patients in a prospective shoulder arthroplasty registry following total shoulder arthroplasty for primary glenohumeral joint arthritis with 2- to 5-year follow-up. Sleep disturbance secondary to the affected shoulder was characterized preoperatively and postoperatively as no sleep disturbance, frequent sleep disturbance, or nightly sleep disturbance. A total of 211 patients (91%) reported sleep disturbance prior to surgery. Patients with nightly sleep disturbance had significantly worse (\n            <jats:italic>P<\/jats:italic>\n            &lt;.05) Constant pain, Constant activity, and Western Ontario Osteoarthritis Shoulder index scores prior to surgery. Postoperatively, there was a significant improvement in the prevalence of sleep disturbance, with 186 patients (80%) reporting no sleep disturbance (\n            <jats:italic>P<\/jats:italic>\n            &lt;.001). The no sleep disturbance group had significantly greater patient-reported outcome scores and range of motion following surgery compared with the other sleep disturbance groups for nearly all outcome measures (\n            <jats:italic>P<\/jats:italic>\n            \u2264.01). Patients have significant improvements in sleep after anatomic shoulder arthroplasty. There was a high prevalence of sleep disturbance preoperatively (211 patients, 91%) compared with postoperatively (46 patients, 20%). [\n            <jats:italic>Orthopedics.<\/jats:italic>\n            2017; 40(3):e450\u2013e454.]\n          <\/jats:p>","DOI":"10.3928\/01477447-20170120-02","type":"journal-article","created":{"date-parts":[[2017,1,30]],"date-time":"2017-01-30T20:51:06Z","timestamp":1485809466000},"source":"Crossref","is-referenced-by-count":19,"title":["Sleep Disturbance and Anatomic Shoulder Arthroplasty"],"prefix":"10.3928","volume":"40","author":[{"given":"Brent J.","family":"Morris","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron D.","family":"Sciascia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cale A.","family":"Jacobs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. 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