Margin convergence: a method of reducing strain in massive rotator cuff tears.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 16. BMC Musculoskelet Disord. 2024 Dec 4;25(1):992. doi: 10.1186/s12891-024-08099-1. Understanding preoperative health-related quality of life in rotator cuff tear patients: role of patients' characteristics. Brune D(1)(2), Stojanov T(3)(4)(5), Müller AM(4), Weibel D(6)(7), Hunziker S(8), Erdbrink S(9); ARCR_Pred Study Group; Audigé L(3)(4)(10). Collaborators: Rosso C, Akgün D, Weiss I, Samaniego E, Suter T, Müller SA, Saner M, Haag-Schumacher C, Dao Trong ML, Buitrago-Tellez C, Hasler J, Riede U, Moor B, Biner M, Gallusser N, Spormann C, Hansen B, Durchholz H, Cunningham G, Lädermann A, Schä M, Egli R, Gerber K, Lombardo P, Weihs J, Flury M, Berther R, Ehrmann C, Hübscher L, Schwappach D, Eid K, Bensler S, Fritz Y, Benninger E, Grimm P, Pisan M, Scheibel M, Jong M, Diermayr S, Etter M, Freislederer F, Glanzmann M, Grobet C, Jung C, Moro F, Ringer R, Schätz J, Schwyzer HK, Wehrli M, Wirth B, Candrian C, Del Grande F, Feltri P, Filardo G, Marbach F, Schönweger F, Jost B, Badulescu M, Lüscher S, Napieralski F, Öhrström L, Olach M, Rechsteiner J, Scheler J, Spross C, Zdravkovic V, Zumstein MA, Hayoz A, Müller-Lebschi J, Wieser K, Borbas P, Bouaicha S, Camenzind R, Catanzaro S, Gerber C, Grubhofer F, Hasler A, Hochreiter B, Marcus R, Selman F, Sutter R, Wyss S, Appenzeller-Herzog C, Aghlmandi S, Baum C, Eckers F, Grezda K, Hatz S, Taha M, Tamborrini-Schütz G. Author information: (1)Schulthess Klinik, Research and Development Department - Shoulder and Elbow Surgery, Zurich, Switzerland. daniela.brune@kws.ch. (2)Faculty of Psychology, UniDistance Suisse, Brig, Switzerland. daniela.brune@kws.ch. (3)Schulthess Klinik, Research and Development Department - Shoulder and Elbow Surgery, Zurich, Switzerland. (4)Department of Orthopedic Surgery and Traumatology, University Hospital Basel, Basel, Switzerland. (5)Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel and University of Basel, Basel, Switzerland. (6)Faculty of Psychology, UniDistance Suisse, Brig, Switzerland. (7)Department of Psychology, University of Bern, Bern, Switzerland. (8)Medical Communication and Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland. (9)Department of Orthopaedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. (10)Surgical Outcome Research Center, University Hospital Basel, University of Basel, Basel, Switzerland. BACKGROUND: Assessing health-related quality of life (HRQoL) is a widely employed method in orthopedics to evaluate patient well-being and measure the effectiveness of surgical interventions. Understanding the relationship between specific baseline factors and preoperative HRQoL can help clinicians identify patients at risk for low quality of life and thus, develop preventive strategies that adequately address individual patient needs. The objective was to assess associations between baseline factors and preoperative HRQoL in patients undergoing arthroscopic rotator cuff repair (ARCR). METHODS: This study is part of a multicenter prospective Swiss cohort study that included patients undergoing ARCR between June 2020 and November 2021. Data were derived from baseline and surgery forms. HRQoL was assessed using the European Quality of Life 5-Dimension 5-Level (EQ-5D-5L) questionnaire to calculate EQ-5D index and EQ VAS scores. Univariable and multivariable linear regression models examined associations between the 21 factors and preoperative HRQoL. Final models were determined using stepwise backward regression. RESULTS: A total of 973 included patients (mean age [SD], 57.3 [9.4] years; 611 men [63%]) had a mean [SD] EQ-5D index and EQ VAS of 0.70 [0.23] and 68.7 [19.8], respectively. Being male (regression coefficient (β), 0.05; 95% CI [0.02-0.08]), having a higher age (β, 0.02; 95% CI [0.01-0.03]) and higher education levels (e.g., university, college: β, 0.11; 95% CI [0.06-0.16]) were associated with a higher EQ-5D index. Increased body mass index (β, -0.02; 95% CI [-0.04 to -0.01]) and worse sleep quality (β, -0.03; 95% CI [-0.04 to -0.03]) were associated with a lower EQ-5D index. Factors negatively associated with overall EQ VAS health were depression (e.g., moderate: β, -12.70; 95% CI [-16.18 to -9.21]), presence of at least one comorbidity (β, -3.71; 95% CI [-5.91 to -1.52]), and pain (β, -1.81; 95% CI [-2.36 to -1.26]). CONCLUSION: Our results suggest that preoperative HRQoL is highly associated with sociodemographic and patient-related factors. Specifically addressing these factors may improve orthopedic care. © 2024. The Author(s). DOI: 10.1186/s12891-024-08099-1 PMCID: PMC11619111