ArticleJSES reviews, reports, and techniques2025
Socioeconomic disadvantages and minority race correlate with worse outcomes following shoulder arthroplasty: a systematic review.
Article in JSES reviews, reports, and techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: It has been established that patient sociodemographics including race, socioeconomic status, insurance status, and education can impact outcomes following orthopedic procedures. This study aims to investigate how these patient sociodemographics impact outcomes following shoulder arthroplasty. Methods: Pubmed, Scopus, and Embase were queried for terms related to shoulder arthroplasty and patient demographics for studies published between 2000 and Jan 30, 2025. Studies were included if they were clinical studies of total shoulder arthroplasty (including reverse, anatomic, and hemiarthroplasties) investigating how 1 of four patient sociodemographics (insurance status, race, socioeconomic status, and education) influence either clinical or patient-reported outcomes. Study quality was evaluated using the Methodological Index for Non-Randomized Studies (MINORS) criteria. Study results were recorded descriptively. Results: Twenty-two studies met the inclusion criteria. Twelve (54.5%) studies investigated clinical outcomes alone, 6 (27.3%) studies investigated PROMs alone, and 4 (22.2%) studies investigated both. The sociodemographics studied were insurance status in 9 (40.9%) studies, race in 7 (31.8%) studies, socioeconomic status in 14 (63.6%) studies, education in 2 (9.1%) studies, and employment and marital status both in 1 (4.5%) study. Eight (88.9%) studies found public insurance to negatively affect at least 1 outcome, 5 (71.4%) found minority races to be associated with worse outcomes, 9 (64.2%) found socioeconomically disadvantaged patients to be associated with poor outcomes, 2 (100%) studies found educational disparity to influence outcomes negatively, and 1 (100%) study found an association with employment. Overall, 17 (77.3%) studies found a significant association between at least 1 of the five sociodemographics of focus and outcomes following shoulder arthroplasty. Conclusion: The majority of studies investigating the influence of insurance status, race, socioeconomic status, education, and employment on shoulder arthroplasty outcomes found significant associations. Patients using public insurance, who are minorities and who are socioeconomically or educationally disadvantaged, should all be identified by physicians as being at higher risk of poor outcomes. Physicians should partner with these patients to counsel them accordingly and to identify opportunities to improve their chances of success.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.