How Satisfied Are Patients with Arthroscopic Bankart Repair? A 2-Year Follow-up on Quality-of-Life Outcome

Saier, Tim; Plath, Johannes E.; Waibel, Sabrina; Minzlaff, Philipp; Feucht, Matthias J.; Herschbach, Peter; Imhoff, Andreas B.

doi:10.1016/j.arthro.2017.04.017

Cited by 19 publications

(10 citation statements)

References 36 publications

(41 reference statements)

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“…From a more societal approach, Warner and Higgins 10 have studied the value of shoulder surgery, where "value" is defined as "outcome" divided by "cost." Studies such as the present one by Saier et al 5 help us better define the numerator in this "value" equation. All of these outcomes assessments help us better understand how our interventions not only affect the disease but also the patient.…”

Section: See Related Article On Page 1777mentioning

confidence: 79%

“…Overall, Saier et al 5 should be commended for their very interesting study. Furthermore, their work serves as a reminder to our profession that, although we perform surgery on the diseased joint, we take care of the whole patient.…”

Section: See Related Article On Page 1777mentioning

confidence: 96%

“…Clinicians now routinely track patients' outcomes, and every medical student today is taught the importance of such work. Studies such as this one by Saier et al 5 are therefore invaluable in helping us better understand not only the direct impact our interventions have on individual patients but also the impact they have on society as whole.…”

Section: See Related Article On Page 1777mentioning

confidence: 99%

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Editorial Commentary: Postoperative Outcomes—Are We Asking the Right Questions? Shoulder Arthroscopy Patient Quality of Life Correlates With Joint-Specific Outcome and Is Predicated on Patient Expectation

Pogorzelski¹,

Millett²

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Patient-reported outcomes are, by definition, subjective, and there is consensus that individual patient expectations have a significant effect on the postoperative outcome after shoulder arthroscopy. Most of the outcomes in orthopaedic surgery are measured either in terms of functional scores assessing only one joint or as disease or condition-specific outcomes. As such, there exists a growing interest developing better tools to measure quality-of-life outcome scores as an assessment of overall patient health and satisfaction. Recent research shows that quality-of-life outcome measures correlate with joint-specific and functional outcomes after arthroscopic Bankart repair. We also personally believe that quality-of-life scores should become a standard outcome assessment measurement in orthopaedic surgery because while we perform surgery on the joint, we take care of the whole patient.

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Section: See Related Article On Page 1777mentioning

confidence: 79%

Section: See Related Article On Page 1777mentioning

confidence: 96%

Section: See Related Article On Page 1777mentioning

confidence: 99%

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Editorial Commentary: Postoperative Outcomes—Are We Asking the Right Questions? Shoulder Arthroscopy Patient Quality of Life Correlates With Joint-Specific Outcome and Is Predicated on Patient Expectation

Pogorzelski¹,

Millett²

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…The finding of 76.1% of patients responding yes to the PASS question in the current study suggests a high satisfaction rate among patients at 1 year postoperatively and is supported by previous data. Saier et al 18 provided longitudinal findings of patient satisfaction and function after arthroscopic Bankart repair in a prospective case series of 53 patients with a mean age at surgery of 29.4 years who were followed to a mean of 24 months. The authors used 2 scales to assess quality of life (the FLZ and the SF-12) and 3 others for functional outcomes (the Oxford Shoulder Instability Score, ASES questionnaire, and the shortened version of Disabilities of the Arm, Shoulder and Hand questionnaire), and they also assessed return to work.…”

Section: Factors Influencing Postoperative Recurrent Instability and mentioning

confidence: 99%

What Are the Predictors of Poor Patient-Reported Outcomes After Shoulder Instability Surgery?

