Prof. Lennard Funk’s Education Portal

Call: 01625 545071
Email: [email protected]
For treatment enquires visit The Arm Clinic

The Effect of Co-Morbidity on Pain, Function and General Health Status After Rotator Cuff Repair

Authors: Robert Tashjian, MD Cumberland RI

References: AAOS 2005

Abstract
Medical co-morbidities have a negative effect on improvement in pain, shoulder function and general health after chronic rotator cuff repair.

Medical co-morbidities have a negative effect on preoperative pain, function and general health status in patients with chronic rotator cuff tears. In this study, we evaluated the relationship between medical co-morbidities and the postoperative outcome of rotator cuff repair.

125 patients with chronic rotator cuff tears were evaluated with a history (including medical co-morbidities) and outcome tools preoperatively and at 1 year postoperatively after rotator cuff repair. Outcome was evaluated with the DASH, SST, visual analog scales (pain, function and quality of life), and the SF-36. Statistical analysis was performed with a stepwise multivariate regression analysis.

The mean number of co-morbidities was 1.91 (range 0 to 6). A greater number of co-morbidities was associated with worse improvement from preoperative pain (pain VAS [p=0.009]), function (function VAS [p=0.022], DASH [p=0.044]), and general health (quality of life VAS [p=0.041]). In addition, a greater number of co-morbidities was associated with worse postoperative general health status (SF36 physical function [p=0.05], SF36 bodily pain [p=0.032], SF36 general health [p<0.001], SF36 vitality [p=0.033]).

Patients with increased numbers of medical co-morbidities appear to have less improvement in their shoulder pain, function and general health status as a result of rotator cuff repair. This information may be useful when selecting treatment and predicting the outcome for individual patients.

Search ShoulderDoc.co.uk

Find a Shoulder Professional

+ Add Your Clinic Advanced Search

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.

ShoulderDoc.co.uk satisfies the INTUTE criteria for quality and has been awarded 'editor's choice'.

The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. Full Disclaimer