Authors: Arjen Kolk Nienke Wolterbeek Kiem Gie Auw Yang Jacco A C Zijl Ronald N Wessel
Publish Date: 2015/10/27
Volume: 40, Issue: 2, Pages: 323-329
Abstract
Diseasespecific instruments of quality of life QOL are more sensitive to diseasespecific changes The purpose of this study is to identify prognostic factors for diseasespecific QOL after allarthroscopic rotator cuff RC repair using the Western Ontario Rotator Cuff Index WORCA total of 140 patients were evaluated after an RC repair with a mean followup of 22 ± 67 months Evaluations included the WORC EQ5D and anchor questions Preoperative patient demographics and radiologic characteristics were assessed to identify predictors of diseasespecific QOLMost patients 814 were satisfied with their surgical result Minor tear retraction odds ratio OR 297 p = 0030 male gender OR 367 p = 0003 no social benefits OR 367 p = 0042 and presurgical complaints for more than six months OR 303 p = 0021 were independent predictors for superior postoperative WORC score in multivariable analysis None of these factors were predictive for a higher EQ5D scoreThese findings highlight the important impact of retraction on QOL after RC repair and underline the utility of diseasespecific instruments Future studies should focus on how these significant predictors can be used to improve decision making and to develop new treatment approachesAll procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable standards
Keywords: