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International Orthopaedics

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01-02-2016 | Original Paper

Predictors of disease-specific quality of life after arthroscopic rotator cuff repair

Authors: Arjen Kolk, Nienke Wolterbeek, Kiem Gie Auw Yang, Jacco A. C. Zijl, Ronald N. Wessel

Published in: International Orthopaedics | Issue 2/2016

Abstract

Purpose

Disease-specific instruments of quality of life (QOL) are more sensitive to disease-specific changes. The purpose of this study is to identify prognostic factors for disease-specific QOL after all-arthroscopic rotator cuff (RC) repair using the Western Ontario Rotator Cuff Index (WORC).

Methods

A total of 140 patients were evaluated after an RC repair with a mean follow-up of 22 ± 6.7 months. Evaluations included the WORC, EQ-5D and anchor questions. Preoperative patient demographics and radiologic characteristics were assessed to identify predictors of disease-specific QOL.

Results

Most patients (81.4 %) were satisfied with their surgical result. Minor tear retraction (odds ratio [OR] 2.97, p = 0.030), male gender (OR 3.67, p = 0.003), no social benefits (OR 3.67, p = 0.042) and pre-surgical complaints for more than six months (OR 3.03, p = 0.021) were independent predictors for superior postoperative WORC score in multivariable analysis. None of these factors were predictive for a higher EQ-5D score.

Conclusion

These findings highlight the important impact of retraction on QOL after RC repair and underline the utility of disease-specific instruments. Future studies should focus on how these significant predictors can be used to improve decision making and to develop new treatment approaches.

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Boileau P, Brassart N, Watkinson DJ, Carles M, Hatzidakis AM, Krishnan SG (2005) Arthroscopic repair of full-thickness tears of the supraspinatus: does the tendon really heal? J Bone Joint Surg Am 87(6):1229–1240. doi:10.2106/JBJS.D.02035 CrossRefPubMed

Cho NS, Rhee YG (2009) The factors affecting the clinical outcome and integrity of arthroscopically repaired rotator cuff tears of the shoulder. Clin Orthop Surg 1(2):96–104. doi:10.4055/cios.2009.1.2.96 PubMedCentralCrossRefPubMed

Chung SW, Oh JH, Gong HS, Kim JY, Kim SH (2011) Factors affecting rotator cuff healing after arthroscopic repair: osteoporosis as one of the independent risk factors. Am J Sports Med 39(10):2099–2107. doi:10.1177/0363546511415659 CrossRefPubMed

Chung SW, Park JS, Kim SH, Shin SH, Oh JH (2012) Quality of life after arthroscopic rotator cuff repair: evaluation using SF-36 and an analysis of affecting clinical factors. Am J Sports Med 40(3):631–639. doi:10.1177/0363546511430309 CrossRefPubMed

Fermont AJ, Wolterbeek N, Wessel RN, Baeyens JP, de Bie RA (2014) Prognostic factors for successful recovery after arthroscopic rotator cuff repair: a systematic literature review. J Orthop Sports Phys Ther 44(3):153–163. doi:10.2519/jospt.2014.4832 CrossRefPubMed

Gulotta LV, Nho SJ, Dodson CC, Adler RS, Altchek DW, MacGillivray JD (2011) Prospective evaluation of arthroscopic rotator cuff repairs at 5 years: part II—prognostic factors for clinical and radiographic outcomes. J Shoulder Elb Surg 20(6):941–946. doi:10.1016/j.jse.2011.03.028 CrossRef

Boissonnault WG, Badke MB, Wooden MJ, Ekedahl S, Fly K (2007) Patient outcome following rehabilitation for rotator cuff repair surgery: the impact of selected medical comorbidities. J Orthop Sports Phys Ther 37(6):312–319. doi:10.2519/jospt.2007.2448 CrossRefPubMed

Poolman RW, Swiontkowski MF, Fairbank JC, Schemitsch EH, Sprague S, de Vet HC (2009) Outcome instruments: rationale for their use. J Bone Joint Surg Am 91(Suppl 3):41–49. doi:10.2106/JBJS.H.01551 PubMedCentralCrossRefPubMed

Kirkley A, Alvarez C, Griffin S (2003) The development and evaluation of a disease-specific quality-of-life questionnaire for disorders of the rotator cuff: the Western Ontario Rotator Cuff Index. Clin J Sport Med 13(2):84–92. doi:10.1097/00042752-200303000-00004 CrossRefPubMed

10.

Chung SW, Kim JY, Kim MH, Kim SH, Oh JH (2013) Arthroscopic repair of massive rotator cuff tears: outcome and analysis of factors associated with healing failure or poor postoperative function. Am J Sports Med 41(7):1674–1683. doi:10.1177/0363546513485719 CrossRefPubMed

11.

Goutallier D, Postel JM, Bernageau J, Lavau L, Voisin MC (1994) Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res 304:78–83

12.

Slabaugh MA, Friel NA, Karas V, Romeo AA, Verma NN, Cole BJ (2012) Interobserver and intraobserver reliability of the Goutallier classification using magnetic resonance imaging: proposal of a simplified classification system to increase reliability. Am J Sports Med 40(8):1728–1734. doi:10.1177/0363546512452714 CrossRefPubMed

13.

