The effect of expedited rotator cuff surgery in injured workers: a case-control study
Background Expediting rotator cuff surgery is expected to facilitate recovery and return to work in injured workers. This case-control study examined the effect of expedited rotator cuff surgery on recovery and work status in injured workers. Materials and methods Injured workers who had undergone a...
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| Veröffentlicht in: | Journal of shoulder and elbow surgery 2017-07, Vol.26 (7), p.1196-1202 |
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| creator | Razmjou, Helen, PT, PhD Lincoln, Sandra, BScPT, MSc Boljanovic, Dragana, BScPT, MSc Gallay, Stephen, MD, FRCSC Henry, Patrick, MD, PhD, FRCSC Richards, Robin R., MD, FRCSC Holtby, Richard, FRCSC |
| description | Background Expediting rotator cuff surgery is expected to facilitate recovery and return to work in injured workers. This case-control study examined the effect of expedited rotator cuff surgery on recovery and work status in injured workers. Materials and methods Injured workers who had undergone an expedited rotator cuff surgery funded by parallel-pay insurance (study group) were compared with workers who had used the public health insurance (control group) while adjusting for sex, age, severity of pathology, and follow-up period. Disability was measured by the American Shoulder and Elbow Surgeons (ASES) Standardized Assessment Form score. The percentage of patients who exceeded the minimal clinically important difference of 17 points in the ASES was calculated. Results The study group waited less time to have surgery than the control group ( P |
| doi_str_mv | 10.1016/j.jse.2016.11.049 |
| format | Article |
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This case-control study examined the effect of expedited rotator cuff surgery on recovery and work status in injured workers. Materials and methods Injured workers who had undergone an expedited rotator cuff surgery funded by parallel-pay insurance (study group) were compared with workers who had used the public health insurance (control group) while adjusting for sex, age, severity of pathology, and follow-up period. Disability was measured by the American Shoulder and Elbow Surgeons (ASES) Standardized Assessment Form score. The percentage of patients who exceeded the minimal clinically important difference of 17 points in the ASES was calculated. Results The study group waited less time to have surgery than the control group ( P < .0001), reported less disability after surgery, and had a higher number of patients whose improvement exceeded the minimal clinically important difference (119 vs. 65, P < .0001). The study group was more likely to be working at the time of the final follow-up ( P < .0001). The final multivariable regressions, which adjusted for unmatched variables, such as dominant side involvement, mechanism of injury, and associated operations that were different between groups, were consistent with univariable analyses indicating superior results in the study group. Conclusions Injured workers who underwent expedited rotator cuff surgery reported less disability and had a more successful return to work after surgery than injured workers who waited longer for specialist assessment and surgery within the public health system.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2016.11.049</identifier><identifier>PMID: 28131686</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>case-control ; Case-Control Studies ; cuff ; expedited ; Female ; Humans ; Male ; Middle Aged ; Occupational Health Services ; Occupational Injuries - surgery ; Orthopedics ; Range of Motion, Articular ; Recovery of Function ; rotator ; Rotator Cuff Injuries - surgery ; surgery ; Treatment Outcome ; Workers' Compensation</subject><ispartof>Journal of shoulder and elbow surgery, 2017-07, Vol.26 (7), p.1196-1202</ispartof><rights>Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2016 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-15eefa8d8f7fdb459daaa84ecd03e37bd40f03409529992e100710a423e505f23</citedby><cites>FETCH-LOGICAL-c408t-15eefa8d8f7fdb459daaa84ecd03e37bd40f03409529992e100710a423e505f23</cites><orcidid>0000-0002-3162-4241</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S105827461630622X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28131686$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Razmjou, Helen, PT, PhD</creatorcontrib><creatorcontrib>Lincoln, Sandra, BScPT, MSc</creatorcontrib><creatorcontrib>Boljanovic, Dragana, BScPT, MSc</creatorcontrib><creatorcontrib>Gallay, Stephen, MD, FRCSC</creatorcontrib><creatorcontrib>Henry, Patrick, MD, PhD, FRCSC</creatorcontrib><creatorcontrib>Richards, Robin R., MD, FRCSC</creatorcontrib><creatorcontrib>Holtby, Richard, FRCSC</creatorcontrib><title>The effect of expedited rotator cuff surgery in injured workers: a case-control study</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>Background Expediting rotator cuff surgery is expected to facilitate recovery and return to work in injured workers. This case-control study examined the effect of expedited rotator cuff surgery on recovery and work status in injured workers. Materials and methods Injured workers who had undergone an expedited rotator cuff surgery funded by parallel-pay insurance (study group) were compared with workers who had used the public health insurance (control group) while adjusting for sex, age, severity of pathology, and follow-up period. Disability was measured by the American Shoulder and Elbow Surgeons (ASES) Standardized Assessment Form score. The percentage of patients who exceeded the minimal clinically important difference of 17 points in the ASES was calculated. Results The study group waited less time to have surgery than the control group ( P < .0001), reported less disability after surgery, and had a higher number of patients whose improvement exceeded the minimal clinically important difference (119 vs. 65, P < .0001). The study group was more likely to be working at the time of the final follow-up ( P < .0001). The final multivariable regressions, which adjusted for unmatched variables, such as dominant side involvement, mechanism of injury, and associated operations that were different between groups, were consistent with univariable analyses indicating superior results in the study group. Conclusions Injured workers who underwent expedited rotator cuff surgery reported less disability and had a more successful return to work after surgery than injured workers who waited longer for specialist assessment and surgery within the public health system.