Use of Patient-based Outcomes Obtained from the Simple Shoulder Test Evaluation to Predict Treatment Strategies for Japanese Patients with a Rotator Cuff Tear
Purpose: We used a patient-based outcomes evaluation (Simple Shoulder Test) to predict treatment strategies for Japanese patients with a rotator cuff tear.Methods: Subjects were 229 patients with a rotator cuff tear who provided answers to 12 questions in the Japanese version of the Simple Shoulder...
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| Published in | Physical Therapy Japan Vol. 47; no. 6; pp. 587 - 592 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of Physical Therapy
2020
日本理学療法士学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0289-3770 2189-602X |
| DOI | 10.15063/rigaku.11783 |
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| Abstract | Purpose: We used a patient-based outcomes evaluation (Simple Shoulder Test) to predict treatment strategies for Japanese patients with a rotator cuff tear.Methods: Subjects were 229 patients with a rotator cuff tear who provided answers to 12 questions in the Japanese version of the Simple Shoulder Test. Decision tree and propensity score analyses were used to calculate odds ratios.Results: Patient were grouped according to their responses. Surgical group included patients who had night pain, pain at rest, limited physical mobility, and were unable to work; Conservative therapy group, those who had no night pain, no pain at rest, and were mobile; and Intermediate group those who provided mixed responses to these questions. The odds of patients selecting surgical treatment was 11.50 greater in Surgical group compared to Conservative therapy group and 3.47 greater in Group Surgical group compared to Intermediate group.Conclusion: Four questions about night pain, pain at rest, mobility, and ability to work were predictive in the patient's selection of treatment and possibly the need for targeted physical therapy from an early stage. |
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| AbstractList | Purpose: We used a patient-based outcomes evaluation (Simple Shoulder Test) to predict treatment strategies for Japanese patients with a rotator cuff tear.Methods: Subjects were 229 patients with a rotator cuff tear who provided answers to 12 questions in the Japanese version of the Simple Shoulder Test. Decision tree and propensity score analyses were used to calculate odds ratios.Results: Patient were grouped according to their responses. Surgical group included patients who had night pain, pain at rest, limited physical mobility, and were unable to work; Conservative therapy group, those who had no night pain, no pain at rest, and were mobile; and Intermediate group those who provided mixed responses to these questions. The odds of patients selecting surgical treatment was 11.50 greater in Surgical group compared to Conservative therapy group and 3.47 greater in Group Surgical group compared to Intermediate group.Conclusion: Four questions about night pain, pain at rest, mobility, and ability to work were predictive in the patient's selection of treatment and possibly the need for targeted physical therapy from an early stage.
