Evidence map›Paper›PMID 26520644›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017

Preoperative NSAIDs, non-acute onset and long-standing symptoms predict inferior outcome at long-term follow-up after rotator cuff repair.

Eivind Inderhaug, Kristin H Kollevold, Maiken Kalsvik, Janne Hegna, Eirik Solheim

Abstract read
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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Return to work after early repair of acute traumatic rotator cuff tears.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eivind InderhaugSurgical Department, Haraldsplass Deaconess Hospital, PB 6165, 5152, Bergen, Norway. eivind.inderhaug@gmail.com.
Kristin H KollevoldDepartment of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Maiken KalsvikDepartment of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Janne HegnaTeres Bergen, Nesttun, Norway.
Eirik SolheimSurgical Department, Haraldsplass Deaconess Hospital, PB 6165, 5152, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate mid- to long-term results after arthroscopic rotator cuff repair and to explore possible predictors of inferior outcome.

methodsPatients treated for full-thickness supraspinatus and/or infraspinatus tears from 2004 to 2008, using a uniform single-row arthroscopic technique, were included in the study. Pre- and post-operative QuickDASH were used as the primary outcome measure, and VAS of pain, function and satisfaction were also collected. An additional questionnaire explored demographic and preoperative factors like onset and duration of symptoms, preoperative treatment and smoking habits.

resultsOne hundred and forty-seven patients (82 %) were available at 6-9 years after surgery. All outcomes improved significantly from the preoperative values. A total of 8 % of patients had undergone additional surgery to the same shoulder during the follow-up period. Long-standing symptoms (>12 months) (P < 0.01), non-acute onset of symptoms (P < 0.01) and preoperative use of NSAIDs (P = 0.01) were correlated with inferior outcome at follow-up. No other factors investigated (i.e. gender, age, smoking and steroid injections) were found to affect the primary outcome (QuickDASH).

conclusionThe current study is one of few reports of mid- to long-term outcomes after arthroscopic single-row repair of full-thickness rotator cuff tears. Global improvement in symptoms and function was found between the preoperative and the 6-9 years evaluation, and the technique therefore seems like a viable approach for treating tears of the supra- and the infraspinatus tendon. Several predictors of inferior long-term outcome after rotator cuff repair were, however, identified: preoperative use of NSAIDs, long-standing symptoms before surgery and non-acute onset of shoulder symptoms. In light of the current findings, accurate diagnosis and prompt treatment seem important in optimizing outcomes after rotator cuff surgery. LEVEL OF EVIDENCE: IV.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalArthroplastyArthroscopyFemaleFollow-Up StudiesHumansMaleMiddle AgedPain MeasurementPostoperative ComplicationsPostoperative PainPreoperative PeriodRotator Cuff InjuriesSurveys and QuestionnairesTreatment OutcomeAnti-Inflammatory Agents, Non-SteroidalArthroscopic rotator cuff repairLong-term outcomeRotator cuff repairSingle-row

Identifiers

PMID26520644

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.