Pitt Lisa, Mazuquin Bruno, Littlewood Chris
Orthopaedics, University Hospitals of Derby & Burton NHS Foundation Trust, Derby UK.
Faculty of Health and Education, Manchester Metropolitan University, Manchester, UK.
Shoulder Elbow. 2024 Oct 10:17585732241281743. doi: 10.1177/17585732241281743.
Many factors may influence a patient's decision to undergo rotator cuff repair surgery. The aim of this survey was to understand from a clinician's perspective how different factors influence the likelihood of a patient undergoing a repair.
An online survey presenting a range of clinical scenarios was distributed through professional networks to understand how each patient related factor influenced the likelihood of a patient undergoing a rotator cuff repair.
One hundred three clinicians completed the survey. Clinicians indicated that patients were more likely to undergo a repair if they were younger, had a traumatic or larger tear, high pain levels (64.1%), high functional demands (93.2%), and arm weakness (86.4%). Surgery was less likely in older patients who had degenerative or smaller tears, diabetics (62.1%), smokers (78.9%) and those with high body mass index (57.3%). 74.8% of clinicians indicated a repair was more likely if the patient expected that surgery was required to improve symptoms.
From a clinician's perspective, the decision to undergo surgery is complex, it is influenced by onset, age, tear size and other health related factors. Patient expectations of treatment also appear to influence the decision, and this is an area that needs further exploration.
许多因素可能会影响患者进行肩袖修复手术的决定。本次调查的目的是从临床医生的角度了解不同因素如何影响患者接受修复手术的可能性。
通过专业网络开展了一项呈现一系列临床场景的在线调查，以了解每个患者相关因素如何影响患者接受肩袖修复的可能性。
103名临床医生完成了调查。临床医生表示，如果患者年龄较小、有创伤性或较大的撕裂、疼痛程度高（64.1%）、功能需求高（93.2%）以及手臂无力（86.4%），则更有可能接受修复手术。对于有退行性或较小撕裂的老年患者、糖尿病患者（62.1%）、吸烟者（78.9%）以及体重指数高的患者（57.3%），手术的可能性较小。74.8%的临床医生表示，如果患者期望手术能改善症状，则更有可能进行修复手术。
从临床医生的角度来看，决定是否进行手术很复杂，它受到发病情况、年龄、撕裂大小和其他健康相关因素的影响。患者对治疗的期望似乎也会影响这一决定，这是一个需要进一步探索的领域。