【目的】本研究の目的は，腱板断裂患者に対し患者立脚評価を用いた治療方針の予測をすることである。【方法】対象は腱板断裂患者229 名で，初診1 ヵ月以降の治療方針（手術または保存）を目的変数，患者立脚評価を説明変数とした決定木分析と傾向スコア分析を行い，治療方針のオッズ比を算出した。【結果】決定木分析にてもっとも手術療法が選択される手術療法傾向群と，もっとも保存療法が選択される保存療法傾向群に分け，それ以外を中間群とした。傾向スコア分析を考慮したオッズ比は，保存療法傾向群に対して手術療法傾向群で11.50 倍，中間群に対して手術療法傾向群で3.47 倍の手術療法が選択された。【結論】腱板断裂患者の治療方針の予測には，SST における4 つの質問の重要性が示唆された。 Purpose: We used a patient-based outcomes evaluation (Simple Shoulder Test) to predict treatment strategies for Japanese patients with a rotator cuff tear.Methods: Subjects were 229 patients with a rotator cuff tear who provided answers to 12 questions in the Japanese version of the Simple Shoulder Test. Decision tree and propensity score analyses were used to calculate odds ratios.Results: Patient were grouped according to their responses. Surgical group included patients who had night pain, pain at rest, limited physical mobility, and were unable to work; Conservative therapy group, those who had no night pain, no pain at rest, and were mobile; and Intermediate group those who provided mixed responses to these questions. The odds of patients selecting surgical treatment was 11.50 greater in Surgical group compared to Conservative therapy group and 3.47 greater in Group Surgical group compared to Intermediate group.Conclusion: Four questions about night pain, pain at rest, mobility, and ability to work were predictive in the patient's selection of treatment and possibly the need for targeted physical therapy from an early stage. |
| Author | GOTOH, Masafumi SHIBA, Naoto MATSUURA, Koumei MADOKORO, Kazuya YORITANI, Aya IMAI, Takaki KARASUYAMA, Masaki KUDOU, Yu HARADA, Nobuya KAWAKAMI, Junichi NAGAMATSU, Takashi |
| Author_FL | 政所 和也 工藤 憂 KAWAKAMI Junichi 志波 直人 後藤 昌史 寄谷 彩 烏山 昌起 永松 隆 今井 孝樹 松浦 恒明 原田 伸哉 |
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| References | 2) 山本敦史，高岸憲二，他：無症候性腱板断裂の臨床像．肩関節．2008; 32(2): 409–412. 18) Downie BK, Miller BS: Treatment of rotator cuff tears in older individuals: a systematic review. J Shoulder Elbow Surg. 2012; 21(9): 1255–1261. 20) Gagey O, Hue E: Mechanics of the deltoid muscle. A new approach. Clin Orthop Relat Res. 2000; (375): 250–257. 23) Tauro JC: Stiffness and rotator cuff tears: incidence, arthroscopic findings, and treatment results. Arthroscopy. 2006; 22(6): 581–586. 24) Houck DA, Kraeutler MJ, et al.: Early Versus Delayed Motion After Rotator Cuff Repair: A Systematic Review of Overlapping Meta-analyses. Am J Sports Med. 2017; 45(12): 2911–2915. 22) Kikukawa K, Ide J, et al.: Hypertrophic changes of the teres minor muscle in rotator cuff tears: quantitative evaluation by magnetic resonance imaging. J Shoulder Elbow Surg. 2014; 23(12): 1800–1805. 3) Bokor DJ, Hawkins RJ, et al.: Results of nonoperative management of full-thickness tears of the rotator cuff. Clin Orthop Relat Res. 1993; 294: 103–110. 16) Ruotolo C, Nottage WM: Surgical and nonsurgical management of rotator cuff tears. Arthroscopy. 2002; 18(5): 527–531. 19) Piper CC, Hughes AJ, et al.: Operative versus nonoperative treatment for the management of full-thickness rotator cuff tears: a systematic review and meta-analysis. J Shoulder Elbow Surg. 2018; 27(3): 572–576. 11) Harvie P, Pollard TC, et al.: The use of outcome scores in surgery of the shoulder. J Bone Joint Surg Bri. 2005; 87(2): 151–154. 14) Beaudreuil J, Dhenain M, et al.: Clinical practice guidelines for the surgical management of rotator cuff tears in adults. Orthop Traumatol Surg Res. 2010; 96(2): 175–179. 13) Oh LS, Wolf BR, et al.: Indications for rotator cuff repair: a systematic review. Clin orthop Relat Res. 2007; 455: 52–63. 