Factors influencing patient satisfaction after rotator cuff repair

Tashjian, Robert Z.; Bradley, Michael P.; Tocci, Stephen; Rey, Jesus; Henn, R. Frank; Green, Andrew

doi:10.1016/j.jse.2007.02.136

Cited by 96 publications

(122 citation statements)

References 17 publications

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“…2 The number of studies assessing patient expectations in orthopaedic surgery has increased steadily over the past 15 years. [62]; and the Sunnybrook Surgery Expectations Survey [50]. Each of the scores is specific to a particular surgical procedure or anatomic location except for the MODEMS scale and Sunnybrook score, which have been reported to not be joint-or procedure-specific [50,62].…”

Section: Expectation Measures For Which Development and Validity Datamentioning

confidence: 99%

“…[62]; and the Sunnybrook Surgery Expectations Survey [50]. Each of the scores is specific to a particular surgical procedure or anatomic location except for the MODEMS scale and Sunnybrook score, which have been reported to not be joint-or procedure-specific [50,62]. In all cases the tools are administered as a patientcompleted questionnaire with between three and 20 items each graded with response items ranging between 3 and 5 points.…”

Section: Expectation Measures For Which Development and Validity Datamentioning

confidence: 99%

“…The MODEMS expectations scale is a six-item instrument included as a domain in a number of different musculoskeletal assessment instruments and was developed as part of the now defunct MODEMS project spearheaded by the American Academy of Orthopaedic Surgeons [55,62]. Good internal consistency (Cronbach's alpha = 0.71) and test-retest reliability (Cohen's kappa = 0.91) were demonstrated for an earlier version of this expectations scale included as part of the North American Spine Society Lumbar Spine Outcome Assessment Instrument [9], although the response options were subsequently changed from value to probability-based selections.…”

Section: How Were the Expectation Measures Developed And Validated?mentioning

confidence: 99%

See 2 more Smart Citations

Measuring Expectations in Orthopaedic Surgery: A Systematic Review

Zywiel

Mahomed

Gandhi

et al. 2013

Clinical Orthopaedics &Amp; Related Research

106

143

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Background Advances in the surgical treatment of musculoskeletal conditions have resulted in an interest in better defining and understanding patients' expectations of these procedures, but the best ways to do this remain a topic of considerable debate. Questions/purposes (1) What validated instruments for the assessment of patient expectations of orthopaedic surgery have been used in published studies to date? (2) How were these expectation measures developed and validated? (3) What unvalidated instruments for the assessment of patient expectations have been used in published studies to date? Methods A systematic literature search was performed using the OVID Medline and EMBASE databases, in duplicate, to identify all studies that assessed patient expectations in orthopaedic surgery. Sixty-six studies were ultimately included in the present review.Results Seven validated expectation instruments were identified, all of which use patient-reported questionnaires. Five were specific to a particular procedure or affected anatomic location, whereas two were broadly applicable. Details of reliability and validity testing were available for all but one of these instruments. Forty additional unvalidated expectation assessment tools were identified. Thirteen were based on existing clinical outcome tools, and the others were study-specific, custom-developed tools. Only one of the unvalidated tools was used in more than one study. Conclusions Several validated expectation instruments have been developed for use by patients undergoing orthopaedic surgery. However, many tools have been reported without evidence of testing and validation. The wide range of untested instruments used in single studies substantially limits the interpretation and comparison of data concerning patient expectations.

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Section: Expectation Measures For Which Development and Validity Datamentioning

confidence: 99%

Section: Expectation Measures For Which Development and Validity Datamentioning

confidence: 99%

Section: How Were the Expectation Measures Developed And Validated?mentioning

confidence: 99%

See 1 more Smart Citation

Measuring Expectations in Orthopaedic Surgery: A Systematic Review

Zywiel

Mahomed

Gandhi

et al. 2013

Clinical Orthopaedics &Amp; Related Research

106

143

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“…Greater preoperative function and higher general health status predict greater satisfaction 12 . Compared with men, women reported a greater level of emotional difficulties on the emotions domain of the Western Ontario Rotator Cuff Index (WORC) questionnaire and had poorer functional outcomes after rotator cuff decompression or repair 13 .…”

Section: Rotator Cuff Repairmentioning

confidence: 99%

The Role of Emotional Health in Functional Outcomes After Orthopaedic Surgery: Extending the Biopsychosocial Model to Orthopaedics

Ayers

Franklin

Ring

2013

Journal of Bone and Joint Surgery

172

113

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“…Surgical repair is an effective treatment, but a significant proportion of patients (5-12.5%) fail to achieve a satisfactory outcome [1][2][3][4]. Long-term outcome of surgery correlates poorly with the integrity of the cuff repair [5][6][7] and persistence of pain is a major factor [1].…”

mentioning

confidence: 99%

Contrast-enhanced MRI of the subdeltoid, subacromial bursa in painful and painless rotator cuff tears

Hodgson

O’Connor²,

Hensor³

et al. 2012

The British Journal of Radiology

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Objective: Although shoulder pain is often associated with rotator cuff tears, many tears are asymptomatic and are not the cause of the patient's pain. This may explain the persistence of symptoms in some patients despite technically successful rotator cuff repair. It has been proposed that rotator cuff tears cause pain through subdeltoid/ subacromial bursal inflammation. The aim of this study was to determine whether bursal inflammation seen on MRI is associated with pain in patients with rotator cuff tears of the shoulder. Methods: The shoulders of 255 patients were screened with ultrasound. 33 fullthickness rotator cuff tears (18 with shoulder pain and 15 without pain) were identified and subsequently studied using contrast-enhanced MRI of the shoulder. Enhancement of the subacromial bursa was scored independently by two musculoskeletal radiologists. Logistic regression was used to determine whether bursal enhancement was independently associated with pain. Results: There was a significant association between pain and age, with greater likelihood of pain in younger patients. Bursal enhancement was common in both painful and painless tears. No statistically significant link between pain and bursal enhancement was seen, even after accounting for age. Conclusion: Although enhancement of the subdeltoid/subacromial bursa was common, no evidence was found to support the hypothesis that bursal enhancement is associated with pain in rotator cuff tears. It is therefore unlikely to determine reliably which patients would benefit from rotator cuff repair. Advances in knowledge: Bursal enhancement and thickening does not reliably correlate with symptoms or presence of rotator cuff tear.

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Factors influencing patient satisfaction after rotator cuff repair

Cited by 96 publications

References 17 publications

Measuring Expectations in Orthopaedic Surgery: A Systematic Review

Measuring Expectations in Orthopaedic Surgery: A Systematic Review

The Role of Emotional Health in Functional Outcomes After Orthopaedic Surgery: Extending the Biopsychosocial Model to Orthopaedics

Contrast-enhanced MRI of the subdeltoid, subacromial bursa in painful and painless rotator cuff tears

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