Comparison of satisfied and dissatisfied patients 2 to 5 years after anatomic total shoulder arthroplasty

Cale A. Jacobs, Brent J. Morris, Aaron D. Sciascia, T. Bradley Edwards

Research output: Contribution to journalArticlepeer-review

37 Scopus citations


Background: With an increasingly large number of patients undergoing total shoulder arthroplasty (TSA) combined with increased requirements for public reporting of patient outcomes, there is a greater need to better understand the underlying factors related to patient satisfaction. The purpose of this study was to compare patient demographics, nonorthopedic comorbidities, patient-reported outcome scores, and range of motion of patients who reported being either satisfied or dissatisfied with their procedure at midterm follow-up. Methods: We identified 234 primary TSAs performed by a single surgeon for glenohumeral osteoarthritis with a minimum 2-year follow-up in a prospective shoulder arthroplasty registry. American Shoulder and Elbow Surgeons (ASES) score, patient satisfaction, and active forward flexion, abduction, and external rotation at 0° of flexion-abduction were assessed before and after TSA. Results: Of the 234 patients, 207 (88.5%) were satisfied with their procedure. Dissatisfied patients had significantly lower ASES scores both before and after surgery (P < .001) as well as a significantly lower preoperative to postoperative change in ASES score (P < .001). Similarly, dissatisfied patients demonstrated significantly lower changes in active forward flexion (P = .004), abduction (P = .02), and external rotation (P = .03). Patients with ASES score changes <12 points were 19 times more likely to be dissatisfied after TSA (95% confidence interval, 4.4-81.4; P = .0001). Conclusion: Dissatisfied patients had significantly lower improvements in pain, function, and range of motion. Furthermore, a change in ASES score <12 points was associated with a 19-fold increase in the risk of being dissatisfied after TSA.

Original languageEnglish
Pages (from-to)1128-1132
Number of pages5
JournalJournal of Shoulder and Elbow Surgery
Issue number7
StatePublished - Jul 1 2016

Bibliographical note

Publisher Copyright:
© 2016 Journal of Shoulder and Elbow Surgery Board of Trustees.


  • Activities of daily living
  • Level III
  • Osteoarthritis
  • Outcome
  • Pain
  • Range of motion
  • Retrospective Cohort Design
  • Satisfaction
  • Total shoulder arthroplasty
  • Treatment Study

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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