AAOS Registry Program Blog

Shoulder & Elbow Registry 2022 Annual Report Highlights

Oct 7, 2022 7:00:00 AM

SER 2022 Annual Report Cover

The American Academy of Orthopaedic Surgeons (AAOS) is pleased to announce the availability of the Shoulder & Elbow Registry (SER) 2022 Annual Report. This is the third SER Annual Report and reflects data related to procedures performed at SER participating institutions between 2015 and 2021. The identification and analysis of relevant and impactful data helps to improve the quality of patient care as it relates to the upper extremity by tracking procedural trends and revisions and supporting orthopaedic care and best practices. The report analyzes 17,617 patient procedures from 299 surgeons at 140 participating facilities including hospitals, private practices, and ambulatory surgery centers spanning 40 states across the US.

Shoulder Arthroplasty

There were 10,302 shoulder arthroplasty procedures submitted to the SER dating 2015-2021. Of the total shoulder arthroplasty procedures, most were reverse total shoulder arthroplasty (52.2%) (Figure 2.1).

 Figure 2.1 Distribution of Shoulder Arthroplasty Procedures 2015-2021 N=10,302
The sex distribution for shoulder arthroplasty procedures varied by age group (Figure 2.3). However, there was a decreasing trend in the proportion of males undergoing a shoulder arthroplasty with each increasing decade of life (Figure 2.3).
 Figure 2.3 Sex Distribution for All Shoulder Arthroplasty Procedures by Age Group 2015-2021 N=9,226
The most frequent primary diagnosis for total shoulder arthroplasty procedures was "other and unspecified osteoarthritis," which includes primary, secondary, and post-traumatic osteoarthritis (Figure 2.6a; Figure 2.6b). Rotator cuff tear was the second larges primary diagnosis for reverse total shoulder arthroplasty (18.1%) (Figure 2.6b).
Figure 2.6a Primary Diagnosis for Anatomic Total Shoulder Arthroplasty Procedures 2015-2021 N=3,217
Figure 2.6b Primary Diagnosis for Reverse Total Shoulder Arthroplasty Procedures 2015-2021 N=5,192

Rotator Cuff Repair

There were 6,724 procedures submitted to the SER rotator cuff repair module dating 2015-2021. These procedures were categorized as arthroscopic rotator cuff repair, open rotator cuff repair, open rotator cuff repair w/acromioplasty, and other shoulder procedure, all defined by CPT codes (Table 3.1).

Table 3.1 Frequency and Age of Rotator Cuff Procedures by Group Type 2015-2021


Reach out to Learn More and Get Started with SER

  • Participating surgeons receive personal data on procedure, post-op, and patient-reported outcome measures dashboards that provide national benchmarking
  • Surgeons can obtain American Board of Orthopaedic Surgery Maintenance of Certification credit for utilizing the dashboards
  • As a Qualified Clinical Data Registry, SER qualifies for quality and accreditation programs including Centers for Medicare & Medicaid Services Merit-based Incentive Payment System Promoting Interoperability and Det Norske Veritas Healthcare orthopaedic certifications
  • The Registry Program advocates for your specialty by contributing available information on shoulder and elbow procedures and providing actionable data


Download the SER 2022 Annual Report Now


Topics: Shoulder and Elbow

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This blog was created by the American Academy of Orthopaedic Surgeons (AAOS) Registry Program as part of our commitment to improve orthopaedic care through the collection, analysis, and reporting of actionable data. Our purpose is to communicate with others in the orthopaedic field who share the same commitment. Watch for news alerts, quick tips, actionable checklists, best practices, and research findings posted to this blog. Whether you are a participating site in one or more AAOS Registry or thinking about joining the Registry Program, this blog will provide current and ongoing Registry updates and decision support.

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  • Friday, October 7, 2022 - Shoulder & Elbow Registry 2022 Annual Report Highlights


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As a health care provider of orthopaedic services, you can access information about joining the AAOS Registry Program and RegistryInsights by visiting www.aaos.org/registries or speaking with a Registry Engagement Associate at (847) 292-0530.  

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