Self-Reported Comorbidity Affects Health-Related Quality of Life and Perception of Shoulder Function in Patients with Rotator Cuff Disease

Details

• Personal Author:
  Britton CL ; Gao Y ; Johnston RC ; Wolf BR
• Description:
  Background: The present study aimed to describe the comorbidity burden of a rotator cuff disease cohort and to examine the effects of patient comorbidities on general health and shoulder-specific outcome measures. Methods: A retrospective cohort of patients with rotator cuff disease was identified using the coding of the International Classification of Diseases, Ninth Revision, Clinical Modification. Demographic variables and numbers of systemic and musculoskeletal comorbid conditions were collected. General health and shoulder-specific tools were used to assess disability. Analyses using regression, correlation and analysis of variance were performed to assess the impact of comorbidity upon outcome measures. Results: Three hundred and seventy-three patients with rotator cuff disease were identified. Two-thirds of the group reported at least one systemic comorbidity. Non-shoulder musculoskeletal comorbidities were reported by 80% of the cohort. Women reported a significantly greater number of comorbid conditions than men (p < 0.02). Baseline health-related quality of life and self-reported shoulder function were impacted significantly by comorbidity when controlling for patient demographic characteristics. Discussion: Comorbidities are common in this population and significantly affect health-related quality of life and self-reported shoulder pain and disability in patients presenting with rotator cuff-related symptoms. Comorbidities should be considered when shoulder disability measures are utilized in clinical practice and when studying outcomes. [Description provided by NIOSH]
• Subjects:
  Cohort Studies Demography Men Morbidity Musculoskeletal Diseases Musculoskeletal System Occupational Health Safety Women
• Keywords:
  Author Keywords: Rotator Cuff Body Regions Clinical Symptoms Clinical Tests Cohort Studies Comorbidity DASH Demographic Characteristics Demographics Health Effects Humans Injuries Morbidity Rates MSD Muscle Function Muscles Muscle Stress Muscle Tissue Musculoskeletal System Musculoskeletal System Disorders Quality Of Life SF-36 Simple Shoulder Test SPADI Upper Extremities

  More +
• ISSN:
  1758-5732
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Iowa ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  305-313
• Volume:
  2
• Issue:
  4
• NIOSHTIC Number:
  nn:20062764
• Citation:
  Shoulder Elbow 2010 Oct; 2(4):305-313
• Contact Point Address:
  Brian R. Wolf, Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals, 200 Hawkins Drive, Iowa City, IA 52242, USA
• Email:
  brian-wolf@uiowa.edu
• Federal Fiscal Year:
  2011
• Performing Organization:
  University of Iowa
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Shoulder & Elbow
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fe9149ee03d84bb5b4da0d05cf784b5d2dba64f1b49e34152a6dd673d763b4c5c36d42673fdd77fd7a03478cf30da289e13bde1d5df8dd66631c8f64f53c28a6
• Download URL:
  https://stacks.cdc.gov/view/cdc/225954/cdc_225954_DS1.pdf
• File Type:
  [PDF - 165.85 KB ]