A comparison of prospective and retrospective assessment of functional outcome after rotator cuff repair

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...

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Published inJournal of shoulder and elbow surgery Vol. 17; no. 6; pp. 853 - 859
Main Authors Tashjian, Robert Z., MD, Bradley, Michael P., MD, Tocci, Stephen, MD, Henn, Ralph F., MD, Rey, Jesus, MD, Green, Andrew, MD
Format Journal Article
LanguageEnglish
Published New York, NY Mosby, Inc 01.11.2008
Elsevier
Subjects
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Diseases of the osteoarticular system
Female
Humans
Male
Medical sciences
Middle Aged
Orthopedics
Outcome Assessment (Health Care) - methods
Pain Measurement
Patient Satisfaction
Prospective Studies
Recovery of Function
Retrospective Studies
Rotator Cuff - surgery
Rotator Cuff Injuries
Prognosis
Repair
Rotator cuff
Comparative study
Rheumatology
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Summary: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.
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ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2008.04.003