One-year patient-reported outcomes following primary arthroscopic rotator cuff repair vary little by surgeon
© 2023 The Author(s)..
Background: This study's purpose was to investigate the extent to which differences among operating surgeons may influence 1-year patient-reported outcome measures (PROMs) in patients undergoing rotator cuff repair (RCR) surgery, after controlling for general and disease-specific patient factors. We hypothesized that surgeon would be additionally associated with 1-year PROMs, specifically the baseline to 1-year improvement in Penn Shoulder Score (PSS).
Methods: We used mixed multivariable statistical modeling to assess the influence of surgeon (and alternatively surgical case volume) on 1-year PSS improvement in patients undergoing RCR at a single health system in 2018, controlling for eight patient- and six disease-specific preoperative factors as possible confounders. Contributions of predictors to explaining variation in 1-year PSS improvement were measured and compared using Akaike's Information Criterion.
Results: 518 cases performed by 28 surgeons met inclusion criteria, with median (quartiles) baseline PSS of 41.9 (31.9, 53.9) and 1-year PSS improvement of 42 (29.1, 55.3) points. Contrary to expectation, surgeon and surgical case volume were neither statistically significantly nor clinically meaningfully associated with 1-year PSS improvement. Baseline PSS and mental health status (VR-12 MCS) were the dominant and only statistically significant predictors of 1-year PSS improvement, with lower baseline PSS and higher VR-12 MCS predicting larger 1-year PSS improvement.
Conclusion: Patients generally reported excellent 1-year outcomes following primary RCR. This study did not find evidence that the individual surgeon or surgeon case volume influences 1-year PROMs, independently of case-mix factors, following primary RCR in a large employed hospital system.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:7 |
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| Enthalten in: |
JSES international - 7(2023), 4 vom: 01. Juli, Seite 568-573 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Sahoo, Sambit [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Revised 18.07.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.jseint.2023.03.007 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM359279627 |
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| 100 | 1 | |a Sahoo, Sambit |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a One-year patient-reported outcomes following primary arthroscopic rotator cuff repair vary little by surgeon |
| 264 | 1 | |c 2023 | |
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| 500 | |a Date Revised 18.07.2023 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © 2023 The Author(s). | ||
| 520 | |a Background: This study's purpose was to investigate the extent to which differences among operating surgeons may influence 1-year patient-reported outcome measures (PROMs) in patients undergoing rotator cuff repair (RCR) surgery, after controlling for general and disease-specific patient factors. We hypothesized that surgeon would be additionally associated with 1-year PROMs, specifically the baseline to 1-year improvement in Penn Shoulder Score (PSS) | ||
| 520 | |a Methods: We used mixed multivariable statistical modeling to assess the influence of surgeon (and alternatively surgical case volume) on 1-year PSS improvement in patients undergoing RCR at a single health system in 2018, controlling for eight patient- and six disease-specific preoperative factors as possible confounders. Contributions of predictors to explaining variation in 1-year PSS improvement were measured and compared using Akaike's Information Criterion | ||
| 520 | |a Results: 518 cases performed by 28 surgeons met inclusion criteria, with median (quartiles) baseline PSS of 41.9 (31.9, 53.9) and 1-year PSS improvement of 42 (29.1, 55.3) points. Contrary to expectation, surgeon and surgical case volume were neither statistically significantly nor clinically meaningfully associated with 1-year PSS improvement. Baseline PSS and mental health status (VR-12 MCS) were the dominant and only statistically significant predictors of 1-year PSS improvement, with lower baseline PSS and higher VR-12 MCS predicting larger 1-year PSS improvement | ||
| 520 | |a Conclusion: Patients generally reported excellent 1-year outcomes following primary RCR. This study did not find evidence that the individual surgeon or surgeon case volume influences 1-year PROMs, independently of case-mix factors, following primary RCR in a large employed hospital system | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multivariable model | |
| 650 | 4 | |a PENN shoulder score | |
| 650 | 4 | |a PROMs | |
| 650 | 4 | |a Preoperative factors | |
| 650 | 4 | |a Rotator cuff repair | |
| 650 | 4 | |a Shoulder | |
| 650 | 4 | |a Surgeon performance | |
| 700 | 1 | |a Derwin, Kathleen A |e verfasserin |4 aut | |
| 700 | 1 | |a Jin, Yuxuan |e verfasserin |4 aut | |
| 700 | 1 | |a Imrey, Peter B |e verfasserin |4 aut | |
| 700 | 0 | |a Cleveland Clinic Shoulder Group |e verfasserin |4 aut | |
| 700 | 1 | |a Ricchetti, Eric T |e verfasserin |4 aut | |
| 700 | 1 | |a Entezari, Vahid |e verfasserin |4 aut | |
| 700 | 1 | |a Iannotti, Joseph P |e verfasserin |4 aut | |
| 700 | 1 | |a Spindler, Kurt P |e verfasserin |4 aut | |
| 700 | 1 | |a Ho, Jason C |e verfasserin |4 aut | |
| 700 | 1 | |a Evans, Peter J |e investigator |4 oth | |
| 700 | 1 | |a Farrow, Lutul D |e investigator |4 oth | |
| 700 | 1 | |a Gilot, Gregory J |e investigator |4 oth | |
| 700 | 1 | |a Miniaci, Anthony A |e investigator |4 oth | |
| 700 | 1 | |a Schickendantz, Mark S |e investigator |4 oth | |
| 700 | 1 | |a Seitz, William H |e investigator |4 oth | |
| 700 | 1 | |a Serna, Alfred |e investigator |4 oth | |
| 700 | 1 | |a Stearns, Kim L |e investigator |4 oth | |
| 700 | 1 | |a Strnad, Greg |e investigator |4 oth | |
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