Patients' preoperative expectations predict the outcome of rotator cuff repair
Patients' preoperative expectations predict the outcome of rotator cuff repair
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DOI：
10.2106/jbjs.f.00358
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发表时间：
2007-09-01
影响因子：
5.3
通讯作者：
Green, Andrew
中科院分区：
文献类型：
--
作者：
Henn, R. Frank, III;Tashjian, Robert Z.;Green, Andrew
背景：我们不知道之前有任何关于患者对肩袖修复的期望与实际结果之间关系的研究。我们假设术前期望可以预测肩袖修复的结果。方法：本研究纳入了 125 名接受单侧慢性肩袖撕裂初次修复的患者。所有手术均由一名外科医生完成。每个患者前瞻性地完成了简单肩部测试（SST）；手臂、肩部和手部残疾 (DASH) 调查问卷；肩部疼痛、肩部功能和生活质量的三个视觉模拟量表；以及术前和术后一年的 Short Form-36 (SF-36)（平均值和标准差，54.1 +/- 7.6 周）。使用肌肉骨骼结果数据评估和管理系统 (MODEMS) 问卷中的六个问题对术前期望进行量化。结果：术前期望越高，SST、DASH、每个视觉模拟量表和 SF-36 的术后表现越好（p 值范围为
Background: We are not aware of any previous studies of the relationship between patients' expectations regarding rotator cuff repair and the actual outcome. We hypothesized that preoperative expectations are predictive of the outcome of rotator cuff repair.Methods: One hundred and twenty-five patients who underwent unilateral primary repair of a chronic rotator cuff tear were included in the study. All operations were performed by a single surgeon. Each patient prospectively completed the Simple Shoulder Test (SST); the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire; three visual analogue scales for shoulder pain, shoulder function, and quality of life; and the Short Form-36 (SF-36) preoperatively and at one year (mean and standard deviation, 54.1 +/- 7.6 weeks) postoperatively. Preoperative expectations were quantified with use of six questions from the Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS) questionnaire.Results: Greater preoperative expectations correlated with better postoperative performance on the SST, DASH, each visual analogue scale, and the SF-36 (p values ranging from