Defining patient satisfaction after reverse total shoulder arthroplasty: a systematic review

Area of Science:

• Orthopedic Surgery
• Patient Outcomes Research
• Systematic Reviews

Background:

• Reverse total shoulder arthroplasty (rTSA) prevalence is increasing.
• Defining satisfactory outcomes post-rTSA is crucial as indications expand.
• This review assesses overall patient satisfaction and satisfaction by indication.

Purpose of the Study:

• To systematically review patient satisfaction following rTSA.
• To define patient satisfaction based on the indication for surgery.
• To provide data for patient education and surgical counseling.

Main Methods:

• Systematic literature search following PRISMA guidelines.
• Inclusion of studies with minimum 2-year follow-up for rTSA patient satisfaction.
• Data collection on demographics, follow-up duration, indication, and patient-reported outcomes.

Main Results:

• 45 studies included 5234 patients (61.2% female, average age 71.1 years).
• Overall patient satisfaction ranged from 77.7% to 87.8% at an average of 49.1 months follow-up.
• Patients with glenohumeral osteoarthritis (GHOA) reported higher satisfaction than those with cuff tear arthropathy or massive rotator cuff tears.

Conclusions:

• Patients are generally satisfied with rTSA for GHOA, cuff tear arthropathy, or massive rotator cuff tears.
• Satisfaction rates are highest for GHOA.
• Patient satisfaction is a key indicator of healthcare quality and valuable for informed surgical decisions.