Thomazeau H, Boukobza E, Morcet N, Chaperon J, Langlais F (1997) Prediction of rotator cuff repair results by magnetic resonance imaging. Clin Orthop Relat Res 344:275–283CrossRefPubMed

14.

Wessel RN, Lim TE, van Mameren H, de Bie RA (2011) Validation of the Western Ontario Rotator Cuff index in patients with arthroscopic rotator cuff repair: a study protocol. BMC Musculoskelet Disord 12:64. doi:10.1186/1471-2474-12-64 PubMedCentralCrossRefPubMed

15.

Wessel RN, Wolterbeek N, Fermont AJ, van Mameren H, Sonneveld H, Griffin S, de Bie RA (2013) The conceptually equivalent Dutch version of the Western Ontario Rotator Cuff Index (WORC). BMC Musculoskelet Disord 14(1):362. doi:10.1186/1471-2474-14-362 PubMedCentralCrossRefPubMed

16.

EuroQol Group (1990) EuroQol—a new facility for the measurement of health-related quality of life. Health Policy 16(3):199–208CrossRef

17.

Lamers LM, Stalmeier PF, McDonnell J, Krabbe PF, van Busschbach JJ (2005) Measuring the quality of life in economic evaluations: the Dutch EQ-5D tariff. Ned Tijdschr Geneeskd 149(28):1574–1578PubMed

18.

de Vet HC, Ostelo RW, Terwee CB, van der Roer N, Knol DL, Beckerman H, Boers M, Bouter LM (2007) Minimally important change determined by a visual method integrating an anchor-based and a distribution-based approach. Qual Life Res 16(1):131–142. doi:10.1007/s11136-006-9109-9 PubMedCentralCrossRefPubMed

19.

Kim JR, Cho YS, Ryu KJ, Kim JH (2012) Clinical and radiographic outcomes after arthroscopic repair of massive rotator cuff tears using a suture bridge technique: assessment of repair integrity on magnetic resonance imaging. Am J Sports Med 40(4):786–793. doi:10.1177/0363546511434546 CrossRefPubMed

20.

Carbonel I, Martinez AA, Calvo A, Ripalda J, Herrera A (2012) Single-row versus double-row arthroscopic repair in the treatment of rotator cuff tears: a prospective randomized clinical study. Int Orthop 36(9):1877–1883. doi:10.1007/s00264-012-1559-9 PubMedCentralCrossRefPubMed

21.

Lubiatowski P, Kaczmarek P, Dzianach M, Ogrodowicz P, Breborowicz M, Dlugosz J, Lisiewicz E, Romanowski L (2013) Clinical and biomechanical performance of patients with failed rotator cuff repair. Int Orthop 37(12):2395–2401. doi:10.1007/s00264-013-2024-0 PubMedCentralCrossRefPubMed

22.

Dunbar MJ, Richardson G, Robertsson O (2013) I can’t get no satisfaction after my total knee replacement: rhymes and reasons. Bone Joint J 95-B(11 Suppl A):148–152. doi:10.1302/0301-620X.95B11.32767 CrossRefPubMed

23.

Razmjou H, Davis AM, Jaglal SB, Holtby R, Richards RR (2011) Disability and satisfaction after rotator cuff decompression or repair: a sex and gender analysis. BMC Musculoskelet Disord 12:66. doi:10.1186/1471-2474-12-66 PubMedCentralCrossRefPubMed

24.

McRae S, Leiter J, Walmsley C, Rehsia S, Macdonald P (2011) Relationship between self-reported shoulder function/quality of life, body mass index, and other contributing factors in patients awaiting rotator cuff repair surgery. J Shoulder Elb Surg 20(1):57–61. doi:10.1016/j.jse.2010.06.011 CrossRef

25.

Wu XL, Briggs L, Murrell GA (2012) Intraoperative determinants of rotator cuff repair integrity: an analysis of 500 consecutive repairs. Am J Sports Med 40(12):2771–2776. doi:10.1177/0363546512462677 CrossRefPubMed

26.

Nho SJ, Brown BS, Lyman S, Adler RS, Altchek DW, MacGillivray JD (2009) Prospective analysis of arthroscopic rotator cuff repair: prognostic factors affecting clinical and ultrasound outcome. J Shoulder Elb Surg 18(1):13–20. doi:10.1016/j.jse.2008.05.045 CrossRef

27.

Steenbrink F, de Groot JH, Veeger HE, van der Helm FC, Rozing PM (2009) Glenohumeral stability in simulated rotator cuff tears. J Biomech 42(11):1740–1745. doi:10.1016/j.jbiomech.2009.04.011 CrossRefPubMed

Title: Predictors of disease-specific quality of life after arthroscopic rotator cuff repair
Authors: Arjen Kolk
Nienke Wolterbeek
Kiem Gie Auw Yang
Jacco A. C. Zijl
Ronald N. Wessel
Publication date: 01-02-2016
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 2/2016
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-015-2996-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Predictors of disease-specific quality of life after arthroscopic rotator cuff repair

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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