Predictors of pain and functional outcomes after operative treatment for rotator cuff tears

Jain, Nitin B.; Ayers, Gregory D.; Fan, Ruitai; Kuhn, John E.; Baumgarten, Keith M.; Matzkin, Elizabeth G.; Higgins, Laurence D.

doi:10.1016/j.jse.2018.04.016

Cited by 39 publications

(65 citation statements)

References 34 publications

(35 reference statements)

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“…38 The predictive value of fear-avoidance beliefs, pain catastrophizing, self-efficacy and expectations of recovery was depended on treatment type. Baseline fear-avoidance results were predictive for pain and disability after surgical treatment, 24,38,39 but not after physiotherapy treatment. 21,25 Also regarding pain catastrophizing, results indicated that catastrophizing was not predictive for the outcome after physiotherapy treatment.…”

Section: Resultsmentioning

confidence: 86%

“…Baseline fear-avoidance results were predictive for pain and disability after surgical treatment, 24,38,39 but not after physiotherapy treatment. 21,25 Also regarding pain catastrophizing, results indicated that catastrophizing was not predictive for the outcome after physiotherapy treatment. 21,23 The results on the predictive value of pain catastrophizing on the outcome after mixed conservative treatments were furthermore inconsistent.…”

Section: Resultsmentioning

confidence: 86%

“…22,24,26,35,[38][39][40] Physiotherapy without other medical interventions was applied in six papers. 21,23,25,[27][28][29] In two studies, a cohort receiving mixed treatments (surgical, nonsurgical medical or physiotherapy interventions) was assessed. 36,37 In another seven studies, a cohort receiving mixed conservative treatments (nonsurgical medical and physiotherapy interventions) was included.…”

Section: Resultsmentioning

confidence: 99%

“…All studies, except for the study of Coronado et al 31 described a predictive model in which several multidimensional prognostic factors for the outcome of shoulder treatment were simultaneously considered, 8,18–20,23–25,27–30,32,35,38 or in which the predictive value of a particular psychological variable on suboptimal treatment outcome was assessed. 21,22,26,33,34,36,37,39 One study additionally identified risk groups for persistent shoulder pain and disability.…”

Section: Resultsmentioning

confidence: 99%

“…Postoperative symptoms of psychological disorders were added as independent variables to the prediction model in three papers. 24,25,34 In the other 20 papers, only the results of a baseline assessment of psychological factors were added to the prediction model.…”

Section: Resultsmentioning

confidence: 99%

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The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review

et al. 2019

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Objective: To examine the predictive, moderating and mediating role of cognitive, emotional and behavioral factors on pain and disability following shoulder treatment. Data Sources: Electronic databases (Pubmed, Web of Science, Embase, PsycINFO) were searched until the 14 th of January 2019. Study selection: Studies including persons with musculoskeletal shoulder pain that describe the predictive, moderating or mediating role of baseline cognitive, emotional or behavioral factors on pain or disability following treatment were selected. Results: Twenty-three articles, describing 21 studies and involving 3769 participants, were included. Three studies had a high risk of bias. There was no predictive role of baseline depression, anxiety, coping, somatisation or distress on pain or disability across types of shoulder treatment. No predictive role of fear-avoidance beliefs was identified in patients receiving physiotherapy, which contrasted to the results found when surgical treatment was applied. Baseline catastrophizing was also not predictive for pain or disability in patients receiving physiotherapy. After conservative medical treatments, results on the predictive role of catastrophizing were inconclusive. Treatment expectations and baseline self-efficacy predicted pain and disability in patients receiving physiotherapy, which was not the case in patients receiving conservative medical treatment. Finally, there was a moderating role for optimism in the relationship between pain catastrophizing and disability in patients receiving physiotherapy. Conclusion: There is evidence that expectations of recovery and self-efficacy have a predictive role and optimism a moderating role on pain and/or disability following physiotherapy for musculoskeletal shoulder pain. After surgical treatment, fear-avoidance is a predictor of pain and disability.

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Section: Resultsmentioning

confidence: 86%

Section: Resultsmentioning

confidence: 86%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review

et al. 2019

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Operative vs Nonoperative Treatment for Atraumatic Rotator Cuff Tears

et al. 2019

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Key Points Question What is the comparative effectiveness of operative vs nonoperative treatment for rotator cuff tears? Findings The clinical trial protocol of a pragmatic randomized clinical trial of an estimated 700 patients (with 488 needed for power calculations) is presented. The primary outcome is patient-reported Shoulder Pain and Disability Index score. Meaning The clinical trial is ongoing and will provide data to guide treatment choices for patients with rotator cuff tears.

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Epidemiology and economics of chronic and recurrent pain

Turk¹,

Patel²

2022

Clinical Pain Management

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Predictors of pain and functional outcomes after operative treatment for rotator cuff tears

Cited by 39 publications

References 34 publications

The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review

The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review

Operative vs Nonoperative Treatment for Atraumatic Rotator Cuff Tears

Epidemiology and economics of chronic and recurrent pain

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