</description><subject>case-control</subject><subject>Case-Control Studies</subject><subject>cuff</subject><subject>expedited</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Occupational Health Services</subject><subject>Occupational Injuries - surgery</subject><subject>Orthopedics</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>rotator</subject><subject>Rotator Cuff Injuries - surgery</subject><subject>surgery</subject><subject>Treatment Outcome</subject><subject>Workers' Compensation</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-LFDEQxYMo7rr6AbxIjl66rUo6PWkFQRb_wYIHd8FbyCQVTW9PZ0y61fn2ZpjVgwehoArqvQf1K8aeIrQI2L8Y27FQK-rYIrbQDffYOSopml4B3K8zKN2ITdefsUeljAAwdCAesjOhUWKv-3N2c_2NOIVAbuEpcPq1Jx8X8jynxS4pc7eGwMuav1I-8DjXGtdc9z9TvqVcXnLLnS3UuDQvOU28LKs_PGYPgp0KPbnrF-zm3dvryw_N1af3Hy_fXDWuA700qIiC1V6HTfDbTg3eWqs7ch4kyc3WdxBAdjAoMQyDIATYINhOSFKggpAX7Pkpd5_T95XKYnaxOJomO1Nai0Hdi0FqpWSV4knqciolUzD7HHc2HwyCOdI0o6k0zZGmQTSVZvU8u4tftzvyfx1_8FXBq5OA6pE_ImVTXKTZVYa5EjU-xf_Gv_7H7aY4R2enWzpQGdOa50rPoCnCgPl8fOfxm9hL6IX4In8Df12aIQ</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Razmjou, Helen, PT, PhD</creator><creator>Lincoln, Sandra, BScPT, MSc</creator><creator>Boljanovic, Dragana, BScPT, MSc</creator><creator>Gallay, Stephen, MD, FRCSC</creator><creator>Henry, Patrick, MD, PhD, FRCSC</creator><creator>Richards, Robin R., MD, FRCSC</creator><creator>Holtby, Richard, FRCSC</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3162-4241</orcidid></search><sort><creationdate>20170701</creationdate><title>The effect of expedited rotator cuff surgery in injured workers: a case-control study</title><author>Razmjou, Helen, PT, PhD ; Lincoln, Sandra, BScPT, MSc ; Boljanovic, Dragana, BScPT, MSc ; Gallay, Stephen, MD, FRCSC ; Henry, Patrick, MD, PhD, FRCSC ; Richards, Robin R., MD, FRCSC ; Holtby, Richard, FRCSC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-15eefa8d8f7fdb459daaa84ecd03e37bd40f03409529992e100710a423e505f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>case-control</topic><topic>Case-Control Studies</topic><topic>cuff</topic><topic>expedited</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Occupational Health Services</topic><topic>Occupational Injuries - surgery</topic><topic>Orthopedics</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>rotator</topic><topic>Rotator Cuff Injuries - surgery</topic><topic>surgery</topic><topic>Treatment Outcome</topic><topic>Workers' Compensation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Razmjou, Helen, PT, PhD</creatorcontrib><creatorcontrib>Lincoln, Sandra, BScPT, MSc</creatorcontrib><creatorcontrib>Boljanovic, Dragana, BScPT, MSc</creatorcontrib><creatorcontrib>Gallay, Stephen, MD, FRCSC</creatorcontrib><creatorcontrib>Henry, Patrick, MD, PhD, FRCSC</creatorcontrib><creatorcontrib>Richards, Robin R., MD, FRCSC</creatorcontrib><creatorcontrib>Holtby, Richard, FRCSC</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Razmjou, Helen, PT, PhD</au><au>Lincoln, Sandra, BScPT, MSc</au><au>Boljanovic, Dragana, BScPT, MSc</au><au>Gallay, Stephen, MD, FRCSC</au><au>Henry, Patrick, MD, PhD, FRCSC</au><au>Richards, Robin R., MD, FRCSC</au><au>Holtby, Richard, FRCSC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of expedited rotator cuff surgery in injured workers: a case-control study</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>26</volume><issue>7</issue><spage>1196</spage><epage>1202</epage><pages>1196-1202</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>Background Expediting rotator cuff surgery is expected to facilitate recovery and return to work in injured workers. This case-control study examined the effect of expedited rotator cuff surgery on recovery and work status in injured workers. Materials and methods Injured workers who had undergone an expedited rotator cuff surgery funded by parallel-pay insurance (study group) were compared with workers who had used the public health insurance (control group) while adjusting for sex, age, severity of pathology, and follow-up period. Disability was measured by the American Shoulder and Elbow Surgeons (ASES) Standardized Assessment Form score. The percentage of patients who exceeded the minimal clinically important difference of 17 points in the ASES was calculated. Results The study group waited less time to have surgery than the control group ( P < .0001), reported less disability after surgery, and had a higher number of patients whose improvement exceeded the minimal clinically important difference (119 vs. 65, P < .0001). The study group was more likely to be working at the time of the final follow-up ( P < .0001). The final multivariable regressions, which adjusted for unmatched variables, such as dominant side involvement, mechanism of injury, and associated operations that were different between groups, were consistent with univariable analyses indicating superior results in the study group. Conclusions Injured workers who underwent expedited rotator cuff surgery reported less disability and had a more successful return to work after surgery than injured workers who waited longer for specialist assessment and surgery within the public health system.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28131686</pmid><doi>10.1016/j.jse.2016.11.049</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3162-4241</orcidid></addata></record> |
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| subjects | case-control Case-Control Studies cuff expedited Female Humans Male Middle Aged Occupational Health Services Occupational Injuries - surgery Orthopedics Range of Motion, Articular Recovery of Function rotator Rotator Cuff Injuries - surgery surgery Treatment Outcome Workers' Compensation |
| title | The effect of expedited rotator cuff surgery in injured workers: a case-control study |
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