Evidence map›Paper›PMID 28880113›Full record

Trial reportActa orthopaedica2017

Increasing age and tear size reduce rotator cuff repair healing rate at 1 year.

Mustafa S Rashid, Cushla Cooper, Jonathan Cook, David Cooper, Stephanie G Dakin, Sarah Snelling, Andrew J Carr

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Acta orthopaedica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 4 pooled it
8.7field-weighted citation impact, top 2% of its field
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

86 citing papers in PubMed, 4 syntheses or guidelines pooled it, 182 citations in OpenAlex.

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26 more citing papers are in PubMed but not listed here.

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

7 authors at 4 institutions in 1 country.

Mustafa S Rashida Botnar Research Centre , Nuffield Department of Orthopedics Rheumatology and Musculoskeletal Sciences , University of Oxford , Oxford , UK.
Cushla Coopera Botnar Research Centre , Nuffield Department of Orthopedics Rheumatology and Musculoskeletal Sciences , University of Oxford , Oxford , UK.
Jonathan Cooka Botnar Research Centre , Nuffield Department of Orthopedics Rheumatology and Musculoskeletal Sciences , University of Oxford , Oxford , UK.
David Cooperc Health Services Research Unit (HSRU) , University of Aberdeen, Foresterhill , Aberdeen , Scotland , UK.
Stephanie G Dakina Botnar Research Centre , Nuffield Department of Orthopedics Rheumatology and Musculoskeletal Sciences , University of Oxford , Oxford , UK.
Sarah Snellinga Botnar Research Centre , Nuffield Department of Orthopedics Rheumatology and Musculoskeletal Sciences , University of Oxford , Oxford , UK.
Andrew J Carra Botnar Research Centre , Nuffield Department of Orthopedics Rheumatology and Musculoskeletal Sciences , University of Oxford , Oxford , UK.
Nuffield Orthopaedic Centre · GBNIHR Oxford Musculoskeletal Biomedical Research Centre · GBNational Institute for Health Research · GBUniversity of Aberdeen · GB

Funding

Chief Scientist Office HSRU1
6 · The paper itself

Abstract

Background and purpose - There is a need to understand the reasons why a high proportion of rotator cuff repairs fail to heal. Using data from a large randomized clinical trial, we evaluated age and tear size as risk factors for failure of rotator cuff repair. Patients and methods - Between 2007 and 2014, 65 surgeons from 47 hospitals in the National Health Service (NHS) recruited 447 patients with atraumatic rotator cuff tendon tears to the United Kingdom Rotator Cuff Trial (UKUFF) and 256 underwent rotator cuff repair. Cuff integrity was assessed by imaging in 217 patients, at 12 months post-operation. Logistic regression analysis was used to determine the influence of age and intra-operative tear size on healing. Hand dominance, sex, and previous steroid injections were controlled for. Results - The overall healing rate was 122/217 (56%) at 12 months. Healing rate decreased with increasing tear size (small tears 66%, medium tears 68%, large tears 47%, and massive tears 27% healed). The mean age of patients with a healed repair was 61 years compared with 64 years for those with a non-healed repair. Mean age increased with larger tear sizes (small tears 59 years, medium tears 62 years, large tears 64 years, and massive tears 66 years). Increasing age was an independent factor that negatively influenced healing, even after controlling for tear size. Only massive tears were an independent predictor of non-healing, after controlling for age. Interpretation - Although increasing age and larger tear size are both risks for failure of rotator cuff repair healing, age is the dominant risk factor.

Indexed as

Wound HealingAge FactorsArthroscopyFemaleFollow-Up StudiesHumansMalePostoperative PeriodRetrospective StudiesRisk FactorsRotator CuffRotator Cuff InjuriesTime FactorsTreatment Failure

Identifiers

PMID28880113
PMCPMC5694804
OpenAlexW2751384418

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.