Evidence map›Paper›PMID 30318274›Full record

ArticleJournal of shoulder and elbow surgery2019

Tear characteristics and surgeon influence repair technique and suture anchor use in repair of superior-posterior rotator cuff tendon tears.

Kathleen A Derwin, Sambit Sahoo, Alexander Zajichek, Gregory Strnad, Kurt P Spindler, Joseph P Iannotti, Eric T Ricchetti

Erratum issuedAbstract read
In one paragraph

Article in Journal of shoulder and elbow surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Partial Rotator Cuff Repair for Massive Tears Rarely Require Revision Surgery.Arthroscopy, sports medicine, and rehabilitation · 2021
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

  • Erratum issued
    2021
5 · Who and what money

Authors and funding

7 authors.

Kathleen A DerwinDepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address: derwink@ccf.org.
Sambit SahooDepartment of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA.
Alexander ZajichekDepartment of Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, USA.
Gregory StrnadDepartment of Orthopaedic Surgery, Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, USA.
Kurt P SpindlerDepartment of Orthopaedic Surgery, Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, USA.
Joseph P IannottiDepartment of Orthopaedic Surgery, Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, USA.
Eric T RicchettiDepartment of Orthopaedic Surgery, Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, USA.

Funding

Failure with Continuity and Its Relation to Rotator Cuff Repair Clinical OutcomesR01AR068342 · NIAMS · CLEVELAND CLINIC LERNER COM-CWRU · PI DERWIN, KATHLEEN ANNE, IANNOTTI, JOSEPH P. · 2016 to 2022
$3.6M
NIAMS NIH HHS R01 AR068342
6 · The paper itself

Abstract

backgroundThe factors that associate with surgical decisions about repair technique and the number of suture anchors used in rotator cuff repair have not been previously investigated. This study investigated the extent to which patient, surgeon, and surgical factors associate with performing single-row vs. double-row repair technique and ultimately with the number of suture anchors used.

methodsOur institution's prospective surgical cohort was queried for patients undergoing suture anchor repair of superior-posterior rotator cuff tendon tears between February 2015 and August 2017. Exclusion criteria were patients with isolated subscapularis tears, tears that were not repaired, repairs without suture anchors, repairs involving graft augmentation, and repairs by surgeons with fewer than 10 cases. Multivariable statistical modeling was used to investigate associations between patient and surgical factors and the choice of repair technique and number of suture anchors used.

resultsA total of 925 cases performed by 13 surgeons met inclusion criteria. Tear type (full thickness), tear size (medium, large, and massive), a greater number of torn tendons, repair type (arthroscopic), and surgeon were significantly associated with performing a double-row over a single-row repair. Tear size, a greater number of torn tendons, double-row repair technique, and surgeon were significantly associated with a greater number of anchors used for repair.

conclusionsOur findings suggest that in the absence of data to conclusively support a clinical benefit of one repair technique over another, surgeons' training, experience, and inherent practice patterns become the primary factors that define their surgical methods.

Indexed as

Suture AnchorsSuture TechniquesAdultClinical CompetenceClinical Decision-MakingFemaleHumansMaleMiddle AgedOrthopedic ProceduresPractice Patterns, Physicians'Prospective StudiesRotator Cuff Injuriesdouble-row repairmultivariable modelrotator cuffshouldersingle-row repairsurgeon variationsuture anchorvariation in clinical practice

Identifiers

PMID30318274
PMCPMC6339588

What OpenQuestion holds

Textmetadata
LicenceTDM
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.