ArticleJournal of shoulder and elbow surgery2026
Predictors of patient-reported outcomes after primary arthroscopic rotator cuff repair.
Article in Journal of shoulder and elbow surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- The pre-operative physical component subscale of the 12-item Short Form Health Survey was the only factor associated with 2-year clinical outcome and satisfaction after hip abductor tendon repair.Archives of orthopaedic and trauma surgery · 2026Article
- Surgical Positioning in Arthroscopic Rotator Cuff Repair: Comparable Outcomes but Longer Operative Times in the Beach-Chair Position.Orthopaedic journal of sports medicine · 2026Article
- Clinical and Metabolic Predictors of Response to Focused Extracorporeal Shockwave Therapy in Rotator Cuff Tendinopathy: A Retrospective Cohort Study.Medical sciences (Basel, Switzerland) · 2026Article
- Association between in-hospital nursing workload and early functional recovery after unilateral arthroscopic rotator cuff repair: a retrospective cohort study.Frontiers in physiology · 2026Article
- Latent class analysis-derived prediction model of shoulder function after arthroscopic repair for rotator cuff tear: a large retrospective cohort study.Frontiers in surgery · 2026Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundPatient-reported outcomes vary following rotator cuff repair surgery, yet the preoperative factors associated with patient outcomes are not fully understood. This study aimed to assess associations of preoperative patient, disease and surgical factors with 1-year Penn Shoulder Score (PSS) in patients undergoing primary arthroscopic rotator cuff repair (ARCR).
methodsPatients who underwent ARCR for superior-posterior rotator cuff tendon tears at Cleveland Clinic from February 2015-February 2022 with completed baseline PSS were included. We used multivariable identity-link beta regression and proportional odds models to fit 1-year PSS-Total and subscores to 23 prospectively identified patient, disease, and surgical factors and used R
resultsOf 3,483 cases of mean age of 58.8 ± 9.7 (standard deviation) years, 59% were males, 13% current smokers, 24% had chronic pain, 46% had used opioids within the prior year, 32% had at least one psychiatric diagnosis, and 5% had Worker's Compensation insurance. Median (quartiles) preoperative Veterans Rand 12-Item Health Survey Mental Component Score (VR-12-MCS) and PSS were 53.2 (43.9, 60.5) and 40.0 (29.5, 52.0), respectively. 1-year PSS was provided by 2,491 patients (72%) with median 90.0 (76.0, 97.0) reflecting significant improvement. Lower preoperative PSS, VR-12-MCS, and nonprivate insurance (particularly Workmen's Compensation) were the most important predictors of lower 1-year PSS and all subscores. Other (neither White nor Black) self-reported race, a chronic pain diagnosis, glenohumeral cartilage degeneration, and no acromioplasty were also statistically significantly associated with lower 1-year PSS. Model R
conclusionPatients generally reported excellent 1-year outcomes following primary ARCR. The most important predictors of 1-year PSS were baseline PSS, VR-12-MCS, and insurance type, with race and acromioplasty also among top predictors. However, the 23 factors examined in this study only account for a modest fraction of the variability in 1-year PSS, suggesting that other factors, for example, strength, structural healing, and patient biology, may contribute as well.
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