HTA - Sahlgrenska Universitetssjukhuset

Appendix 1 - 2 12-12-10/OS
Comparison between total shoulder arthroplasty and hemiarthroplasty in patients with primary osteoarthritis with regard to the outcome variable Pain
Author, year Country Study design Number
of
patients/
shoulders
(n)
Gartsman, 2000
Lo, 2005
USA
United
Kingdom/
Canada
Randomised
controlled trial
Randomised
controlled trial
TSA: 27
HA: 24
TSA: 20
HA: 21
With
drawals
-
dropouts
4
1
Result
Total shoulder
arthroplasty (TSA)
ASES score-pain ii
9.6
↓
41.1
p < 0.01 between groups
UCLAS score-pain iii
1.5
↓
8.2
p < 0.01 between groups
Mc Gill pain questionnaire iv :
12.5 (sd 9.4)
↓
0.9 (sd 1.4)
No statistical difference
between groups
Mc Gill pain visual analogue
scale v. :
65(sd 20.9)
↓
6.1 (sd 13.5)
No statistical difference
between groups
1(3)
Hemiarthroplasty ( HA)
ASES score-pain
9.4
↓
30.2
UCLAS score-pain
1.5
↓
6.0
Mc Gill pain questionnaire:
16 (sd 10.6)
↓
2.7 (sd 6.8)
Mc Gill pain visual analogue
scale:
65.2 (sd 20.9)
↓
13.9 (sd 27.4)
Follow up:
mean 34 months
Comments Quality
(may vary
according to
outcome)
Only patients with intact rotator cuff
were included
For both TSA and HA the differences
in ASES score and in UCLAS score
between preoperative and follow-up
status were statistically significant
(p < 0.001 or p < 0.01)
Follow up:
2 years
Only patients with intact rotator cuff
included
For both TSA and HA the differences
in Mc Gill pain questionnaire and
visual analogue scale between
preoperative and follow-up status were
statistically significant (p < 0.001)
Moderate
Moderate