21) Levy O, Mullett H, et al.: The role of anterior deltoid reeducation in patients with massive irreparable degenerative rotator cuff tears. J Shoulder Elbow Surg. 2008; 17(6): 863–870. 1) 中島大輔，山本敦史，他：無症候性腱板断裂の疫学．肩関節．2008; 32(2): 365–367. 9) Imai T, Gotoh M, et al.: Cutoff value of Japanese Orthopaedic Association shoulder score in patients with rotator cuff repair: Based on the University of California at Los Angeles shoulder score. J Orthop Sci. 2017; 22(3): 438–441. 10) Kawakami J, Gotoh M, et al.: Cut-off values of the Japanese Orthopaedic Association score corresponding to Constant scores for evaluating outcomes in rotator cuff tear. J Orthop Surg. 2017; 25(2): 1–7. 15) Schmidt CC, Jarrett CD, et al.: Management of rotator cuff tears. J Hand Surg Am. 2015; 40(2): 399–408. 7) Safran O, Schroeder J, et al.: Natural history of nonoperatively treated symptomatic rotator cuff tears in patients 60 years old or younger. Am J Sports Med. 2011; 39(4): 710–714. 4) Rockwood CA, Matsen FA, et al.: Rockwood and Matsen's The Shoulder. Chap 14. In: Hsu J, Gee A (eds): Elsevier Health Sciences, 5th ed, 2016, pp. 651–720. 26) Dimock R, Malik S, et al.: Superior Capsule Reconstruction: What Do We Know? Am Arch Bone Jt Surg. 2019; 7(1): 3–11. 8) Tanaka M, Itoi E, et al.: Factors related to successful outcome of conservative treatment for rotator cuff tears. Ups J Med Sci. 2010; 115: 193–200. 17) Seida JC, LeBlanc C, et al.: Systematic review: nonoperative and operative treatments for rotator cuff tears. Ann Intern Med. 2010; 153(4): 246–255. 5) Wolf BR, Dunn WR, et al.: Indications for repair of full-thickness rotator cuff tears. Am J Sports Med. 2007; 35(6): 1007–1016. 25) 井樋栄二：人工肩関節置換術とそのリハビリテーション．Jpn J Rehabil Med. 2017; 54: 182–185. 6) Khatri C, Ahmed I, et al.: The Natural History of Full-Thickness Rotator Cuff Tears in Randomized Controlled Trials: A Systematic Review and Meta-analysis. Am J Sports Med. 2018; 47(7): 1734–1743. 12) Dunn WR, Kuhn JE, et al.: Neer Award: predictors of failure of nonoperative treatment of chronic, symptomatic, full-thickness rotator cuff tears. J Shoulder Elbow Surg. 2016; 25(8): 1303–1311. |
| References_xml | – reference: 4) Rockwood CA, Matsen FA, et al.: Rockwood and Matsen's The Shoulder. Chap 14. In: Hsu J, Gee A (eds): Elsevier Health Sciences, 5th ed, 2016, pp. 651–720. – reference: 6) Khatri C, Ahmed I, et al.: The Natural History of Full-Thickness Rotator Cuff Tears in Randomized Controlled Trials: A Systematic Review and Meta-analysis. Am J Sports Med. 2018; 47(7): 1734–1743. – reference: 13) Oh LS, Wolf BR, et al.: Indications for rotator cuff repair: a systematic review. Clin orthop Relat Res. 2007; 455: 52–63. – reference: 16) Ruotolo C, Nottage WM: Surgical and nonsurgical management of rotator cuff tears. Arthroscopy. 2002; 18(5): 527–531. – reference: 20) Gagey O, Hue E: Mechanics of the deltoid muscle. A new approach. Clin Orthop Relat Res. 2000; (375): 250–257. – reference: 3) Bokor DJ, Hawkins RJ, et al.: Results of nonoperative management of full-thickness tears of the rotator cuff. Clin Orthop Relat Res. 1993; 294: 103–110. – reference: 10) Kawakami J, Gotoh M, et al.: Cut-off values of the Japanese Orthopaedic Association score corresponding to Constant scores for evaluating outcomes in rotator cuff tear. J Orthop Surg. 2017; 25(2): 1–7. – reference: 17) Seida JC, LeBlanc C, et al.: Systematic review: nonoperative and operative treatments for rotator cuff tears. Ann Intern Med. 2010; 153(4): 246–255. – reference: 23) Tauro JC: Stiffness and rotator cuff tears: incidence, arthroscopic findings, and treatment results. Arthroscopy. 