Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
권호 표지
DOI QR코드

DOI QR Code

Factors associated with patient satisfaction after arthroscopic rotator cuff repair: do they differ by age?

  • Jung-Han Kim (Department of Orthopedic Surgery, Inje University Busan Paik Hospital, College of Medicine, Inje University) ;
  • Soo-Hwan Jung (Department of Orthopedic Surgery, Inje University Busan Paik Hospital, College of Medicine, Inje University) ;
  • Dae-Hyun Park (Department of Orthopedic Surgery, Inje University Busan Paik Hospital, College of Medicine, Inje University) ;
  • Yong-Uk Kwon (Department of Orthopedic Surgery, Inje University Busan Paik Hospital, College of Medicine, Inje University) ;
  • Hyo-Young Lee (Department of Orthopedic Surgery, Inje University Busan Paik Hospital, College of Medicine, Inje University)
  • 투고 : 2024.04.03
  • 심사 : 2024.06.26
  • 발행 : 2024.09.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Several studies have investigated factors affecting patient satisfaction after arthroscopic rotator cuff repair (ARCR); however, it is unknown if these factors vary according to age. Therefore, this study aimed to evaluate the factors associated with satisfaction of ARCR in individuals 70 years and older versus younger patients. Methods: Among 319 consecutive patients who underwent ARCR, 173 were included. Patients were divided into an old age group (≥70 years) and a young age group (<70 years), and the two age groups were further divided into satisfied and unsatisfied subgroups. Patient satisfaction was evaluated at the final follow-up visit using a binary question (yes or no). Clinical outcomes were assessed preoperatively and at the final follow-up. Results: Satisfaction rates in the older and younger age groups were 75.41% and 79.47%, respectively. Mean changes in Constant and American Shoulder and Elbow Surgeons scores were significantly different between the satisfied and unsatisfied subgroups (P=0.031 and P=0.012, respectively) in the young patients. In the old patients, there was a significant difference in the mean change in depression subscale of the Hospital Anxiety and Depression Scale (P=0.031) and anxiety subscale of the Hospital Anxiety and Depression Scale (P=0.044) scores between the satisfied and unsatisfied subgroups. Conclusions: Factors affecting patient satisfaction after ARCR differed according to age. Psychological improvement was more important to elderly patients, whereas restoration of function was more important to younger patients. Pain relief was important for both age groups. Level of evidence: III.

