HTA - Sahlgrenska Universitetssjukhuset

Appendix 1 - 2 12-12-10/OS
Comparison between total shoulder arthroplasty and hemiarthroplasty in patients with primary osteoarthritis with regard to the outcome variable Pain
Author, year Country Study design Number
of
patients/
shoulders
(n)
Levy, 2004
Orfaly, 2003
United
Kingdom
USA
Retrospective
observational
study
Prospective
observational
study
TSA: 42
HA: 37
TSA: 37
HA: 28
With
drawals
-
dropouts
5
Result
Total shoulder
arthroplasty (TSA)
Constant score-pain
2.1
↓
14
No statistical difference
between groups
19 ASES score-pain
69
↓
9
No statistical difference
between groups
3(3)
Hemiarthroplasty ( HA)
Constant score-pain
3.9
↓
12
ASES score-pain:
56
↓
17
Comments Quality
(may vary
according to
outcome)
Follow up:
TSA mean 7.6 years
HA mean 4.4 years
For both TSA and HA the difference in
Constant score between preoperative
and follow-up status was statistically
significant (p < 0.05)
Follow up:
mean 4.3 years (2-8 years)
For both TSA and HA the difference in
ASES score between preoperative and
follow-up status was statistically
significant (p < 0.001)
Footnotes i. Constant score-subcategory pain: 15=no pain, 0=worst pain ii. ASES: American Shoulder and Elbow Surgeons Shoulder Index-subcategory pain: 0-100, the higher score the more pain.
iii. UCLAS: University of California and Los Angeles Shoulder-subcategory pain: 0-10 the higher score the less pain iv. Mc Gill pain questonnaire, 0-45?!!! the higher score the more pain
v. Mc Gill pain visual analogue scale, 0-78 the higher score the more pain
Low
Low