{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:01:08Z","timestamp":1781658068047,"version":"3.54.5"},"reference-count":27,"publisher":"Korean Shoulder and Elbow Society","issue":"3","license":[{"start":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T00:00:00Z","timestamp":1723161600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["cisejournal.org"],"crossmark-restriction":true},"short-container-title":["Clin Shoulder Elb"],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:p>Background: Total shoulder arthroplasty (TSA) in patients with rheumatoid arthritis (RA) can present unique challenges. The aim of this study was to compare both systemic and joint-related postoperative complications in patients undergoing primary TSA with RA versus those with primary osteoarthritis (OA).Methods: Using the TriNetX database, Current Procedural Terminology and International Classification of Diseases, 10th edition codes were used to identify patients who underwent primary TSA. Patients were categorized into two cohorts: RA and OA. After 1:1 propensity score matching, postoperative systemic complications within 90 days following primary TSA and joint-related complications within 5 years following anatomic TSA (aTSA) and reverse shoulder arthroplasty (RSA) were compared.Results: After propensity score matching, the RA and OA cohorts each consisted of 8,523 patients. Within 90 days postoperation, RA patients had a significantly higher risk of total complications, deep surgical site infection, wound dehiscence, pneumonia, myocardial infarction, acute renal failure, urinary tract infection, mortality, and readmission compared to the OA cohort. RA patients had a significantly greater risk of periprosthetic joint infection and prosthetic dislocation within 5 years following aTSA and RSA, and a greater risk of scapular fractures following RSA. Among RA patients, RSA had a significantly higher risk of prosthetic dislocation, scapular fractures, and revision compared to aTSA.Conclusions: Following TSA, RA patients should be considered at higher risk of systemic and joint-related complications compared to patients with primary OA. Knowledge of the risk profile of RA patients undergoing TSA is essential for appropriate patient counseling and education.Level of evidence: III.<\/jats:p>","DOI":"10.5397\/cise.2024.00374","type":"journal-article","created":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T03:55:37Z","timestamp":1724990137000},"page":"353-360","update-policy":"https:\/\/doi.org\/10.5397\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Rheumatoid arthritis is associated with higher 90-day systemic complications compared to osteoarthritis after total shoulder arthroplasty: a cohort study"],"prefix":"10.5397","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7078-9148","authenticated-orcid":true,"given":"Peter","family":"Boufadel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jad","family":"Lawand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5757-1782","authenticated-orcid":true,"given":"Ryan","family":"Lopez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8228-3953","authenticated-orcid":true,"given":"Mohamad Y.","family":"Fares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9256-9952","authenticated-orcid":true,"given":"Mohammad","family":"Daher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam Z.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian W.","family":"Hill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3845-7220","authenticated-orcid":true,"given":"Joseph A.","family":"Abboud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3351","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1177\/1758573220954157"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(10)60826-4"},{"key":"ref3","first-page":"347","volume-title":"Incidence of glenohumeral joint involvement in seropositive rheumatoid arthritis: a 15 year endpoint study","author":"Lehtinen","year":"2000"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.08.001"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.05.020"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/s1058-2746(00)90053-3"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.j.00300"},{"key":"ref8","first-page":"2483","volume-title":"Risk factors of acromial and scapular spine stress fractures differ by indication: a study by the ASES Complications of Reverse Shoulder Arthroplasty Multicenter Research Group","author":"Lohre","year":"2023"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.01.033"},{"key":"ref10","volume-title":"Real-world data for the life sciences and healthcare [Internet]","year":"2024"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2022.1051082"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2021.102776"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-023-06601-9"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2022.152061"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-023-05728-7"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22497"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-015-3037-4"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1038\/icb.2013.15"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2003.12.012"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2021.06.003"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.02.008"},{"key":"ref22","first-page":"1724","volume-title":"Acromial and scapular fractures after reverse total shoulder arthroplasty with a medialized glenoid and lateralized humeral implant: an analysis of outcomes and risk factors","author":"Routman","year":"2020"},{"key":"ref23","first-page":"627","volume-title":"How common are acromial and scapular spine fractures after reverse shoulder arthroplasty?: a systematic review","author":"King","year":"2019"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2020.10.010"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2017.9.3.325"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9103361"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.08.024"}],"container-title":["Clinics in Shoulder and Elbow"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2024-00374.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2024.00374","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/cisejournal.org\/upload\/pdf\/cise-2024-00374.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T03:56:20Z","timestamp":1724990180000},"score":1,"resource":{"primary":{"URL":"http:\/\/cisejournal.org\/journal\/view.php?doi=10.5397\/cise.2024.00374"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,1]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,9]]}},"URL":"https:\/\/doi.org\/10.5397\/cise.2024.00374","relation":{},"ISSN":["2288-8721"],"issn-type":[{"value":"2288-8721","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,1]]},"assertion":[{"value":"2024-05-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-09","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-01","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}