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Septuagenarians versus octogenarians in elective upper extremity procedures.

Po Hsun Ku¹, Yeashin Nur¹, Jared Sasaki¹

¹School of Medicine, New York Medical College, Valhalla, NY, USA.

Shoulder & Elbow

|July 12, 2026

Summary

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Older adults undergoing elective shoulder surgery face different risks. Octogenarians have higher readmission and non-home discharge rates than septuagenarians, highlighting the need for careful planning.

Area of Science:

Orthopedic surgery
Geriatric medicine
Health services research

Background:

Elective shoulder procedures are rising in older adults due to population aging.
Existing research often focuses on total shoulder arthroplasty, with limited data on other procedures.
Outcomes across different age groups within older adults are not well-defined.

Purpose of the Study:

To compare postoperative outcomes between septuagenarians and octogenarians undergoing elective shoulder surgery.
To identify specific risks associated with advanced age in this surgical population.
To inform perioperative care strategies for elderly patients.

Main Methods:

Utilized the American College of Surgeons National Surgical Quality Improvement Program database (2011-2022).

Keywords:

Elective shoulder surgery NSQIP discharge disposition elderly patients hospital readmission octogenarians postoperative outcomes rotator cuff repair septuagenarians shoulder arthroplasty upper extremity

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Included patients aged 70-89 years undergoing elective shoulder procedures.

Stratified patients into septuagenarians (70-79) and octogenarians (80-89) and used multivariable logistic regression for analysis.

Main Results:

Octogenarians (80-89 years) showed significantly higher odds of unplanned readmission (OR 1.57) and non-home discharge (OR 2.44) compared to septuagenarians (70-79 years).
No significant differences were found in overall complications, reoperation rates, or 30-day mortality between the groups.
The study included 12,099 patients: 10,810 septuagenarians and 1289 octogenarians.

Conclusions:

Octogenarians face increased risks of readmission and non-home discharge after elective shoulder surgery.
Short-term complication rates were similar between septuagenarians and octogenarians.
Enhanced perioperative planning and discharge optimization are crucial for octogenarian patients undergoing elective shoulder procedures.