Table 3 Summary of Outcomes of Rotator Cuff Surgery
From: Patient gender and rotator cuff surgery: are there differences in outcome?
Author/Year | Sex or Gender? | N | Purpose | Instruments | Findings |
|---|---|---|---|---|---|
Gartsman/1998 [9] | Sex/Female | 24F:26M | Outcome of arthroscopic cuff repairs, correlating SF-36 scores with shoulder scores | Constant, ASES, UCLA, SF-36 | Females had greater improvements in scores (ASES, Constant) from pre- to post-op. |
Romeo/1999 [6] | Sex/Female | 28F:48M | Outcomes of open cuff surgery at mean 4.5 years post-op | Constant, UCLA, SST | Age and sex intersected so older females did worse on Constant, but not clinically significant. |
Cofield/2001 [10] | Sex/Female | 33F:72M | Outcome of open rotator cuff repairs | Neer system, range of motion, strength, satisfaction | Females had worse pain scores, range of motion, and result ratings |
Watson & Sonnabend/ 2002 [12] | Sex/Female | 262F:405M | Outcomes of full-thickness cuff repairs | Adapted SST | Females more likely to report improvement, especially with work. |
Harryman/2003 [8] | Sex/Female | 137F:196M | Examination of extra-shoulder factors on outcome (ie: age, gender, comorbidities) | Simple Shoulder Test (SST) | In this pre-op study, female sex was correlated to poorer SST scores than male sex. |
Milano/2010 [7] | Sex/Female | 35F:66M | Comparison of rotator cuff repair using metal vs bioabsorbable anchors | DASH, Work-DASH, Constant | Sex was not associated with post-operative outcomes |
Grasso/2009 [14] | Sex/Female | 38F:34M | RCT of single vs double row repairs at 2 years | DASH, Work-DASH, Constant | Female sex associated with lower DASH and strength scores at 2 years. |
Oh/2012 [13] | Sex/Female | 57F:61M | Explore relationship between pre-op concern and expectation of post-op recovery on post-op outcome | MODEMS score, SST, Constant | Female sex was associated with the “high concern” group; they “high concern” group had poorer outcomes (ie: less improvement from pre-op state). |
Chung/2012 [11] | Sex/Female | 158F:151M | Measure HRQOLa minimum 1 year after arthroscopic cuff repair | SF-36, SST, Constant, ASES | Female sex associated with lower SF-36 physical and mental component scores. No sex-based data on shoulder-specific scores. |
Razmjou/2006 [15] | Gender/ Womanb | 108F:171M | Effect of age and gender on pre-operative scores | WORC Score | Females had poorer scores on Emotions subscale, with trend to difference on Lifestyle scale also |
Razmjou/2011 [20] | Gender/ Woman | 85 W:85 M | Gender-based effects on 6-month outcomes of rotator cuff related surgery | WORC Score, ASES, QuickDASH | Women had poorer pre- and post-operative shoulder outcome scores. |
Daniels/2019 [17] | Sex/Womanc | 130F:153M | Effect of sex on post-operative outcomes and narcotic use | VAS pain, ASES, narcotic use at 2-weeks post-op | Women had higher initial pain scores, and higher 2-week narcotic use. Final outcomes similar. |