Patient-Reported Outcomes Calculator for TSA Patients

Directions:

Fill in all information as accurately as possible. The Patient-Reported Outcomes prediction at the top of the 'Patient Outcome' page reflect the current configuration of the questions on all pages. These will be updated in real-time as answers are changed.

Current age (in years)

Sex

Race

Height

feet

inches

Weight (lbs.)

Charlson Comorbidity Index

Smoking Status

Years of Education

Area Deprivation Index (National Rank) Check out the ADI here.

Insurance Status

VR-12 Mental Component Score

Psychiatric Diagnosis

Opioid Use

Chronic Pain

Prior Surgery on the Same Shoulder

Diagnosis Implant

Glenoid Bone Loss

Humeral Component

Superior-Posterior Cuff Repair

The 1-year predictions will be updated automatically in this table as you input patient's current PSS Total score below.

Do you know patient's current PSS Total score?

Yes No

Current PSS Total score:

PSS Total

Part I: Pain & Satisfaction: Please circle the number closest to your level of pain or satisfaction

Part II: Function: Please circle the number that best describes the level of difficulty you might have performing each activity.

Reach the small of your back to tuck in your shirt with your hand.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Wash the middle of your back/hook bra.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Perform necessary toileting activities.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Wash the back of opposite shoulder.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Comb hair.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Place hand behind head with elbow held straight out to the side.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Dress self (including put on coat and pull shirt of overhead).

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Sleep on affected side.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Open a door with affected side.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Carry a bag of groceries with affected arm.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Carry a briefcase/small suitcase with affected arm.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Place a soup can (1-2 lbs.) on a shelf at shoulder level without bending elbow.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Place a one gallon container (8-10 lbs.) on a shelf at shoulder level without bending elbow.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Reach a shelf above your head without bending your elbow.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Place a soup can (1-2 lbs.) on a shelf overhead without bending your elbow.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Place a one gallon container (8-10 lbs.) on a shelf overhead without bending your elbow

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Perform usual sport/hobby.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Perform household chores (cleaning, laundry, cooking).

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Throw overhand/swim/overhead racquet sports.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

Work full-time at your regular job.

No difficulty Some difficulty Much difficulty Can't do at all Did not do before injury

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