ArticleJSES international2025
Predictors of early functional improvement after arthroscopic rotator cuff repair.
Article in JSES international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
9 authors.
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Abstract
Background: Previous studies have successfully generated models for predicting retears after arthroscopic rotator cuff repair (RCR), but few models for predicting functional improvement have been developed. The purpose of this study was to evaluate factors influencing physical function after RCR and to create a model for predicting minimal clinically important difference (MCID) achievement. Methods: A retrospective review of 221 patients undergoing arthroscopic RCR from May 2021 to February 2023 was performed. The primary outcome was achievement of MCID on the patient-reported outcomes measurement information system physical function (PROMIS-PF) instrument at 6 months postoperatively. A logistic regression model was generated to evaluate the association between demographics, comorbidities, surgical details, and MCID achievement. Results: The following variables were retained as they improved model fit: age, sex, race, American Society of Anesthesiologists score, tear size, number of tendons, concomitant subacromial decompression, and baseline PROMIS-PF score. After controlling all other factors, only full-thickness tears were associated with increased odds of MCID achievement (odds ratio [OR] = 4.45, Conclusion: At 6-month follow-up, 59% of patients undergoing arthroscopic RCR achieved MCID on the PROMIS-PF instrument. Using 8 variables, MCID achievement could be predicted with approximately 79% accuracy. These findings may aid surgeons in patient selection and managing patient expectations.
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