Effect of Medical Comorbidity on Self-Assessed Pain, Function, and General Health Status After Rotator Cuff Repair

2006 ◽  
Vol 88 (3) ◽  
pp. 536 ◽  
Author(s):  
Robert Z. Tashjian
Keyword(s):  
Health Status ◽  
Rotator Cuff ◽  
General Health ◽  
Rotator Cuff Repair ◽  
Medical Comorbidity ◽  
General Health Status ◽  
Cuff Repair

scholarly journals Tear size, general health status and smoking influence functional outcome at 5 years following arthroscopic rotator cuff repair

2021 ◽  
pp. 175857322110416
Author(s):  
Olivia Lawson ◽  
Jaimie A Nicholson ◽  
Nicholas D Clement ◽  
Will Rudge ◽  
Deborah J MacDonald ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Rotator Cuff ◽  
Functional Outcome ◽  
General Health ◽  
Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff Repair ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair ◽  
Tear Size

Introduction There is limited medium-term outcome data regarding the predictors of functional outcome and patient satisfaction after arthroscopic rotator cuff repair. Methods 287 patients that underwent arthroscopic rotator cuff repair under a high-volume single surgeon were contacted at a minimum of 4 years following surgery. Patient demographics, tear size and co-morbidities were pre-operatively recorded. The Oxford shoulder score, EuroQol 5-dimensional score and patient satisfaction were recorded at final follow-up. Results 234 (81.5%) patients completed follow-up at a mean of 5.5 (4–9) years. There were 126 males and 108 females with a mean age of 60 (range 25–83) years. The majority of patients ( n = 211, 90%) were satisfied with their final outcome. Multivariate linear regression analysis ( R2 = 0.64) identified that increasing tear size ( p = 0.04), worsening general health assessed by the EuroQol 5-Dimensional ( p < 0.001), and smoking ( p = 0.049) were associated with a worse Oxford shoulder score. Logistic regression analysis ( R2 = 0.13) identified that worsening general health assessed by the EuroQol 5-Dimensional ( p < 0.001), and smoking ( p = 0.01) were associated with an increased risk of patient dissatisfaction. Conclusion General health status and smoking are independent predictors of functional outcome and patient satisfaction at medium-term follow-up following arthroscopic rotator cuff repair.

scholarly journals Recall Bias in Retrospective Assessment of Preoperative Patient Reported Outcomes

2019 ◽  
Vol 7 (7_suppl5) ◽  
pp. 2325967119S0033
Author(s):  
Matthew J. Gotlin ◽  
Samuel Baron ◽  
Matthew T. Kingery ◽  
Joseph McCafferty ◽  
Medical Student ◽  
...  
Keyword(s):  
Health Status ◽  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Patient Reported Outcomes ◽  
Arthroscopic Rotator Cuff Repair ◽  
Orthopedic Procedures ◽  
Recall Bias ◽  
Patient Reported ◽  
Arthroscopic Rotator Cuff ◽  
Cuff Repair

Objectives: Patient reported outcomes (PROs) are measures of function, disability, and health status that may offer a unique assessment of provider quality and performance. The gold-standard method for collecting PROs is the prospective assessment of preoperative to postoperative change. This requires data collection before an intervention and then again after the intervention. This method is not always feasible due to unforeseen cases or emergencies, logistical and infrastructure barriers, and cost issues. In such cases a retrospective approach serves as a potential alternative. In this model, a patient is asked to complete an assessment about their perceived preoperative status during a time period sometime after the surgery. Although this method has its advantages, there is a particular risk of recall bias. There are conflicting conclusions regarding the reliability of the recalled preoperative PROs after orthopedic procedures. The aim of our study was to assess the agreement between prospectively and retrospectively collected PROs for a common, low-risk procedure. Methods: Patients that underwent arthroscopic rotator cuff repair between May 2012 and September 2017 at the study institution were identified. Inclusion criteria consisted of primary arthroscopic rotator cuff repair and preoperative prospectively collected American Shoulder and Elbow Surgeons Standard Shoulder Assessment Form (ASES) scores. All of the patients completed the ASES form preoperatively at their pre-assessment appointment. Patients were then contacted in the postoperative period and asked to recall their preoperative condition while completing another ASES form. Results: Seventy-one patients were included in this analysis (mean age 56.18 ± 10.48 years). The mean duration of symptoms from initial onset to the time of surgery was 8.54 ± 9.28 months. There was an average of 37.53 ± 17.02 months between the preoperative ASES and the recall ASES. Recall ASES scores were significantly lower than preoperative ASES scores (31.65 ± 16.87 vs 50.92 ± 19.57, p < 0.001). Less severe preoperative shoulder dysfunction was predictive of a greater difference between preoperative ASES and recall ASES (β = -0.60, R2 = 0.350, p < 0.001) (see Figure). Each 10-point increase in preoperative ASES score was predictive of a 6.04 point greater mismatch between preoperative and recall ASES. Likewise, a longer symptomatic period prior to surgery was associated with a greater ASES mismatch (R2 = 0.063, p = 0.029). The duration of time between surgery and recall was not a significant predictor of a difference between preoperative and recall ASES. Conclusion: This study demonstrated that there is poor agreement between prospectively and retrospectively collected preoperative PROs in the setting of rotator cuff surgery. Patient’s recalled ASES scores were significantly lower than their prospectively recorded ASES scores. This could lead to an overestimation of perceived benefit or effectiveness of the intervention. Our data supports prior studies that demonstrated that retrospective PROs are subject to recall bias and have been found to produce more favorable results than prospectively monitored health status data from the same patient. Our study supports the use of prospectively collected PROs and retrospective PROs should only be used in situations where baseline assessments are not possible.

