Health-related quality of life influences surgical decisions in patients with rotator cuff disease.

Autor:	Cederqvist S; Department of Musculoskeletal Diseases, Tampere University Hospital, Tampere, Finland., Flinkkilä T; Department of Surgery, Division of Orthopaedic and Trauma Surgery, Oulu University Hospital, Oulu, Finland., Tuominen A; Department of Surgery, Wellbeing Services County of Central Finland, Jyväskylä, Finland., Sormaala M; Department of Radiology, Helsinki University Central Hospital, Helsinki, Finland., Ylinen J; Department of Physical Medicine and Rehabilitation, Department of Surgery, Wellbeing Services County of Central Finland, Jyväskylä, Finland., Kautiainen H; Primary Health Care Unit, Kuopio University Hospital, Kuopio, Finland.; Folkhälsan Research Center, Helsinki, Finland., Sirniö K; Department of Surgery, Division of Orthopaedic and Trauma Surgery, Oulu University Hospital, Oulu, Finland., Pamilo K; Department of Orthopaedics, Coxa Hospital for Joint Replacement, Tampere, Finland., Kiviranta I; Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, Helsinki, Finland.; University of Helsinki, Helsinki, Finland., Paloneva J; Department of Surgery, Wellbeing Services County of Central Finland, Jyväskylä, Finland.; University of Eastern Finland, Kuopio, Finland.
Jazyk:	angličtina
Zdroj:	Bone & joint open [Bone Jt Open] 2024 Sep 20; Vol. 5 (9), pp. 793-799. Date of Electronic Publication: 2024 Sep 20.
DOI:	10.1302/2633-1462.59.BJO-2024-0092.R1
Abstrakt:	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. Competing Interests: S. Cederqvist reports personal funding for this project from government state funding in the Western Finland Collaborative Area, the Finnish Medical Association, and the Academy of Finland. I. Kiviranta reports funding for this project from the Academy of Finland. J. Paloneva reports institutional funding for this project from the Academy of Finland and state research funding in the Eastern Finland Collaborative Area. M. J. Sormaala reports payment from Helsinki City for a one-day educational event in January 2024, unrelated to this study. (© 2024 Cederqvist et al.)
Databáze:	MEDLINE
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