Long-term corticosteroid use elevates 90-day medical complications but not 5-year surgical complications after shoulder arthroplasty
Year: 2026
Type: article
Study design: Observational Study
Abstract: Background: Long-term corticosteroid (LTC) use is a known risk factor for adverse outcomes after various surgical procedures. However, the impact of LTC use on surgical complications after TSA remains underexplored. This study aims to assess the influence of LTC use on 90-day and 5-year complications following TSA. Methods: A retrospective cohort study utilizing the PearlDiver database was conducted. Patients undergoing primary TSA with a minimum 5-year follow-up were included. LTC users were propensity-matched 1:10 with controls based on demographic variables and comorbidities. Postoperative complications within 90 days of surgery and long-term complications within 5 years were compared between groups. Multivariable logistic regressions were used to compare complications controlling for demographic variables and comorbidities. Results: = 0.001) within 90 days following TSA. No significant differences in 5-year surgical outcomes were observed. Discussion: LTC users are at a heightened risk for 90-day medical complications, including pneumonia and VTE following TSA. However, their 5-year risk of surgical complications was comparable to patients without LTC use.
Source: Shoulder & Elbow
Institutions: Mayo Clinic, Mayo Clinic in Arizona
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7164939655