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- Talk
- 21/09/2021
- UK
Diabetes and Outcomes following Reverse Polarity Shoulder Arthroplasty- a Single Centre Experience
Description
In this presentation, junior clinical fellow Hasan Daoud from Royal Derby Hospital delves into the impact of diabetes on outcomes following reverse polarity shoulder arthroplasty. He outlines the established connection between diabetes and poorer outcomes in total knee and total hip arthroplasties, noting a gap in the literature concerning shoulder surgeries. Daoud discusses prior research indicating a significantly higher complication rate for diabetic patients undergoing rotator cuff repair and references extensive database studies that have hinted at similar risks for shoulder arthroplasties, particularly regarding increased length of hospital stay, morbidity, and mortality among diabetic patients, though consensus on these findings is lacking.
Daoud presents findings from a single-center study conducted over a six-year period from 2013 to 2019, evaluating 407 reverse shoulder arthroplasties, of which approximately 10% involved diabetic patients. Throughout the follow-up, no significant differences in revision rates, implant survivorship, or all-cause complications between diabetic and non-diabetic cohorts were observed, despite noting a trend towards higher mortality in the diabetic group. Interestingly, while diabetic patients exhibited similar outcomes in range of motion and patient-reported measures compared to their non-diabetic counterparts, the study emphasizes the necessity for further research to assess the effects of glycemic control over time.
Daoud acknowledges limitations in their data collection process and the retrospective nature of some analyses, specifically noting a lack of paired preoperative data to analyze surgery outcomes comprehensively. The presentation concludes with Daoud advocating for more extensive studies to better understand diabetes's overall influence on surgical outcomes. The Q&A session that follows highlights the importance of preoperative movement scores in further research discussions.