Health-related quality of life influences surgical decisions in patients with rotator cuff disease analysis of a randomized controlled trial

Aims: Rotator cuff disease (RCD) can considerably decrease quality of life. Here, we investigated whether health-related quality of life (HRQoL) influences the need for surgery in patients with RCD. Methods: We performed an analysis of 417 patients with symptomatic RCD who were recruited from two ho...

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Veröffentlicht in:Bone & joint open Jg. 5; H. 9; S. 793 - 799
Hauptverfasser: Cederqvist, Sanna, Flinkkilä, Tapio, Tuominen, Antti, Sormaala, Markus, Ylinen, Jari, Kautiainen, Hannu, Sirniö, Kai, Pamilo, Konsta, Kiviranta, Ilkka, Paloneva, Juha
Format: Journal Article
Sprache:Englisch
Veröffentlicht: The British Editorial Society of Bone & Joint Surgery 01.09.2024
Schlagworte:
36-item short form survey
constant-murley score
health-related quality of life
multivariate analysis
pain score
rehabilitation
rotator cuff disease
shoulder
shoulder surgery
surgical treatments
univariate analyses
visual analogue scale (vas)
ISSN:2633-1462, 2633-1462
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Zusammenfassung:Aims: Rotator cuff disease (RCD) can considerably decrease quality of life. Here, we investigated whether health-related quality of life (HRQoL) influences the need for surgery in patients with RCD. Methods: We performed an analysis of 417 patients with symptomatic RCD who were recruited from two hospitals between June 2008 and December 2014 to be randomized to receive non-surgical or surgical treatment. After a three-month rehabilitation period, 36-Item Short-Form Health Survey questionnaire (SF-36), shoulder pain (visual analogue scale (VAS)), and shoulder function (Constant-Murley score) data were available from 191 still-symptomatic patients who were eligible for surgery. A control group was formed from 87 excluded patients who were no longer eligible for surgery due to relief of symptoms. Results: Mean pain on the VAS was 51.3 (SD 20.1) in the patients eligible for surgery and 41.7 (SD 21.2) in the control group. The following domains of the SF-36 were associated with being eligible for surgery in univariate analyses: bodily pain, general health, vitality, social functioning, and emotional wellbeing. In multivariate analysis, only bodily pain was associated with pursuing surgical treatment. The RCD population’s values for physical role, bodily pain, and physical functioning were poorer compared to the values of the general population. Conclusion: Lower HRQoL, as indicated by the lower bodily pain score on the SF-36, was associated with the decision to undergo surgical treatment in patients with RCD. Therefore, HRQoL should be considered when determining treatment options for RCD. Cite this article: Bone Jt Open 2024;5(9):793–799.
ISSN:2633-1462
2633-1462
DOI:10.1302/2633-1462.59.BJO-2024-0092.R1