Document Detail

A comparison of prospective and retrospective assessment of functional outcome after rotator cuff repair.
MedLine Citation:
PMID:  18693118     Owner:  NLM     Status:  MEDLINE    
Prospective outcome studies are generally considered to be better than retrospective studies. The purpose of this study was to assess correlations between prospective and retrospective outcome assessment after rotator cuff repair. One-hundred and twelve patients (118 shoulders) with chronic rotator cuff tears were evaluated at a mean of 54 months (34-85) after rotator cuff repair, using several outcome measures including a retrospective assessment of improvement. The retrospective assessment of post-operative pain, function, and quality of life had fair correlations with the prospectively determined improvement (R = .23-.25, P < .01). Post-operative patient satisfaction was more highly correlated with all retrospective evaluations than with the prospective improvement in all functional outcome measures. Retrospective and prospective evaluations of the outcome of rotator cuff repair are different. Patient satisfaction has a greater correlation with retrospective outcomes. Retrospective evaluation may aid in supplementing prospective evaluations, as it may better reflect a patient's perception of the success after surgery.
Robert Z Tashjian; Michael P Bradley; Stephen Tocci; Ralph F Henn; Jesus Rey; Andrew Green
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-08-06
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  17     ISSN:  1532-6500     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-11-10     Completed Date:  2009-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  853-9     Citation Subset:  IM    
Department of Orthopaedics, University of Utah, Salt Lake City, UT 84108, USA.
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MeSH Terms
Aged, 80 and over
Middle Aged
Outcome Assessment (Health Care) / methods*
Pain Measurement
Patient Satisfaction
Prospective Studies
Recovery of Function*
Retrospective Studies
Rotator Cuff / injuries*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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