Bayomy

Schickendantz

Briskin

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Prospectively collected responses to Patient Acceptable Symptom State (PASS) questions after shoulder instability surgery are limited. Responses to these outcome measures are imperative to understanding their clinical utility. Purpose/Hypothesis: The purpose of this study was to evaluate which factors predict unfavorable patient-reported outcomes after shoulder instability surgery, including “no” to the PASS question. We hypothesized that poor outcomes would be associated with male adolescents, bone loss, combined labral tears, and articular cartilage injuries. Study Design: Cohort study; Level of evidence, 2. Methods: Patients aged ≥13 years undergoing shoulder instability surgery were included in point-of-care data collection at a single institution across 12 surgeons between 2015 and 2017. Patients with anterior-inferior labral tears were included, and those with previous ipsilateral shoulder surgery were excluded. Demographics, American Shoulder and Elbow Surgeons (ASES) and Single Assessment Numeric Evaluation (SANE) scores, and surgical findings were obtained at baseline. ASES and SANE scores, PASS responses, and early revision surgery rates were obtained at a minimum of 1 year after the surgical intervention. Regression analyses were performed. Results: A total of 234 patients met inclusion criteria, of which 176 completed follow-up responses (75.2%). Nonresponders had a younger age, greater frequency of glenoid bone loss, fewer combined tears, and more articular cartilage injuries ( P < .05). Responders’ mean age was 25.1 years, and 22.2% were female. Early revision surgery occurred in 3.4% of these patients, and 76.1% responded yes to the PASS question. A yes response correlated with a mean 25-point improvement in the ASES score and a 40-point improvement in the SANE score. On multivariate analysis, combined labral tears (anterior-inferior plus superior or posterior tears) were associated with greater odds of responding no to the PASS question, while both combined tears and injured capsules were associated with lower ASES and SANE scores ( P < .05). Sex, bone loss, and grade 3 to 4 articular cartilage injuries were not associated with variations on any patient-reported outcome measure. Conclusion: Patients largely approved of their symptom state at ≥1 year after shoulder instability surgery. A response of yes to the PASS question was given by 76.1% of patients and was correlated with clinically and statistically significant improvements in ASES and SANE scores. Combined labral tears and injured capsules were negative prognosticators across patient-reported outcome measures, whereas sex, bone loss, and cartilage injuries were not.

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“…9 Arthroscopic shoulder surgery appears to be headed in the same direction, and rightfully so. 10 In our humble opinion, the orthopaedic community has not yet put the pieces of the puzzle together. We are slowly identifying separate factors associated with postoperative outcomes, but the edges of these pieces do not yet fit together.…”

Section: See Related Article On Page 2938mentioning

confidence: 99%

Editorial Commentary: Outcomes in Arthroscopic Rotator Cuff Repairs: Are We Treating Patients or Radiographs?

Lee¹,

Chen²,

Lie³

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Rotator cuff tears are among the most common disorders of the shoulder girdle requiring surgical intervention, and it is no surprise that orthopaedic surgeons have searched far and wide for means to improve on rotator cuff repair outcomes. Radiological parameters such as the critical shoulder angle have recently emerged and have been associated with the presence of degenerative rotator cuff tears. However, their true impact on postoperative outcomes are still unclear. Although radiological parameters, because of their objectivity, will always remain a critical part of a surgeon's preoperative assessment, we must remember that ultimately we are treating patients and not radiographs.

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How Satisfied Are Patients with Arthroscopic Bankart Repair? A 2-Year Follow-up on Quality-of-Life Outcome

Abstract: Level III, prospective noncomparative therapeutic case series.

Cited by 19 publications

References 36 publications

Editorial Commentary: Postoperative Outcomes—Are We Asking the Right Questions? Shoulder Arthroscopy Patient Quality of Life Correlates With Joint-Specific Outcome and Is Predicated on Patient Expectation

Editorial Commentary: Postoperative Outcomes—Are We Asking the Right Questions? Shoulder Arthroscopy Patient Quality of Life Correlates With Joint-Specific Outcome and Is Predicated on Patient Expectation

What Are the Predictors of Poor Patient-Reported Outcomes After Shoulder Instability Surgery?

Editorial Commentary: Outcomes in Arthroscopic Rotator Cuff Repairs: Are We Treating Patients or Radiographs?

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