Alcohol Abuse, Morbid Obesity, Depression, Congestive Heart Failure, and Chronic Pulmonary Disease are Risk Factors for 90-Day Readmission After Arthroscopic Rotator Cuff Repair

Grewal, Gagan; Polisetty, Teja S.; Cannon, Dylan; Ardeljan, Andrew D.; Vakharia, Rushabh M.; Rodriguez, Hugo C.; Levy, Jonathan C.

doi:10.1016/j.asmr.2022.06.015

Cited by 3 publications

(4 citation statements)

References 63 publications

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“…The subsequent comprehensive review of the full texts of the remaining 25 studies resulted in the exclusion of 14 more studies. Finally, we conducted our meta-analysis with data from 11 retrospective studies (Fig 1) [17][18][19][20][21][22][23][24][25][26][27].…”

Section: Resultsmentioning

confidence: 99%

Impact of obesity on outcomes of rotator cuff repair: A systematic review and meta-analysis

Ma,

Shen,

Wan

2024

PLoS ONE

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Background To synthesize the existing evidence on the association between obesity and rotator cuff repair outcomes such as pain, shoulder function, range of motion, and complications. Methods We searched PubMed, EMBASE, and Scopus databases for relevant observational studies (cohort and case-control) and randomized controlled trials (RCTs). The target population in the included studies comprised adults who had undergone rotator cuff repair procedures. The outcomes of interest were functional outcomes (such as range of motion), pain scores, patient-reported outcome measures, and complication rates (such as re-repair and readmission rates). We applied random-effects models and calculated pooled effect sizes reported as standardized mean differences (SMDs) or relative risks (RRs) with 95% confidence intervals. Results We analysed data from 11 studies. In most, the follow-up periods ranged from 12 to 60 months. Obese individuals experienced greater pain (SMD 0.30; 95% CI, 0.10, 0.50) and lower shoulder function (SMD -0.33; 95% CI, -0.54, -0.12) than other individuals in the long-term post-operative follow-up. Obese individuals also had higher risks of complications (RR 1.48; 95% CI, 1.11, 1.98) and readmission (RR 1.35; 95% CI, 1.27, 1.43), but a similar likelihood of re-repair (RR, 1.27; 95% CI, 0.82, 1.95) than non-obese/normal BMI individuals. While the forward flexion and external rotation functions were comparable, obese individuals displayed less internal rotation function than other individuals (SMD -0.59; 95% CI, -0.87, -0.30). Conclusion Obesity was associated with unfavourable outcomes after rotator cuff surgery, including increased pain, reduced shoulder function, high risks of complications, and readmission. These findings emphasize the importance of addressing obesity-related factors to improve post-operative outcomes.

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Section: Resultsmentioning

confidence: 99%

Impact of obesity on outcomes of rotator cuff repair: A systematic review and meta-analysis

Ma,

Shen,

Wan

2024

PLoS ONE

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“…However, patients' age, tissue structure, natural history, comorbidities, multiple medications, and anesthesia tolerance influence its success. 5 In turn, for people over age 65, the probability of success decreases considerably, presenting re-rupture rates close to 70%, mainly associated with degenerative findings in magnetic resonance imaging scans. 6 …”

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confidence: 99%

Nonsurgical Management of Shoulder Pain in Rotator Cuff Tears: Ultrasound-Guided Biceps Tenotomy Combined With Corticosteroid Injection

García,

Droppelmann,

Oliver

et al. 2024

Arthroscopy Techniques

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“…Often, the injury involves patients of older age and is associated with a reduced quality of life. 2,3 Conservative management is first-line treatment; however, surgical intervention may be warranted to relieve pain and improve function. Over 250,000 RCT surgical repairs occur annually, and despite technical advances, the failure rate of tendon-to-bone healing is reported at 17% to 94%.…”

mentioning

confidence: 99%

“…The etiology of RCT is often due to direct trauma or age-related degeneration of the shoulder musculature. Often, the injury involves patients of older age and is associated with a reduced quality of life 2,3 . Conservative management is first-line treatment; however, surgical intervention may be warranted to relieve pain and improve function.…”

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confidence: 99%

Artificial Intelligence and Machine Learning in Rotator Cuff Tears

Rodriguez,

Rust,

Hansen

et al. 2023

Sports Medicine and Arthroscopy Review

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Rotator cuff tears (RCTs) negatively impacts patient well-being. Artificial intelligence (AI) is emerging as a promising tool in medical decision-making. Within AI, deep learning allows to autonomously solve complex tasks. This review assesses the current and potential applications of AI in the management of RCT, focusing on diagnostic utility, challenges, and future perspectives. AI demonstrates promise in RCT diagnosis, aiding clinicians in interpreting complex imaging data. Deep learning frameworks, particularly convoluted neural networks architectures, exhibit remarkable diagnostic accuracy in detecting RCTs on magnetic resonance imaging. Advanced segmentation algorithms improve anatomic visualization and surgical planning. AI-assisted radiograph interpretation proves effective in ruling out full-thickness tears. Machine learning models predict RCT diagnosis and postoperative outcomes, enhancing personalized patient care. Challenges include small data sets and classification complexities, especially for partial thickness tears. Current applications of AI in RCT management are promising yet experimental. The potential of AI to revolutionize personalized, efficient, and accurate care for RCT patients is evident. The integration of AI with clinical expertise holds potential to redefine treatment strategies and optimize patient outcomes. Further research, larger data sets, and collaborative efforts are essential to unlock the transformative impact of AI in orthopedic surgery and RCT management.

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Alcohol Abuse, Morbid Obesity, Depression, Congestive Heart Failure, and Chronic Pulmonary Disease are Risk Factors for 90-Day Readmission After Arthroscopic Rotator Cuff Repair

Cited by 3 publications

References 63 publications

Impact of obesity on outcomes of rotator cuff repair: A systematic review and meta-analysis

Impact of obesity on outcomes of rotator cuff repair: A systematic review and meta-analysis

Nonsurgical Management of Shoulder Pain in Rotator Cuff Tears: Ultrasound-Guided Biceps Tenotomy Combined With Corticosteroid Injection

Artificial Intelligence and Machine Learning in Rotator Cuff Tears

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