How Comprehensive and Efficient Are Patient-Reported Outcomes for Rotator Cuff Tears?

Makhni, Eric C.; Hamamoto, Jason T.; Higgins, John D.; Patterson, Taylor; Griffin, Justin W.; Romeo, Anthony A.; Verma, Nikhil N.

doi:10.1177/2325967117693223

Cited by 28 publications

(21 citation statements)

References 20 publications

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“…The primary outcome measure was the Constant shoulder score at 52 weeks. The Constant score is the most widely used shoulder evaluation score in Europe and has been described as the most efficient outcome measure for patients with rotator cuff tears 61 . It is a composite core measuring a combination of physical examination and subjective assessments from the patient.…”

Section: Outcome Measuresmentioning

confidence: 99%

The Natural History of Full-Thickness Rotator Cuff Tears in Randomized Controlled Trials: A Systematic Review and Meta-analysis

et al. 2018

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44Background: Rotator cuff tears are the commonest tendon injury in the adult 45 population, resulting in substantial morbidity. The optimum management for these 46 patients is not known. The natural history of patients with rotator cuff tears included in RCTs is to improve 68 over time, whether treated operatively or non-operatively. 69 70What is known about the subject: Rotator cuff tears represent the commonest tendon 71 injury in the adult population, however the optimum management of these patients is 72 not known. In other chronic musculoskeletal conditions, it has been shown that there 73 is improvement in clinical outcome measures with all treatments over time. However, 74 it is not known if this is also true for rotator cuff tears. 75 76What this study adds to existing knowledge: This review found there is consistent 77 improvement in Constant score, irrespective of intervention given whether it is 78 operative, or non-operative treatments. Patient outcomes at 12 months are highly 79 predictive of outcomes at 24 months, suggesting that 12-month should be used as a 80 primary outcome time point for future randomised controlled trials in full-thickness 81 rotator cuff tears. 82 MAIN TEXT 83

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Section: Outcome Measuresmentioning

confidence: 99%

The Natural History of Full-Thickness Rotator Cuff Tears in Randomized Controlled Trials: A Systematic Review and Meta-analysis

et al. 2018

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“…[4][5][6] Still others have investigated the efficiency of outcome measurements used exclusively for rotator cuff tears. 7 Despite these efforts, there is need for a systematic review of literature concerning shoulder surgery that is inclusive of all scoring systems and identifies factors contributing to outcome-measurement use. Similar studies have been conducted recently for both knee and elbow scoring systems, and they yielded important relationships about performance versus established quality standards and cross-cultural validation.…”

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confidence: 99%

“… 4 , 5 , 6 Still others have investigated the efficiency of outcome measurements used exclusively for rotator cuff tears. 7 …”

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confidence: 99%

What Are We Measuring? A Systematic Review of Outcome Measurements Used in Shoulder Surgery

Ashton

Savage-Elliott

Granruth

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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The purpose of this study was to identify the most commonly used outcome measurements following shoulder surgery and to investigate demographic variables related to their use. Methods: PubMed and Embase were searched to identify studies in which at least 1 shoulder-specific outcome measurement was used. Exclusion criteria included duplicate studies, review articles, lack of surgical arm, written in a language other than English, or not adult-specific. Additionally, surgeries were subcategorized based on the type of pathology leading to surgery. Results: Of the 589 articles identified in the search, 180 met the inclusion criteria. A total of 35 shoulder-specific outcome measurements were reported. The Constant-Murley score (CMS), American Shoulder and Elbow Surgeons Shoulder Score (ASES), Subjective Shoulder Value (SSV), Simple Shoulder Test (SST), and University of California Los Angeles Score (UCLA) were used in more than 10% of the articles. The CMS and SSV were used more commonly together than individually (P ¼ .0074). Additionally, the ASES (P < .00001) and CMS (P ¼ .0109) were associated with the country of origin of the article. The SST was used more frequently in randomized control trials (P ¼ .0287). The ASES and DASH were associated with surgeries categorized under the degenerative indication (P ¼ .001 and P ¼ .0146). Finally, the SSV, ASES and DASH were all found to be significantly paired with surgeries that indicated traumatic pathology (P ¼ .0061, P ¼ .0077 and P ¼ .0069, respectively). Conclusions: There is great variability among the outcome measurements currently being used for assessing function following orthopaedic shoulder surgery; however, 5 scoring systems are used more frequently than others. There remains a large discrepancy between the ideal reporting, as noted in the recent literature review, and the current state of outcomes reported at this time. Clinical Relevance: By identifying and evaluating the heterogeneity of the reporting and the usage of the performance indicators, these results can guide the standardization of outcome measurements in shoulder surgery and allow for better comparability when assessing outcomes between patients and studies.

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“…Shoulder pain has five components: pain at resting, pain during activity, night pain, pain at sport activity, and pain during work, all which can be rated by VAS (10). Pain has negative influences on working, daily living activities, and sleep quality; thus, the primary goal of treatment is to relieve pain and to provide functional recovery as soon as possible.…”

Section: Discussionmentioning

confidence: 99%

Effects of Platelet Rich Plasma Injection on Adhesive Capsulitis: An Interventional Case Series

Çalış¹

2019

Erciyes Med J

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The aim of this case series was to present the effectiveness of platelet-rich plasma (PRP) on pain, range of motion (ROM), and functionality in patients with frozen shoulder and chronic shoulder pain. The study included 9 patients aged 18-75 years who had shoulder pain for at least 3 months with 50% limited ROM in at least one direction and Visual Analog Scale (VAS) score >5. Under sonography guidance, PRP injection was performed into the glenohumeral joint at baseline and on week 2. Concurrently, proprioceptive neuromuscular facilitation stretching and Codman exercises were given to all patients. Significant improvements were detected in VAS scores on weeks 2, 6, and 12 when compared with baseline (p<0.05) and Shoulder Pain and Disability Index scores in all time points when compared with baseline (p<0.05). There was a significant improvement in active and passive ROMs on weeks 2, 6, and 12 when compared with baseline (p<0.05). Treatment of adhesive capsulitis with PRP may be an alternative treatment method for patients.

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How Comprehensive and Efficient Are Patient-Reported Outcomes for Rotator Cuff Tears?

Cited by 28 publications

References 20 publications

The Natural History of Full-Thickness Rotator Cuff Tears in Randomized Controlled Trials: A Systematic Review and Meta-analysis

The Natural History of Full-Thickness Rotator Cuff Tears in Randomized Controlled Trials: A Systematic Review and Meta-analysis

What Are We Measuring? A Systematic Review of Outcome Measurements Used in Shoulder Surgery

Effects of Platelet Rich Plasma Injection on Adhesive Capsulitis: An Interventional Case Series

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