키워드

참고문헌

  1. Chow A, Mayer EK, Darzi AW, Athanasiou T. Patient-reported outcome measures: the importance of patient satisfaction in surgery. Surgery 2009;146:435-43. 
  2. Frank L, Basch E, Selby JV; Patient-Centered Outcomes Research Institute. The PCORI perspective on patient-centered outcomes research. JAMA 2014;312:1513-4. 
  3. Graham B, Green A, James M, Katz J, Swiontkowski M. Measuring patient satisfaction in orthopaedic surgery. J Bone Joint Surg Am 2015;97:80-4. 
  4. O'Holleran JD, Kocher MS, Horan MP, Briggs KK, Hawkins RJ. Determinants of patient satisfaction with outcome after rotator cuff surgery. J Bone Joint Surg Am 2005;87:121-6. 
  5. Davey MS, Hurley ET, Scanlon JP, Gaafar M, Pauzenberger L, Mullett H. Excellent clinical outcomes and rates of return to play after arthroscopic rotator cuff repair for traumatic tears in athletes aged 30 years or less. Arthrosc Sports Med Rehabil 2021;3:e667-72. 
  6. Jones CK, Savoie FH 3rd. Arthroscopic repair of large and massive rotator cuff tears. Arthroscopy 2003;19:564-71. 
  7. Levy O, Venkateswaran B, Even T, Ravenscroft M, Copeland S. Mid-term clinical and sonographic outcome of arthroscopic repair of the rotator cuff. J Bone Joint Surg Br 2008;90:1341-7. 
  8. Tashjian RZ, Bradley MP, Tocci S, Rey J, Henn RF, Green A. Factors influencing patient satisfaction after rotator cuff repair. J Shoulder Elbow Surg 2007;16:752-8. 
  9. Bennett WF. Arthroscopic repair of full-thickness supraspinatus tears (small-to-medium): a prospective study with 2- to 4-year follow-up. Arthroscopy 2003;19:249-56. 
  10. Fossati C, Stoppani C, Menon A, Pierannunzii L, Compagnoni R, Randelli PS. Arthroscopic rotator cuff repair in patients over 70 years of age: a systematic review. J Orthop Traumatol 2021;22:3. 
  11. Nicholson JA, Searle HK, MacDonald D, McBirnie J. Cost-effectiveness and satisfaction following arthroscopic rotator cuff repair: does age matter? Bone Joint J 2019;101:860-6. 
  12. Adams K, O'Shea P, O'Shea KL. Aging: its effects on strength, power, flexibility, and bone density. Strength Cond J 1999;21:65. 
  13. Brewer BJ. Aging of the rotator cuff. Am J Sports Med 1979;7:102-10. 
  14. Buckwalter JA, Woo SL, Goldberg VM, et al. Soft-tissue aging and musculoskeletal function. J Bone Joint Surg Am 1993;75:1533-48. 
  15. Chung SW, Huong CB, Kim SH, Oh JH. Shoulder stiffness after rotator cuff repair: risk factors and influence on outcome. Arthroscopy 2013;29:290-300. 
  16. Frost HM. On our age-related bone loss: insights from a new paradigm. J Bone Miner Res 1997;12:1539-46. 
  17. Witney-Lagen C, Mazis G, Bruguera J, Atoun E, Sforza G, Levy O. Do elderly patients gain as much benefit from arthroscopic rotator cuff repair as their younger peers? J Shoulder Elbow Surg 2019;28:1056-65. 
  18. Oh JH, Kim SH, Lee HK, Jo KH, Bin SW, Gong HS. Moderate preoperative shoulder stiffness does not alter the clinical outcome of rotator cuff repair with arthroscopic release and manipulation. Arthroscopy 2008;24:983-91. 
  19. Oh JH, Kim SH, Ji HM, Jo KH, Bin SW, Gong HS. Prognostic factors affecting anatomic outcome of rotator cuff repair and correlation with functional outcome. Arthroscopy 2009;25:30-9. 
  20. Razmjou H, Davis AM, Jaglal SB, Holtby R, Richards RR. Disability and satisfaction after rotator cuff decompression or repair: a sex and gender analysis. BMC Musculoskelet Disord 2011;12:66. 
  21. Cho CH, Seo HJ, Bae KC, Lee KJ, Hwang I, Warner JJ. The impact of depression and anxiety on self-assessed pain, disability, and quality of life in patients scheduled for rotator cuff repair. J Shoulder Elbow Surg 2013;22:1160-6. 
  22. Fishbain DA, Cutler R, Rosomoff HL, Rosomoff RS. Chronic pain-associated depression: antecedent or consequence of chronic pain?: a review. Clin J Pain 1997;13:116-37. 
  23. Johnson AH, York JJ, Lashgari CJ, Petre BM, Turcotte JJ, Redziniak DE. Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair. JSES Int 2022;6:984-8. 
  24. Vranceanu AM, Barsky A, Ring D. Psychosocial aspects of disabling musculoskeletal pain. J Bone Joint Surg Am 2009;91:2014-8. 
  25. Schilling OK, Diehl M. Psychological vulnerability to daily stressors in old age: results of short-term longitudinal studies. Z Gerontol Geriatr 2015;48:517-23. 
  26. Gwark JY, Sung CM, Na JB, Park HB. Outcomes of arthroscopic rotator cuff repair in patients who are 70 years of age or older versus under 70 years of age: a sex- and tear size-matched case-control study. Arthroscopy 2018;34:2045-53. 
  27. Verma NN, Bhatia S, Baker CL 3rd, et al. Outcomes of arthroscopic rotator cuff repair in patients aged 70 years or older. Arthroscopy 2010;26:1273-80. 
  28. Diebold G, Lam P, Walton J, Murrell GA. Relationship between age and rotator cuff retear: a study of 1,600 consecutive rotator cuff repairs. J Bone Joint Surg Am 2017;99:1198-205. 
  29. Geary MB, Elfar JC. Rotator cuff tears in the elderly patients. Geriatr Orthop Surg Rehabil 2015;6:220-4. 
  30. Hattrup SJ. Rotator cuff repair: relevance of patient age. J Shoulder Elbow Surg 1995;4:95-100. 
  31. Shon MS, Koh KH, Lim TK, Kim WJ, Kim KC, Yoo JC. Arthroscopic partial repair of irreparable rotator cuff tears: preoperative factors associated with outcome deterioration over 2 years. Am J Sports Med 2015;43:1965-75. 
  32. Xu S, Chen JY, Lie HM, Hao Y, Lie DT. Minimal clinically important difference of Oxford, Constant, and UCLA shoulder score for arthroscopic rotator cuff repair. J Orthop 2019;19:21-7.