2006; 22(6): 581–586. – reference: 2) 山本敦史，高岸憲二，他：無症候性腱板断裂の臨床像．肩関節．2008; 32(2): 409–412. – reference: 15) Schmidt CC, Jarrett CD, et al.: Management of rotator cuff tears. J Hand Surg Am. 2015; 40(2): 399–408. – reference: 5) Wolf BR, Dunn WR, et al.: Indications for repair of full-thickness rotator cuff tears. Am J Sports Med. 2007; 35(6): 1007–1016. – reference: 22) Kikukawa K, Ide J, et al.: Hypertrophic changes of the teres minor muscle in rotator cuff tears: quantitative evaluation by magnetic resonance imaging. J Shoulder Elbow Surg. 2014; 23(12): 1800–1805. – reference: 25) 井樋栄二：人工肩関節置換術とそのリハビリテーション．Jpn J Rehabil Med. 2017; 54: 182–185. – reference: 9) Imai T, Gotoh M, et al.: Cutoff value of Japanese Orthopaedic Association shoulder score in patients with rotator cuff repair: Based on the University of California at Los Angeles shoulder score. J Orthop Sci. 2017; 22(3): 438–441. – reference: 18) Downie BK, Miller BS: Treatment of rotator cuff tears in older individuals: a systematic review. J Shoulder Elbow Surg. 2012; 21(9): 1255–1261. – reference: 8) Tanaka M, Itoi E, et al.: Factors related to successful outcome of conservative treatment for rotator cuff tears. Ups J Med Sci. 2010; 115: 193–200. – reference: 1) 中島大輔，山本敦史，他：無症候性腱板断裂の疫学．肩関節．2008; 32(2): 365–367. – reference: 11) Harvie P, Pollard TC, et al.: The use of outcome scores in surgery of the shoulder. J Bone Joint Surg Bri. 2005; 87(2): 151–154. – reference: 21) Levy O, Mullett H, et al.: The role of anterior deltoid reeducation in patients with massive irreparable degenerative rotator cuff tears. J Shoulder Elbow Surg. 2008; 17(6): 863–870. – reference: 24) Houck DA, Kraeutler MJ, et al.: Early Versus Delayed Motion After Rotator Cuff Repair: A Systematic Review of Overlapping Meta-analyses. Am J Sports Med. 2017; 45(12): 2911–2915. – reference: 7) Safran O, Schroeder J, et al.: Natural history of nonoperatively treated symptomatic rotator cuff tears in patients 60 years old or younger. Am J Sports Med. 2011; 39(4): 710–714. – reference: 14) Beaudreuil J, Dhenain M, et al.: Clinical practice guidelines for the surgical management of rotator cuff tears in adults. Orthop Traumatol Surg Res. 2010; 96(2): 175–179. – reference: 12) Dunn WR, Kuhn JE, et al.: Neer Award: predictors of failure of nonoperative treatment of chronic, symptomatic, full-thickness rotator cuff tears. J Shoulder Elbow Surg. 2016; 25(8): 1303–1311. – reference: 26) Dimock R, Malik S, et al.: Superior Capsule Reconstruction: What Do We Know? Am Arch Bone Jt Surg. 2019; 7(1): 3–11. – reference: 19) Piper CC, Hughes AJ, et al.: Operative versus nonoperative treatment for the management of full-thickness rotator cuff tears: a systematic review and meta-analysis. J Shoulder Elbow Surg. 2018; 27(3): 572–576. |
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| SubjectTerms | Decision tree analysis Patient-Based Outcomes Rotator Cuff Tear Shoulder Joint 患者立脚評価 決定木分析 肩関節 腱板断裂 |
| Title | Use of Patient-based Outcomes Obtained from the Simple Shoulder Test Evaluation to Predict Treatment Strategies for Japanese Patients with a Rotator Cuff Tear |
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