Prognostic factors for improvement of shoulder function after arthroscopic rotator cuff repair : a systematic review

© 2022 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 7(2023), 1 vom: 16. Jan., Seite 50-57
1. Verfasser: Stojanov, Thomas (VerfasserIn)
Weitere Verfasser: Audigé, Laurent, Modler, Linda, Aghlmandi, Soheila, Appenzeller-Herzog, Christian, Loucas, Rafael, Loucas, Marios, Müller, Andreas Marc
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2023
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Review Arthroscopy Epidemiology Prognostic factors Risk factors Rotator cuff tear Shoulder function Systematic review
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520 |a Background: The identification of factors that specify prognostic models for postoperative results should be based on the best scientific evidence and expert assessment. We aimed to identify, map, and evaluate potential prognostic factors for the improvement of shoulder function in patients undergoing arthroscopic rotator cuff repair 
520 |a Methods: Longitudinal primary studies of arthroscopic rotator cuff repair reporting any multivariable factor analyses for shoulder function improvement with an endpoint assessment of at least 6 months were included. We systematically searched EMBASE, Medline, and Scopus for articles published between January 2014 and June 2021. The risk of bias of included studies and the quality of evidence were assessed using the Quality in Prognosis Studies tool and an adapted Grading of Recommendations, Assessment, Development, and Evaluations framework 
520 |a Results: Overall, 24 studies including 73 outcome analyses were included. We classified younger age and smaller tear size as probably prognostic for a greater improvement in objective outcomes. Shorter symptom duration, absence of a worker compensation claim, low preoperative level of functional status, and high preoperative pain level were classified as probably prognostic for greater improvement in patient-reported outcome measures. The quality of the synthesized evidence was low. Twenty-one studies had an overall high risk of bias 
520 |a Conclusion: Six potential prognostic factors for shoulder function after arthroscopic rotator cuff repair were identified. Along with ongoing expert opinion assessments, they will feed into a prognostic model-building process 
650 4 |a Journal Article 
650 4 |a Review 
650 4 |a Arthroscopy 
650 4 |a Epidemiology 
650 4 |a Prognostic factors 
650 4 |a Risk factors 
650 4 |a Rotator cuff tear 
650 4 |a Shoulder function 
650 4 |a Systematic review 
700 1 |a Audigé, Laurent  |e verfasserin  |4 aut 
700 1 |a Modler, Linda  |e verfasserin  |4 aut 
700 1 |a Aghlmandi, Soheila  |e verfasserin  |4 aut 
700 1 |a Appenzeller-Herzog, Christian  |e verfasserin  |4 aut 
700 1 |a Loucas, Rafael  |e verfasserin  |4 aut 
700 1 |a Loucas, Marios  |e verfasserin  |4 aut 
700 1 |a Müller, Andreas Marc  |e verfasserin  |4 aut 
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773 1 8 |g volume:7  |g year:2023  |g number:1  |g day:16  |g month:01  |g pages:50-57 
856 4 0 |u http://dx.doi.org/10.1016/j.jseint.2022.09.003  |3 Volltext 
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