Monday, June 13, 2016

Total shoulder - what are the activity expectations of men and women?

Gender differences in expectations and outcomes for total shoulder arthroplasty: a prospective cohort study

These authors studied 63 patients receiving a TSA with a minimum of 3 years of follow-up: 36 men and 27 women with a mean age of 60.8 years for men (range, 37-79 years) and 66.4 years (P = .01) for women (range, 52-77 years.)

Each patient was given a preoperative survey in which patients were asked to select 3 expectations they most hoped to gain from surgery.  

American Shoulder and Elbow Surgeons and 12-Item Short Form Health Survey scores, respectively, increased significantly but did not differ between genders.

Each gender achieved their expectations at similar and high rates. Men chose exercise or participation in sports (24/36) whereas women chose to maintain daily routine and chores (18/27) as their top expectation. Both, however, chose to sleep through the night similarly as the next most important expectation. 

Comment: This is an interesting study of patient expectations. As can be seen from the table above, the leading expectations of male and female patients are quite similar as is the rate at which these expectations are achieved.