Kim Jung-Han, Jung Soo-Hwan, Park Dae-Hyun, Kwon Yong-Uk, Lee Hyo-Young
Department of Orthopedic Surgery, Inje University Busan Paik Hospital, College of Medicine, Inje University, Busan, Korea.
Clin Shoulder Elb. 2024 Sep;27(3):345-352. doi: 10.5397/cise.2024.00283. Epub 2024 Aug 7.
Several studies have investigated factors affecting patient satisfaction after arthroscopic rotator cuff repair (ARCR); however, it is unknown if these factors vary according to age. Therefore, this study aimed to evaluate the factors associated with satisfaction of ARCR in individuals 70 years and older versus younger patients.
Among 319 consecutive patients who underwent ARCR, 173 were included. Patients were divided into an old age group (≥70 years) and a young age group (<70 years), and the two age groups were further divided into satisfied and unsatisfied subgroups. Patient satisfaction was evaluated at the final follow-up visit using a binary question (yes or no). Clinical outcomes were assessed preoperatively and at the final follow-up.
Satisfaction rates in the older and younger age groups were 75.41% and 79.47%, respectively. Mean changes in Constant and American Shoulder and Elbow Surgeons scores were significantly different between the satisfied and unsatisfied subgroups (P=0.031 and P=0.012, respectively) in the young patients. In the old patients, there was a significant difference in the mean change in depression subscale of the Hospital Anxiety and Depression Scale (P=0.031) and anxiety subscale of the Hospital Anxiety and Depression Scale (P=0.044) scores between the satisfied and unsatisfied subgroups.
Factors affecting patient satisfaction after ARCR differed according to age. Psychological improvement was more important to elderly patients, whereas restoration of function was more important to younger patients. Pain relief was important for both age groups. Level of evidence: III.
多项研究调查了影响关节镜下肩袖修复术（ARCR）后患者满意度的因素；然而，这些因素是否因年龄而异尚不清楚。因此，本研究旨在评估70岁及以上个体与年轻患者中与ARCR满意度相关的因素。
在319例连续接受ARCR的患者中，纳入了173例。患者分为老年组（≥70岁）和青年组（<70岁），两个年龄组又进一步分为满意和不满意亚组。在末次随访时使用二元问题（是或否）评估患者满意度。术前和末次随访时评估临床结果。
老年组和青年组的满意度分别为75.41%和79.47%。青年患者中，满意和不满意亚组之间Constant评分及美国肩肘外科医师学会（ASES）评分的平均变化有显著差异（分别为P = 0.031和P = 0.012）。老年患者中，满意和不满意亚组之间医院焦虑抑郁量表（HADS）抑郁分量表评分的平均变化有显著差异（P = 0.031），HADS焦虑分量表评分也有显著差异（P = 0.044）。
ARCR后影响患者满意度的因素因年龄而异。心理改善对老年患者更重要，而功能恢复对年轻患者更重要。疼痛缓解对两个年龄组都很重要。证据等级：III级。
