Patient Satisfaction After Total Shoulder Arthroplasty.

Area of Science:

• Orthopedics
• Patient-Reported Outcome Measures
• Surgical Outcomes

Background:

• Patient-reported outcome measures (PROMs) focus on impairment but may not capture satisfaction.
• Assessing patient satisfaction is crucial for evaluating healthcare value.
• Standardized methods for measuring satisfaction after total shoulder arthroplasty are lacking.

Purpose of the Study:

• To systematically review and assess patient satisfaction following total shoulder arthroplasty.
• To identify factors associated with patient satisfaction after the procedure.

Main Methods:

• Systematic review of the MEDLINE database for relevant articles.
• Inclusion of 47 studies evaluating patient satisfaction after total shoulder arthroplasty.
• Analysis of common assessment methods and associated preoperative/postoperative factors.

Main Results:

• Reported satisfaction rates for anatomic total shoulder arthroplasty range from 75% to 100%.
• Ordinal scales were the most common (57.4%) satisfaction assessment method.
• Preoperative factors (age, workers' compensation, depression, opioid use, pain scores) and postoperative factors (shoulder scores, SF-36 MCS, ROM, pain, ADLs) significantly influenced satisfaction.

Conclusions:

• Overall patient satisfaction after total shoulder arthroplasty is high, but measurement methods lack standardization.
• A uniform and validated approach to assessing patient satisfaction is needed.
• Evidence levels for satisfaction studies are generally low, highlighting the need for more rigorous research.