Results Weak to moderate cross-sectional associations were found for emotional or mental health with function or disability and pain in multiple studies .
Lower emotional or mental health function was associated with greater pain or disability or lower physical function at initial evaluation .
Conclusions At the initial evaluation of patients with rotator cuff tear , there was an association between self-reported function and pain and emotional or mental health .
However , these factors were not associated with patient-reported outcomes after intervention .
Preoperative patient expectation is an important predictor of patient-reported outcomes in patients after rotator cuff surgery and may be a modifiable target for enhancing recovery .
Background Psychosocial factors are key determinants of health and can influence patient-reported outcomes after rotator cuff tears .
However , to our knowledge , a systematic review of published studies has not been conducted to determine the degree of consistency and strength of the relationship between psychosocial factors and patient-reported outcomes in this patient population .
Questions / purpose s ( 1 ) Are psychosocial factors associated with patient-reported measures at initial clinical presentation in patients with rotator cuff tears ? (
2 ) Are psychosocial factors associated with patient-reported outcomes after treatment in patients with rotator cuff tears ?
Prospective Longitudinal Analysis of Postoperative Shoulder Function: A Ten-Year Follow-up Study of Full-Thickness Rotator Cuff Tears
Background : Rotator cuff repair  is associated with good short or mid-term results , but to date there have been no long-term functional outcome studies demonstrating durability of results over time . In most long-term studies , the results have been compared with those of historical controls or with those of other , short-term follow-up studies . The purpose of the present prospect i ve study was to evaluate short and long-term shoulder function after surgical repair in a single population of patients in order to follow changes over time . Methods : Thirty-three patients underwent surgery , performed by one surgeon , for the treatment of a chronic , symptomatic , full-thickness rotator cuff defect . Data were obtained from question naires and physical examinations preoperatively , at two years , and at ten years . Identical st and ardized pain and function question naires were used and clinical evaluation was performed in a consistent fashion at all time-periods . The activity level , Constant score , level of disability , shoulder function score , and patient ’s subjective rating of the outcome were determined at the time of the final follow-up and compared with the same parameters at the two-year follow-up examination in order to determine if early results change with time . Results : At the ten-year follow-up examination , there was no change in the raw Constant score determined at the two-year examination . When the Constant score was normalized for expected age-related changes , the percentage of patients who had a satisfactory result at ten years was even greater than the percentage at two years . Activity level decreased significantly over the time-period ( p = 0.005 ) . At the final follow-up examination , twelve patients worked at the same occupation as they had when the two-year examination was performed , two worked at a less strenuous occupation , and the remaining patients were retired . Only two patients retired because of problems related to the shoulder . The level of disability decreased over the study period , and there was a small improvement in the patients ’ self- assessment shoulder function score . The patients ’ subjective assessment of the outcome remained unchanged . Conclusions : The results of open rotator cuff repair for chronic tears do not deteriorate with time ( ten years ) . The level of disability decreases , presumably because of a concurrent decrease in the activity level and in the dem and on the shoulder as the patient ages . It is important to consider age-related changes when assessing the final outcome
Results Weak to moderate cross-sectional associations were found for emotional or mental health with function or disability and pain in multiple studies .
Lower emotional or mental health function was associated with greater pain or disability or lower physical function at initial evaluation .
Conclusions At the initial evaluation of patients with rotator cuff tear , there was an association between self-reported function and pain and emotional or mental health .
However , these factors were not associated with patient-reported outcomes after intervention .
Preoperative patient expectation is an important predictor of patient-reported outcomes in patients after rotator cuff surgery and may be a modifiable target for enhancing recovery .
Background Psychosocial factors are key determinants of health and can influence patient-reported outcomes after rotator cuff tears .
However , to our knowledge , a systematic review of published studies has not been conducted to determine the degree of consistency and strength of the relationship between psychosocial factors and patient-reported outcomes in this patient population .
Questions / purpose s ( 1 ) Are psychosocial factors associated with patient-reported measures at initial clinical presentation in patients with rotator cuff tears ? (
2 ) Are psychosocial factors associated with patient-reported outcomes after treatment in patients with rotator cuff tears ?