Quality of Life in Patients Who Have Undergone Reverse Shoulder Arthroplasty

Abstract

Objective:To evaluate the health-related quality of life (HRQoL) of patients who have undergone reverse shoulder arthroplasty (RSA) for rotator cuff arthropathy (RCA).Methods:A retrospective study with 35 patients who underwent RSA from August 2007 to July 2015. We collected clinical data and applied the 36-item Short Form Health Survey (SF-36).Results:Of the 35 patients, 29 (82.9%) were female, and mean age was 75.71 years, ranging from 50 to 89 years. The dominant side was frequently affected (68.6%), and most of the cases were Hamada type 3 (57.1%). The Mackenzie approach was used in 30 patients (85.7%). Physical and mental HRQoL was not associated with severity of RCA before RSA. Lower scores for Physical Functioning, Role Physical, Bodily Pain, and Physical Component Summary (PCS) were associated with other orthopedic comorbidities. Vitality, Role Emotional, Mental Health, and Mental Component Summary (MCS) were significantly higher in patients without depression. Orthopedic comorbidity and depression predicted lower PCS and longer follow-up time predicted better PCS scores. Depression was also a predictor of the MCS.Conclusion:Patients who had undergone RSA for RCA had good HRQoL. Longer follow-up time was associated with better HRQoL. Good results were maintained over the follow-up period. Level of evidence II, retrospective study.

Validation of the RAND 36-Item Health Survey questionnaire in Brazil

“…The SF-36, in both versions 1 and 2, is a general instrument, commonly used to assess health-related quality of life (15,(25)(26)(27) . The SF-36 had been used to measure the HRQoL in healthy individuals, patients with chronic diseases, in rehabilitation, and as a healthrelated measure in the field of occupational health (28)(29)(30)(31)(32)(33)(34) . The SF-36v1 (14) and RAND-36 (13,17) are the same 36-items short form derived from the MOS study (12,13,17) .…”

“…HRQoL is frequently used as an outcome measure that evaluates the quality of care, while the Short Form-36 (SF-36) is a reliable tool that provide good reliability and validity for assessing the individuals' quality of life in different stages of an illness (3)(4)(5)(6)(7)(8)(9)(10)(11) . In August 2021, a search in PubMed (https://www.ncbi.nlm.nih.gov) database using the term "SF 36" retrieved 92,145 articles.…”