FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4318612757> ?p ?o ?g. }

• W4318612757 endingPage "e342" @default.
• W4318612757 startingPage "e329" @default.
• W4318612757 abstract "BackgroundThe purpose of this study was to implement a modified Delphi technique among a group of experts affiliated with American Shoulder and Elbow Surgeons (ASES) and European Society for Surgery of the Shoulder and Elbow (SECEC) to determine areas of consensus regarding what factors influence their decision to manage a patient surgically and what specific treatment modalities they utilize for patients ≤50 years of age with glenohumeral arthritis.MethodsThe panel of experts comprised 168 shoulder and elbow specialists, 138 ASES and 30 SECEC members. In the first round, an open-ended questionnaire was utilized to solicit features that are important in making decisions regarding treatment. The second round involved ranking the features identified in the first round as to their importance in helping decision making for surgery. The results of round 2 were then utilized and 18 complex surgical cases previously treated by one of the lead authors were provided for the study. One additional case was included to address the management of Cutibacterium acne infection.ResultsA total of 159 (95.0%) participants completed the round one survey, 142 (89%) responded to the second and third round surveys. In total 50 individual factors were positively associated with the decision to proceed with surgery. Ten of these were strongly supportive of surgery. Eight out of 18 clinical cases demonstrated > 80% agreement on the surgical treatment modality chosen. Over 90% of respondents chose reverse total shoulder arthroplasty (TSA) to manage pathology when an incompetent rotator cuff was present. Over 90% of respondents managed avascular necrosis with hemiarthroplasty. Over 70% of respondents chose anatomic TSA for inflammatory arthritis with low demand on their shoulder. Overall, 79% of respondents chose a stemless humeral component when a hemiarthroplasty or anatomic TSA was chosen in response to the proposed surgical cases. If arthroscopy was chosen then there was good agreement on 5 core procedures. There was only fair consensus on the approach to C. acnes in patients with glenohumeral osteoarthritis ≤ 50 years of age.ConclusionThe optimal treatment of glenohumeral arthritis in patients ≤ 50 years of age remains controversial, and there are many treatment options to consider when responding to the variety of clinical presentations and anatomic pathologies. While physicians and patients engage in the shared decision-making process regarding the final choice for management, this consensus statement serves as a basis for discussion amongst colleagues and between patients and surgeons though it clearly demonstrates that the topic must be further investigated prospectively and with large cohorts. The purpose of this study was to implement a modified Delphi technique among a group of experts affiliated with American Shoulder and Elbow Surgeons (ASES) and European Society for Surgery of the Shoulder and Elbow (SECEC) to determine areas of consensus regarding what factors influence their decision to manage a patient surgically and what specific treatment modalities they utilize for patients ≤50 years of age with glenohumeral arthritis. The panel of experts comprised 168 shoulder and elbow specialists, 138 ASES and 30 SECEC members. In the first round, an open-ended questionnaire was utilized to solicit features that are important in making decisions regarding treatment. The second round involved ranking the features identified in the first round as to their importance in helping decision making for surgery. The results of round 2 were then utilized and 18 complex surgical cases previously treated by one of the lead authors were provided for the study. One additional case was included to address the management of Cutibacterium acne infection. A total of 159 (95.0%) participants completed the round one survey, 142 (89%) responded to the second and third round surveys. In total 50 individual factors were positively associated with the decision to proceed with surgery. Ten of these were strongly supportive of surgery. Eight out of 18 clinical cases demonstrated > 80% agreement on the surgical treatment modality chosen. Over 90% of respondents chose reverse total shoulder arthroplasty (TSA) to manage pathology when an incompetent rotator cuff was present. Over 90% of respondents managed avascular necrosis with hemiarthroplasty. Over 70% of respondents chose anatomic TSA for inflammatory arthritis with low demand on their shoulder. Overall, 79% of respondents chose a stemless humeral component when a hemiarthroplasty or anatomic TSA was chosen in response to the proposed surgical cases. If arthroscopy was chosen then there was good agreement on 5 core procedures. There was only fair consensus on the approach to C. acnes in patients with glenohumeral osteoarthritis ≤ 50 years of age. The optimal treatment of glenohumeral arthritis in patients ≤ 50 years of age remains controversial, and there are many treatment options to consider when responding to the variety of clinical presentations and anatomic pathologies. While physicians and patients engage in the shared decision-making process regarding the final choice for management, this consensus statement serves as a basis for discussion amongst colleagues and between patients and surgeons though it clearly demonstrates that the topic must be further investigated prospectively and with large cohorts." @default.
• W4318612757 created "2023-01-31" @default.
• W4318612757 creator A5030296966 @default.
• W4318612757 creator A5039688005 @default.
• W4318612757 creator A5046788049 @default.
• W4318612757 creator A5047261499 @default.
• W4318612757 creator A5090428346 @default.
• W4318612757 date "2023-07-01" @default.
• W4318612757 modified "2023-09-25" @default.
