PMID- 28589156 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 2325-9671 (Print) IS - 2325-9671 (Electronic) IS - 2325-9671 (Linking) VI - 5 IP - 5 DP - 2017 May TI - Outcome of Expedited Rotator Cuff Surgery in Injured Workers: Determinants of Successful Recovery. PG - 2325967117705319 LID - 10.1177/2325967117705319 [doi] LID - 2325967117705319 AB - BACKGROUND: Work-related rotator cuff injuries are a common cause of disability and employee time loss. PURPOSE: To examine the effectiveness of expedited rotator cuff surgery in injured workers who underwent rotator cuff decompression or repair and to explore the impact of demographic, clinical, and psychosocial factors in predicting the outcome of surgery. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Injured workers who were seen at a shoulder specialty program and who underwent expedited arthroscopic rotator cuff decompression or repair were observed for a period of 6 to 12 months based on their type of surgery and recovery trajectory. The primary outcome measure was the American Shoulder and Elbow Surgeons (ASES) Standardized Shoulder Assessment Form. The impact of surgery was assessed by whether the change in the ASES score exceeded the minimal clinically important difference (MCID) of 17 points. Secondary outcomes were range of motion (ROM), medication consumption, and work status. RESULTS: One hundred forty-six patients (43 women [29%], 103 men [71%]; mean age, 52 years; SD, 8 years) completed the study. Sixty-seven (46%) patients underwent rotator cuff repair. The mean time between the date the patient consented to have surgery and the date of surgery was 82 (SD, 44) days. There was a statistically significant improvement in ASES score and ROM and work status (52 returned to regular duties and 59 to modified duties) (P < .0001). Eighty-four percent (n = 122) of patients exceeded the MCID of 17 points. Individual factors that affected patient overall disability were preoperative ASES, work status prior to surgery, access to care, and autonomy at work. Achieving a minimal clinically meaningful change was influenced by perceived access to care, autonomy and stress at work, and overall satisfaction with the job. CONCLUSION: Expedited rotator cuff surgery improved disability, ROM, and work status in injured workers. Successful recovery after work-related shoulder injuries may further be facilitated by improving the psychosocial work environment and increasing access to care. FAU - Razmjou, Helen AU - Razmjou H AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Boljanovic, Dragana AU - Boljanovic D AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Lincoln, Sandra AU - Lincoln S AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Holtby, Richard AU - Holtby R AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Gallay, Stephen AU - Gallay S AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Henry, Patrick AU - Henry P AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Macritchie, Iona AU - Macritchie I AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. CN - WCP Consortium FAU - Borthwick, Cheryl AU - Borthwick C AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Mayer, Lauren AU - Mayer L AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Roknic, Carolyn AU - Roknic C AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Shore, Deborah AU - Shore D AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Kamino, Allison AU - Kamino A AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Grossman, Julie AU - Grossman J AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Hill, Joanne AU - Hill J AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Singh, Gargi AU - Singh G AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Travers, Niki AU - Travers N AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Yanofsky, Loraine AU - Yanofsky L AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Wilson, Marni AU - Wilson M AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Sumar, Shellina AU - Sumar S AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Savona, Alicia AU - Savona A AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - De Medeiros, Filomena AU - De Medeiros F AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Mann, Helen AU - Mann H AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Champsi, Aisha AU - Champsi A AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Chau, Stefanie AU - Chau S AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Medeiros, Danielle AU - Medeiros D AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. FAU - Richards, Robin R AU - Richards RR AD - Investigation performed at the Holland Orthopaedic & Arthritic Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. LA - eng PT - Journal Article DEP - 20170522 PL - United States TA - Orthop J Sports Med JT - Orthopaedic journal of sports medicine JID - 101620522 PMC - PMC5444584 OTO - NOTNLM OT - expedited surgery OT - rotator cuff OT - workers' compensation COIS- The authors declared that they have no potential conflicts of interest in the authorship and publication of this contribution. EDAT- 2017/06/08 06:00 MHDA- 2017/06/08 06:01 PMCR- 2017/05/22 CRDT- 2017/06/08 06:00 PHST- 2017/06/08 06:00 [entrez] PHST- 2017/06/08 06:00 [pubmed] PHST- 2017/06/08 06:01 [medline] PHST- 2017/05/22 00:00 [pmc-release] AID - 10.1177_2325967117705319 [pii] AID - 10.1177/2325967117705319 [doi] PST - epublish SO - Orthop J Sports Med. 2017 May 22;5(5):2325967117705319. doi: 10.1177/2325967117705319. eCollection 2017 May.