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- W4366979327 abstract "Mild to moderate glenohumeral osteoarthritis (GHOA) is a common finding among patients who are evaluated for rotator cuff (RC) tears. However, the impact of pre-operative shoulder joint degeneration on patient-reported outcomes (PROs) following RC repair (RCR) is not well-established. Certain studies have reported a negative association between radiographic findings of glenohumeral osteoarthritis (GHOA) and RCR PROs, while other studies have found no substantial association. The purpose of this study is to apply the MRI-based Shoulder Osteoarthritis Severity (SOAS) score to the evaluation of patients undergoing RCR and determine the relationship between pre-operative shoulder pathology present on MRI with post-operative PROMIS-UE scores. Seventy-one MRIs corresponding to 71 patients were analyzed by two independent reviewers and scored using the SOAS criteria. Intraclass correlation coefficients were calculated for total SOAS score as well as for each sub-score. Spearman’s correlations were calculated between averaged SOAS scores, patient demographics, and PROMIS-UE scores. Linear regression analysis was performed between the independent variables of patient age, sex, BMI, and significant SOAS score components determined by univariate analysis with the dependent variable of PROMIS-UE score. All statistical analysis was performed with STATA. Significance was defined as p<0.05. The mean PROMIS-UE score of this cohort was 51.5 ± 7.5, while the average total SOAS score was 21.5 ± 8.4. Intraclass correlation coefficient (ICC) for total SOAS score was 0.63. There was a negative correlation between increasing total SOAS score and worsening post-operative PROMIS-UE score (r = -0.24, p = 0.04). Both cartilage wear (r = -0.33, p = 0.0045) and AC joint degeneration (r = -0.24, p = 0.048) individually demonstrated negative correlations with PROMIS-UE score. SOAS cartilage score was an independent negative predictor of PROMIS-UE score in a multiple variable linear regression with patient age, sex, and BMI (β = -1.05, p = 0.038). In this cohort of patients undergoing RCR, increasing pre-operative total SOAS score was predictive of lower post-operative PROMIS-UE scores. SOAS sub-scores with the strongest negative correlations with PROMIS-UE scores included cartilage wear and AC joint degeneration. Cartilage subscore was negatively correlated with PROMIS-UE scores independent of patient demographic factors in multivariate analysis." @default.
- W4366979327 created "2023-04-27" @default.
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- W4366979327 date "2023-06-01" @default.
- W4366979327 modified "2023-09-25" @default.
- W4366979327 title "Podium Presentation Title: Increasing Shoulder Osteoarthritis Severity Score Predicts Lower Patient-Reported Outcomes Measurement Information System-Upper Extremity (PROMIS-UE) Score After Cuff Repair" @default.
- W4366979327 doi "https://doi.org/10.1016/j.arthro.2023.01.091" @default.
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