Portal de Periódicos da CAPES

Core set of unfavorable events of shoulder arthroplasty: an international Delphi consensus process

2019; Elsevier BV; Volume: 28; Issue: 11 Linguagem: Inglês

10.1016/j.jse.2019.07.021

1532-6500

Laurent Audigé, Hans‐Kaspar Schwyzer, Holger Durchholz, Ville Äärimaa, Tjarco D.W. Alta, Marcus Vinícius Galvão Amaral, Alison Armstrong, Arthur van Noort, Steve Bale, Shaul Beyth, Andreas Bischof, Desmond J. Bokor, Mario Borroni, Stig Brorson, Peter Brownson, Stefan Buchmann, Eduard Buess, Benjamin Cass, Cormac Kelly, Vincenzo De Cupis, Philippe Debeer, Derek F.P. van Deurzen, Mark T. Dillon, Holger Durchholz, Anders Ekelund, Mikael Etzner, Matthias Flury, Mark A. Frankle, John Geoghegan, Harry Georgousis, Ariane Gerber-Popp, Károly Gulyás, Patrick Henry, R. Hertel, Philipp R. Heuberer, Philip Holland, Nicolas Holzer, Greg Hoy, Andreas B. Imhoff, Hans Viggo Johannsen, Matthew Kent, Georges Kohut, Alexandre Lädermann, Simon Lambert, U. Lanz, Evan Lederman, Lars Lehmann, Jan Leuzinger, Sven Lichtenberg, Jonathan Livesey, Markus Loew, Olaf Lorbach, Kirsten Lundgreen, Dirk Maier, Frank Martetschläger, Nicholas Matis, Saurabh Mehta, Dominik C. Meyer, Peter J. Millett, Philipp Moroder, Geraldo da Rocha Motta Filho, Andreas Mueller, Ronald A. Navarro, W. Nebelung, Jörg Neumann, Richard S. Page, Paolo Paladini, Vipul Patel, L. Penning, Dirk Petré, Dario Petriccioli, Pol E. Huijsmans, Amar Rangan, Jonny Rees, Felipe Reinares, Herbert Resch, Anthony A. Romeo, Claudio Rosso, Roberto Rotini, Miguel Ángel Ruiz Ibán, Björn Salomonsson, Michael J. Sandow, Felix H. Savoie, Johan Scheer, Markus Scheibel, Hans‐Kaspar Schwyzer, Jose Francisco Soza Rex, John W. Sperling, Christoph Spormann, Mark Tauber, Theis Muncholm Thillemann, Thomas W. Throckmorton, Tim Peckham, Felipe Toro, Marco van der Pluijm, Peer van der Zwaal, Cornelis P.J. Visser, Markus Wambacher, Stephen C. Weber, Gerald R. Williams,

Orthopedic Surgery and Rehabilitation

Shoulder arthroplasty (SA) complications require standardization of definitions and are not limited to events leading to revision operations. We aimed to define an international consensus core set of clinically relevant unfavorable events of SA to be documented in clinical routine practice and studies.A Delphi exercise was implemented with an international panel of experienced shoulder surgeons selected by nomination through professional societies. On the basis of a systematic review of terms and definitions and previous experience in establishing an arthroscopic rotator cuff repair core set, an organized list of SA events was developed and reviewed by panel members. After each survey, all comments and suggestions were considered to revise the proposed core set including local event groups, along with definitions, specifications, and timing of occurrence. Consensus was reached with at least two-thirds agreement.Two online surveys were required to reach consensus within a panel involving 96 surgeons. Between 88% and 100% agreement was achieved separately for local event groups including 3 intraoperative (device, osteochondral, and soft tissue) and 9 postoperative event groups. Experts agreed on a documentation period that ranged from 3 to 24 months after SA for 4 event groups (peripheral neurologic, vascular, surgical-site infection, and superficial soft tissue) and that was lifelong until implant revision for other groups (device, osteochondral, shoulder instability, pain, late hematogenous infection, and deep soft tissue).A structured core set of local unfavorable events of SA was developed by international consensus to support the standardization of SA safety reporting. Clinical application and scientific evaluation are needed.