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Prognostic factors for improvement of shoulder function after arthroscopic rotator cuff repair: a systematic review
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 4663612
Author(s) Stojanov, Thomas; Audigé, Laurent; Modler, Linda; Aghlmandi, Soheila; Appenzeller-Herzog, Christian; Loucas, Rafael; Loucas, Marios; Müller, Andreas Marc
Author(s) at UniBasel Appenzeller-Herzog, Christian
Stojanov, Thomas
Audigé, Laurent
Modler, Linda
Aghlmandi, Soheila
Müller, Marc Andreas
Year 2023
Title Prognostic factors for improvement of shoulder function after arthroscopic rotator cuff repair: a systematic review
Journal JSES international
Volume 7
Number 1
Pages / Article-Number 50-57
Keywords Arthroscopy; Epidemiology; Prognostic factors; Risk factors; Rotator cuff tear; Shoulder function; Systematic review
Abstract The identification of factors that specify prognostic models for postoperative results should be based on the best scientific evidence and expert assessment. We aimed to identify, map, and evaluate potential prognostic factors for the improvement of shoulder function in patients undergoing arthroscopic rotator cuff repair.; Longitudinal primary studies of arthroscopic rotator cuff repair reporting any multivariable factor analyses for shoulder function improvement with an endpoint assessment of at least 6 months were included. We systematically searched EMBASE, Medline, and Scopus for articles published between January 2014 and June 2021. The risk of bias of included studies and the quality of evidence were assessed using the Quality in Prognosis Studies tool and an adapted Grading of Recommendations, Assessment, Development, and Evaluations framework.; Overall, 24 studies including 73 outcome analyses were included. We classified younger age and smaller tear size as probably prognostic for a greater improvement in objective outcomes. Shorter symptom duration, absence of a worker compensation claim, low preoperative level of functional status, and high preoperative pain level were classified as probably prognostic for greater improvement in patient-reported outcome measures. The quality of the synthesized evidence was low. Twenty-one studies had an overall high risk of bias.; Six potential prognostic factors for shoulder function after arthroscopic rotator cuff repair were identified. Along with ongoing expert opinion assessments, they will feed into a prognostic model-building process.
Publisher Elsevier
ISSN/ISBN 2666-6383
edoc-URL https://edoc.unibas.ch/93780/
Full Text on edoc Available
Digital Object Identifier DOI 10.1016/j.jseint.2022.09.003
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/36820428
ISI-Number MEDLINE:36820428
Document type (ISI) Journal Article, Review
 
   

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