The impact of full-thickness rotator cuff tear on shoulder function and quality of life in patients who sustain a proximal humerus fracture. A prospective cohort study

Background Rotator cuff tear, a common shoulder injury, can lead to shoulder pain and functional loss. Hypothesis Surgical repair of full-thickness rotator cuff tears using the mini-open surgical technique will improve shoulder function and health-related quality of life. Study Design Cohort study. Level of evidence, 2. Methods Patients with a full-thickness rotator cuff tear who underwent a mini-open repair were evaluated for (1) active shoulder range of motion preoperatively, and 6 months and 12 months postoperatively and (2) health-related quality of life preoperatively, 6 months postoperatively, and annually up to 5 years postoperatively. Satisfaction with the repair and return to work status were ascertained 1 year postoperatively. A subgroup analysis of tear size and patient age was also undertaken. Results Of the subjects, 61 (73%) were men, and the average age was 53.2 (±9.9) years. According to repeated-measures analysis of variance, shoulder range of motion (flexion and external rotation) improved significantly from before surgery to 1 year after surgery (P < .001). The mean American Shoulder and Elbow Surgeons scores improved from 53.3 (±20.6) preoperatively to 90.6 (±11.7) 1 year postoperatively (P < .001). The mean Western Ontario Rotator Cuff scores also improved from 43.2 (±20.2) preoperatively to 87.2 (±14.3) 1 year postoperatively (P < .001). No differences were seen in either the American Shoulder and Elbow Surgeons scores or Western Ontario Rotator Cuff scores between the 1-year examination and the last follow-up assessment undertaken at a median of 5 years postoperatively (P > .05). Ninety-six percent of patients were satisfied or very satisfied with the results of their repair; 78% of patients who were working before surgery returned to work without modification by 1 year postoperatively. For the most part, patient age and size of tear did not influence postoperative range of motion or health-related quality of life. Conclusion Mini-open rotator cuff repair led to improved shoulder function and health-related quality of life up to 5 years postoperatively.

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Meeting Psychosocial Needs to Improve Health: A Prospective Cohort Study

10.21203/rs.2.17909/v1 ◽

2019 ◽

Author(s):

Austyn Snowden ◽

Jenny Young ◽

Jan Savinc

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Health Status ◽

Cancer Type ◽

Cancer Stage ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Impact

Abstract Background Cancer impacts on patients and their families across a range of different domains. For that reason, optimal cancer care has moved away from a disease-centric focus to a more holistic approach in order to proactively support people with their individual needs and concerns. While international policy clearly advocates this agenda, implementation into routine care is limited. Therefore, relevant interventions that measurably improve patient outcomes are essential to understand if this ideal is to become routine multidisciplinary practice. The aim of this study was to analyse the impact of a proactive, holistic, community-based intervention on health-related quality of life in a cohort of people diagnosed with cancer. Secondary aim was to explore the relationship between changes in health status and: cancer type, cancer stage, number of concerns expressed and change in severity of concerns pre and post intervention. Method Prospective observational cohort study. A convenience sample of 437 individuals were referred to the service ‘Improving the Cancer Journey (ICJ) in the UK. Each completed the Euroqol EQ-5D-3L and visual analogue scale (VAS) and a Holistic Needs Assessment (HNA) during initial visit to the service and again at follow-up review, approximately 4 months later. Change between scores was tested with paired t-tests and relationships between variables with multiple regression models. Results Participants were White British with median age between 50-64 years. Cancer type and stage were varied. There was a statistically significant improvement in EQ-5D scores over time (t(330)=7.48, p<.001). The strongest predictor of change was a decrease in severity of concerns. Cancer stage ‘palliative care’ contributed to a reduction in health status. Conclusion This study is the first to show that a holistic community intervention dedicated to supporting the individual concerns of participants has a statistically and meaningful impact on participants’ health-related quality of life. The mean change in EQ-5D scores was more than the ‘minimally important clinical difference’ described in the literature. This is important because while quality of life has multiple determinants this study has reported that it is possible to capture a meaningful improvement as a function of reducing someone’s personally identified concerns.