• W4318612757 title "International consensus statement on the management of glenohumeral arthritis in patients ≤ 50 years old" @default.
• W4318612757 cites W1970044003 @default.
• W4318612757 cites W1977854700 @default.
• W4318612757 cites W1984147840 @default.
• W4318612757 cites W1987267711 @default.
• W4318612757 cites W1989617280 @default.
• W4318612757 cites W1998886505 @default.
• W4318612757 cites W2024928221 @default.
• W4318612757 cites W2026207814 @default.
• W4318612757 cites W2027571769 @default.
• W4318612757 cites W2043106524 @default.
• W4318612757 cites W2065534788 @default.
• W4318612757 cites W2071753558 @default.
• W4318612757 cites W2076530788 @default.
• W4318612757 cites W2108703455 @default.
• W4318612757 cites W2124321870 @default.
• W4318612757 cites W2142424191 @default.
• W4318612757 cites W2162580350 @default.
• W4318612757 cites W2163857111 @default.
• W4318612757 cites W2223262524 @default.
• W4318612757 cites W2253053130 @default.
• W4318612757 cites W2285618823 @default.
• W4318612757 cites W2286063163 @default.
• W4318612757 cites W2309623375 @default.
• W4318612757 cites W2554706168 @default.
• W4318612757 cites W2563077898 @default.
• W4318612757 cites W2605553945 @default.
• W4318612757 cites W2610925087 @default.
• W4318612757 cites W2759214487 @default.
• W4318612757 cites W2884521939 @default.
• W4318612757 cites W2888141594 @default.
• W4318612757 cites W2981473933 @default.
• W4318612757 cites W2995741215 @default.
• W4318612757 cites W2997509084 @default.
• W4318612757 cites W3011882365 @default.
• W4318612757 cites W3089355577 @default.
• W4318612757 cites W3092450120 @default.
• W4318612757 cites W3093668530 @default.
• W4318612757 cites W3183969787 @default.
• W4318612757 cites W3195519938 @default.
• W4318612757 cites W3203909313 @default.
• W4318612757 cites W4211190890 @default.
• W4318612757 cites W4249111912 @default.
• W4318612757 doi "https://doi.org/10.1016/j.jse.2023.01.009" @default.
• W4318612757 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36736654" @default.
• W4318612757 hasPublicationYear "2023" @default.
• W4318612757 type Work @default.
• W4318612757 citedByCount "0" @default.
• W4318612757 crossrefType "journal-article" @default.
• W4318612757 hasAuthorship W4318612757A5030296966 @default.
• W4318612757 hasAuthorship W4318612757A5039688005 @default.
• W4318612757 hasAuthorship W4318612757A5046788049 @default.
• W4318612757 hasAuthorship W4318612757A5047261499 @default.
• W4318612757 hasAuthorship W4318612757A5090428346 @default.
• W4318612757 hasBestOaLocation W43186127571 @default.
• W4318612757 hasConcept C105795698 @default.
• W4318612757 hasConcept C141071460 @default.
• W4318612757 hasConcept C144024400 @default.
• W4318612757 hasConcept C1862650 @default.
• W4318612757 hasConcept C2776511800 @default.
• W4318612757 hasConcept C2777560053 @default.
• W4318612757 hasConcept C2778336525 @default.
• W4318612757 hasConcept C2779100052 @default.
• W4318612757 hasConcept C2779100257 @default.
• W4318612757 hasConcept C2779903281 @default.
• W4318612757 hasConcept C2781184374 @default.
• W4318612757 hasConcept C33923547 @default.
• W4318612757 hasConcept C36289849 @default.
• W4318612757 hasConcept C60641444 @default.
• W4318612757 hasConcept C61434518 @default.
• W4318612757 hasConcept C71924100 @default.
• W4318612757 hasConceptScore W4318612757C105795698 @default.
• W4318612757 hasConceptScore W4318612757C141071460 @default.
• W4318612757 hasConceptScore W4318612757C144024400 @default.
• W4318612757 hasConceptScore W4318612757C1862650 @default.
• W4318612757 hasConceptScore W4318612757C2776511800 @default.
• W4318612757 hasConceptScore W4318612757C2777560053 @default.
• W4318612757 hasConceptScore W4318612757C2778336525 @default.
• W4318612757 hasConceptScore W4318612757C2779100052 @default.
• W4318612757 hasConceptScore W4318612757C2779100257 @default.
• W4318612757 hasConceptScore W4318612757C2779903281 @default.
• W4318612757 hasConceptScore W4318612757C2781184374 @default.
• W4318612757 hasConceptScore W4318612757C33923547 @default.
• W4318612757 hasConceptScore W4318612757C36289849 @default.
• W4318612757 hasConceptScore W4318612757C60641444 @default.
• W4318612757 hasConceptScore W4318612757C61434518 @default.
• W4318612757 hasConceptScore W4318612757C71924100 @default.
• W4318612757 hasIssue "7" @default.
• W4318612757 hasLocation W43186127571 @default.

• next