A worldwide cross-sectional survey seeks the current global practice patterns on perioperative management in elective shoulder replacement surgery
Abstract
Background Perioperative management in elective shoulder arthroplasty varies widely, with no universal consensus on best practices. This study aimed to characterize current global standards of perioperative care, including pre-operative, intraoperative, and post-operative management, among orthopedic surgeons performing elective shoulder replacement surgery, with the aim of contributing to a global standard of care. Methods A comprehensive online questionnaire was designed and anonymously distributed to orthopedic societies on each continent. Participants were cross-sectionally surveyed with the goal of identifying current global pre-operative, intraoperative, and post-operative practices in patient care and discharge management. Results Eighteen societies from 5 continents participated in the survey. A total of 977 orthopedic surgeons completed the online questionnaire. The data analysis reveals that routine pre-operative advanced imaging studies are not standard with either computed tomography scan (50%) or magnetic resonance imaging scan (39%) preferred. Pre-operative planning software was not routinely used (31%). A chlorhexidine wash is part of the presurgical preparation for 52% of participants, but 23% do no prewash. Beach-chair or lazy beach-chair is the preferred surgical position (99%), and the deltopectoral approach remains the most standard approach (91%). Perioperative antibiotic use is nearly universal (99%), whereas routine tranexamic acid use remains moderate…
Read the paper
Related studies
- Understanding the factors influencing fall armyworm (Spodoptera frugiperda J.E. Smith) damage in African smallholder maize fields and quantifying its impact on yield. A case study in Eastern Zimbabwe
- Alarming situation of emerging H5 and H7 avian influenza and effective control strategies
- Livestock and food security: vulnerability to population growth and climate change
- Atmosphere–ocean oxygen and productivity dynamics during early animal radiations
- Characterization of the global distribution and diversified plasmid reservoirs of the colistin resistance gene mcr-9
- The global seroprevalence of Toxoplasma gondii in pigs: A systematic review and meta-analysis
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.