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Brain atlas for assessing the impact of tumor location on perioperative quality of life in patients with high-grade glioma: A prospective population-based cohort study

NeuroImage Clinical ◽

10.1016/j.nicl.2019.101658 ◽

2019 ◽

Vol 21 ◽

pp. 101658 ◽

Cited By ~ 6

Author(s):

Lisa Millgård Sagberg ◽

Daniel Høyer Iversen ◽

Even Hovig Fyllingen ◽

Asgeir Store Jakola ◽

Ingerid Reinertsen ◽

...

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

High Grade Glioma ◽

Tumor Location ◽

Population Based ◽

Brain Atlas ◽

High Grade ◽

The Impact

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The impact of social engagement on health-related quality of life and depressive symptoms in old age - evidence from a multicenter prospective cohort study in Germany

Health and Quality of Life Outcomes ◽

10.1186/s12955-017-0715-8 ◽

2017 ◽

Vol 15 (1) ◽

Cited By ~ 21

Author(s):

André Hajek ◽

◽

Christian Brettschneider ◽

Tina Mallon ◽

Annette Ernst ◽

...

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Social Engagement ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Multicenter Prospective Cohort Study ◽

The Impact ◽

Multicenter Prospective Cohort

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The impact of implant treatment on oral health related quality of life in a private dental practice: a prospective cohort study

Health and Quality of Life Outcomes ◽

10.1186/1477-7525-11-197 ◽

2013 ◽

Vol 11 (1) ◽

pp. 197 ◽

Cited By ~ 27

Author(s):

Mathieu Fillion ◽

Dominique Aubazac ◽

Marion Bessadet ◽

Marlène Allègre ◽

Emmanuel Nicolas

Keyword(s):

Quality Of Life ◽

Cohort Study ◽

Oral Health ◽

Dental Practice ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

The Impact ◽

Implant Treatment

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Bursal lipohematoma: a CT sign of full thickness rotator cuff tear in patients with proximal humerus fractures

Emergency Radiology ◽

10.1007/s10140-018-01666-9 ◽

2019 ◽

Vol 26 (3) ◽

pp. 257-262

Author(s):

Yogesh Sean Gupta ◽

Stephen Ling ◽

Omer Awan ◽

Padmaja Jonnalagada ◽

Sarah Fenerty ◽

...

Keyword(s):

Rotator Cuff ◽

Rotator Cuff Tear ◽

Proximal Humerus ◽

Proximal Humerus Fractures ◽

Full Thickness ◽

Cuff Tear ◽

Humerus Fractures

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The impact of comorbid chronic kidney disease and diabetes on health-related quality-of-life: a 12-year community cohort study

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfaa031 ◽

2020 ◽

Cited By ~ 2

Author(s):

Melanie L R Wyld ◽

Rachael L Morton ◽

Leyla Aouad ◽

Dianna Magliano ◽

Kevan R Polkinghorne ◽

...

Keyword(s):

Quality Of Life ◽

Chronic Kidney Disease ◽

Cohort Study ◽

Kidney Disease ◽

Short Form ◽

Mixed Effect ◽

Linear Mixed Effect ◽

Prospective Longitudinal ◽

The Impact

Abstract Background Quality-of-life is an essential outcome for clinical care. Both chronic kidney disease (CKD) and diabetes have been associated with poorer quality-of-life. The combined impact of having both diseases is less well understood. As diabetes is the most common cause of CKD, it is imperative that we deepen our understanding of their joint impact. Methods This was a prospective, longitudinal cohort study of community-based Australians aged ≥25 years who participated in the Australian Diabetes, Obesity and Lifestyle study. Quality-of-life was measured by physical component summary (PCS) and mental component summary sub-scores of the Short Form (36) Health Survey. Univariate and multivariate linear mixed effect regressions were performed. Results Of the 11 081 participants with quality-of-life measurements at baseline, 1112 had CKD, 1001 had diabetes and of these 271 had both. Of the 1112 with CKD 421 had Stage 1, 314 had Stage 2, 346 had Stage 3 and 31 had Stages 4/5. Adjusted linear mixed effect models showed baseline PCS was lower for those with both CKD and diabetes compared with either disease alone (P < 0.001). Longitudinal analysis demonstrated a more rapid decline in PCS in those with both diseases. Conclusions The combination of CKD and diabetes has a powerful adverse impact on quality-of-life, and participants with both diseases had significantly poorer quality-of-life than those with one condition.

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