CONCURRENT VALIDITY OF PATIENT RATING SCALES IN ASSESSMENT OF OUTCOME AFTER ROTATOR CUFF REPAIR

2000 ◽  
Vol 04 (02) ◽  
pp. 119-127 ◽  
Author(s):  
Tajedin Y. Getahun ◽  
Joy C. MacDermid ◽  
Stuart D. Patterson
Keyword(s):  
Rotator Cuff ◽  
Upper Extremity ◽  
General Health ◽  
Rotator Cuff Repair ◽  
Concurrent Validity ◽  
Worker's Compensation ◽  
Worker’S Compensation ◽  
Sf 36 ◽  
Compensation Status ◽  
Cuff Repair

The purpose of this study was to compare the concurrent validity of four questionnaires in the assessment of outcome after rotator cuff repair. Sixty-two patients, who were at least two years post-rotator-cuff repair, completed three upper extremity scales: the Western Ontario Rotator Cuff (WORC) index, the Disabilities of the Arm, Shoulder and Hand (DASH) and the Simple Shoulder Test (SST), and a measure of general health status (SF-36). Internal and external rotation ranges of motion and isometric strength were measured. Pearson correlations were used to evaluate the construct whereby scores should be related to the severity of measured impairments. One-way ANOVA was used to determine the ability of the questionnaires to discriminate between groups expected to have different outcomes based on measured impairment or worker's compensation status. The upper extremity questionnaires demonstrated similar response distributions and were highly correlated (0.88 < r < 0.91). The response distribution of the SF-36 was different from the other scales and its correlation with them was moderate (0.58 < r < 0.75). The upper extremity measures demonstrated better correlations with measured impairments (0.18 < r < 0.56) than the SF-36 (0 < r < 0.40). All the questionnaires were able to discriminate between levels of impairment and worker's compensation status. This study supported the validity of upper extremity scales to measure cuff-related disability and suggests that the use of both specific and general health measures provides a more comprehensive evaluation of patient outcome.

Advantages and Techniques of Utilizing Anterolateral Portal in Delaminated Rotator Cuff Repair

2014 ◽  
Vol 23 (03) ◽  
pp. 170-173
Author(s):  
Prithviraj Chavan ◽  
Todd K. Gothelf ◽  
Keith M. Nord ◽  
William H. Garrett ◽  
Keith D. Nord
Keyword(s):  
Rotator Cuff ◽  
Rotator Cuff Repair ◽  
Anterolateral Portal ◽  
Cuff Repair

Aircraft Noise Levels, Annoyance and General Health of Residents of Communities contiguous to a Major Airport in Lagos State

2020 ◽  
Vol 8 (4) ◽  
pp. 47-59
Author(s):  
Iheanyichukwu M. Elechi
Keyword(s):  
Health Status ◽  
General Health ◽  
Noise Exposure ◽  
Aircraft Noise ◽  
Poor Health ◽  
Noise Levels ◽  
General Health Status ◽  
Lagos State ◽  
Distant Location ◽  
Self Reported Health Status

The purpose of this study was to investigate the relationship between the aircraft noise exposure, annoyance reactions and health status of the residents living within the vicinity of the Murtala Muhammed International Airport (MMA) in Lagos state, Nigeria. Aircraft noise monitoring was conducted in five locations within the vicinity (0-5Km) of MMA, and a sixth distant location (14km away). Levels of aircraft noise for all five locations within the vicinity of the airport exceeded the EPA Victoria threshold of 75 dB LAmax for the residential area (outdoor). A survey on annoyance induced by aircraft noise exposure and general health status was conducted on 450 local residents in the study locations using the International Commission on Biological Effect of Noise question and a single question that has been applied in Dutch national health care surveys since 1983 on self-reported general health status respectively. Percentage of residents within the vicinity of MMA that were highly annoyed (%HA) exceeded 15% guideline limit stipulated by Federal Interagency Committee on Urban Noise while 14.5% reported poor health status. There was a significant association between the annoyance reactions and aircraft noise levels in the study locations while the association between self-reported health status and aircraft noise levels was not significant. Taken together, the residents within the vicinity of the airport are exposed to aircraft noise levels above permissible limit which may be associated with high annoyance reaction but may not be associated with poor health rating. Evidence-based aircraft noise related policies by government are advocated.

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