title: Anatomic total shoulder arthroplasty for patients receiving workers' compensation.
abstract: BACKGROUND
  Studies have demonstrated that receiving workers' compensation (WC) benefits can be a negative predictor of outcomes after orthopedic procedures. This study compares postoperative outcomes of anatomic total shoulder arthroplasty (TSA) between patients receiving WC benefits and a control group that did not.
  
  
  METHODS
  A cohort of 13 consecutive TSA patients with WC benefits were compared with a control group of 63 consecutive patients with a minimum of 2 years of follow-up during the same period. Patient demographics, American Shoulder and Elbow Surgeons scores, 12-Item Short Form Health Survey scores, return to work status, and time out of work were evaluated.
  
  
  RESULTS
  The WC TSA cohort consisted of 13 men and no women with a mean age of 55.9 years. Twelve of the 13 were laborers. The TSA control group consisted of 36 men and 27 women with a mean age of 63.2 years (P = .01). The American Shoulder and Elbow Surgeons scores at final follow-up were significantly lower in the WC cohort (73.6) compared with the control group (86.6; P = .01). However, the 12-Item Short Form Health Survey physical and mental component summary scores were not significantly different (P = .09 and P = .6). Only 4 of the 13 WC patients returned to work.
  
  
  CONCLUSIONS
  Compared with a non-WC population, patients with WC who received an anatomic TSA are more likely to be male, younger, and a laborer. Outcomes are generally excellent and better than those of other WC shoulder surgery cohorts in the literature; however, the outcomes are relatively worse than in the non-WC TSA patients. A significant number of WC patients are unable to return to work after TSA.
authors.affiliation: Tufts University Medical School, Boston, MA, USA; The New England Baptist Hospital, Boston, MA, USA; Boston Sports and Shoulder Center, Chestnut Hill, MA, USA. Electronic address: andrewjawa@gmail.com.
authors.forename: Andrew
authors.initials: A
authors.lastname: Jawa
authors.affiliation: The New England Baptist Hospital, Boston, MA, USA.
authors.forename: Umer R
authors.initials: UR
authors.lastname: Dasti
authors.affiliation: Boston Sports and Shoulder Center, Chestnut Hill, MA, USA.
authors.forename: Sydney M
authors.initials: SM
authors.lastname: Fasulo
authors.affiliation: Boston Sports and Shoulder Center, Chestnut Hill, MA, USA.
authors.forename: Max H
authors.initials: MH
authors.lastname: Vaickus
authors.affiliation: The New England Baptist Hospital, Boston, MA, USA; Boston Sports and Shoulder Center, Chestnut Hill, MA, USA.
authors.forename: Alan S
authors.initials: AS
authors.lastname: Curtis
authors.affiliation: The New England Baptist Hospital, Boston, MA, USA; Boston Sports and Shoulder Center, Chestnut Hill, MA, USA.
authors.forename: Suzanne L
authors.initials: SL
authors.lastname: Miller
mesh_terms: D000328:Adult; D000368:Aged; D019643:Arthroplasty, Replacement; D016022:Case-Control Studies; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008404:Massachusetts; D008875:Middle Aged; D063868:Patient Outcome Assessment; D012189:Retrospective Studies; D062707:Return to Work; D012785:Shoulder Joint / Q000601:surgery*; D064232:Visual Analog Scale; D014942:Workers' Compensation
keywords: Workers' compensation; disability; osteoarthritis; total shoulder arthroplasty