There were also no significant between-group differences over @ years in the mean SF-@ physical component score ( surgical group : @ points higher -LSB- @ % CI , -@ to @ points -RSB- ; P = @ ) ; the mean SF-@ mental component score ( surgical group : @ points lower -LSB- @ % CI , -@ to @ points -RSB- ; P = @ ) ; complications related to surgery or shoulder fracture ( @ patients in surgical group vs @ patients in nonsurgical group ; P = @ ) , requiring secondary surgery to the shoulder ( @ patients in both groups ) , and increased or new shoulder-related therapy ( @ patients vs @ patients , respectively ; P = @ ) ; and mortality ( @ patients vs @ patients ; P = @ ) .