A Systematic Review and Meta-analysis of Risk Factors for the Increased Incidence of Revision Surgery After Arthroscopic Rotator Cuff Repair

医学 荟萃分析 优势比 外科 肩袖 系统回顾 风险因素 入射(几何) 梅德林 内科学 物理 光学 政治学 法学
作者
Azad D. Darbandi,Matthew R. Cohn,Kevin Credille,Mario Hevesi,Navya Dandu,Zachary Wang,Grant E. Garrigues,Nikhil N. Verma,Adam B. Yanke
出处
期刊:American Journal of Sports Medicine [SAGE]
卷期号:52 (5): 1374-1383
标识
DOI:10.1177/03635465231182993
摘要

Background: Approximately 90% of patients who undergo arthroscopic rotator cuff repair (RCR) are satisfied with their pain levels and function after surgery. However, a subset of patients experience continued symptoms that warrant revision surgery. Preoperative risk factors for RCR failure requiring revision surgery have not been clearly defined. Purpose: To (1) determine the rate of RCR failure requiring revision surgery and (2) identify risk factors for revision surgery, which will help surgeons to determine patients who are at the greatest risk for RCR failure. Study Design: Systematic review and meta-analysis; Level of evidence, 4. Methods: A systematic review and meta-analysis in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were performed. The initial search resulted in 3158 titles, and 533 full-text articles were assessed for eligibility. A total of 10 studies met the following inclusion criteria: (1) human clinical studies, (2) arthroscopic RCR, (3) original clinical research, and (4) evaluation of preoperative risk factors for revision. Results: After a full-text review, a total of 16 risk factors were recorded and analyzed across 10 studies. Corticosteroid injection was the most consistent risk factor for revision surgery, reaching statistical significance in 4 of 4 studies, followed by workers’ compensation status (2/3 studies). Patients with corticosteroid injections had a pooled increased risk of revision surgery by 47% (odds ratio, 1.44 [95% CI, 1.36-1.52]). Patients with workers’ compensation had a pooled increased risk of revision surgery by 133% (odds ratio, 2.33 [95% CI, 2.09-2.60]). Age, smoking status, diabetes, and obesity were found to be risk factors in half of the analyzed studies. Conclusion: Corticosteroid injections, regardless of the frequency of injections, and workers’ compensation status were found to be significant risk factors across the literature based on qualitative analysis and pooled analysis. Surgeons should determine ideal candidates for arthroscopic RCR by accounting for corticosteroid injection history, regardless of the frequency, and insurance status of the patient.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
2秒前
3秒前
3秒前
3秒前
斯文败类应助明亮从梦采纳,获得10
4秒前
liang发布了新的文献求助10
4秒前
dengqin发布了新的文献求助10
4秒前
4秒前
汉堡包应助Yuntao_Chen采纳,获得10
5秒前
小羊羊完成签到,获得积分10
5秒前
5秒前
苏州小北发布了新的文献求助10
6秒前
7秒前
karmen完成签到 ,获得积分10
7秒前
小马甲应助科研通管家采纳,获得10
7秒前
CipherSage应助科研通管家采纳,获得10
7秒前
大个应助科研通管家采纳,获得10
8秒前
酷波er应助阿良采纳,获得10
8秒前
科目三应助玉坠小分子采纳,获得10
8秒前
天天快乐应助科研通管家采纳,获得10
8秒前
小羊羊发布了新的文献求助10
8秒前
共享精神应助guojing1321采纳,获得10
8秒前
乐乐应助科研通管家采纳,获得10
8秒前
Orange应助科研通管家采纳,获得10
9秒前
张三坟应助科研通管家采纳,获得30
9秒前
张三坟应助碧蓝初丹采纳,获得30
9秒前
rosalieshi应助科研通管家采纳,获得30
9秒前
9秒前
科研通AI2S应助科研通管家采纳,获得10
9秒前
lxx应助科研通管家采纳,获得20
9秒前
Tonnyjing应助科研通管家采纳,获得10
10秒前
斯文败类应助科研通管家采纳,获得10
10秒前
脑洞疼应助科研通管家采纳,获得10
10秒前
10秒前
wy.he应助科研通管家采纳,获得10
10秒前
共享精神应助科研通管家采纳,获得10
10秒前
科研通AI2S应助科研通管家采纳,获得10
11秒前
薰硝壤应助科研通管家采纳,获得30
11秒前
11秒前
高分求助中
좌파는 어떻게 좌파가 됐나:한국 급진노동운동의 형성과 궤적 2500
Sustainability in Tides Chemistry 1500
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
CLSI EP47 Evaluation of Reagent Carryover Effects on Test Results, 1st Edition 800
Threaded Harmony: A Sustainable Approach to Fashion 799
Livre et militantisme : La Cité éditeur 1958-1967 500
Retention of title in secured transactions law from a creditor's perspective: A comparative analysis of selected (non-)functional approaches 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3054832
求助须知:如何正确求助?哪些是违规求助? 2711702
关于积分的说明 7427649
捐赠科研通 2356261
什么是DOI,文献DOI怎么找? 1247983
科研通“疑难数据库(出版商)”最低求助积分说明 606566
版权声明 596083