关节镜下肩袖修复术后中期临床疗效和患者可接受症状状态的性别差异:至少两年的随访。

IF 2.7 Q1 ORTHOPEDICS
Gerald Joseph Zeng, Ying Hao, Denny Tjiauw Tjoen Lie
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引用次数: 0

摘要

目的:有关患者性别对关节镜下肩袖修复术后恢复和治疗成功率的影响的文献很少。本研究调查了性别对术前和术后(至少 2 年)患者报告结果的影响,并确定性别是否会影响患者可接受症状状态(PASS)阈值的达到。方法:研究纳入了 266 例因外伤性全厚撕裂而接受关节镜下肩袖修复术的患者(男性 117 例,女性 149 例)。术前和术后收集功能结果和疼痛评分。计算各种结果评分达到 PASS 的百分比,并对男性和女性进行比较:结果:从统计学角度看,女性在术前、术后 1 年和 2 年的功能结果和疼痛评分都明显较差(PC 结论:女性肩关节疼痛更严重,肩关节功能更差:与男性相比,女性在术前、术后 2 年内的疼痛感更强,肩关节功能更差。与男性相比,女性在术后达到患者可接受的症状状态阈值的可能性更小:研究设计:回顾性队列研究 证据级别:III.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Gender-based differences in mid-term clinical outcomes and patient acceptable symptomatic state attainment after arthroscopic rotator cuff repair: Minimum 2-year follow up.

Objective: There is paucity of literature on the impact of patients' gender on recovery and treatment success after arthroscopic rotator cuff repair. This study investigates the effect of gender on patient-reported outcomes preoperatively and postoperatively (minimum 2 years), and to determine if gender affects the attainment of patient-acceptable symptomatic state (PASS) thresholds.

Methods: 266 patients (117 males, 149 females), who underwent primary arthroscopic rotator cuff repair for atraumatic, full-thickness tears, were included. Functional outcomes and pain scores were collected preoperatively and postoperatively. Percentage of attainment of PASS for the various outcome scores was calculated and compared between males and females.

Results: Women had statistically significantly poorer functional outcome and pain scores preoperatively and at 1 and 2 years postoperatively (P ​< ​0.01). They also experienced less improvement in outcome scores throughout the postoperative period. Women had statistically significantly lower rates of PASS attainment at 2 years postoperatively.

Conclusion: Women experience greater pain and poorer shoulder function compared with men preoperatively, and up to 2 years postoperatively. Women are less likely to achieve PASS thresholds postoperatively, compared to their male counterparts.

Study design: Retrospective Cohort Study.

Level of evidence: III.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
61
审稿时长
108 days
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