PMID- 38379600
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240222
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 6
IP  - 2
DP  - 2024 Apr
TI  - Smokers Achieved Minimal Clinically Important Difference for Visual Analog Scale 
      and American Shoulder and Elbow Surgeons Scores at a Lower Rate Than Nonsmokers 
      Even When Repaired Supraspinatus Tendons Were Intact on Postoperative Magnetic 
      Resonance Imaging.
PG  - 100877
LID - 10.1016/j.asmr.2023.100877 [doi]
LID - 100877
AB  - PURPOSE: To investigate the impact of smoking on clinical outcomes after repair 
      of supraspinatus tendon in patients who had an intact repair found on 
      postoperative magnetic resonance imaging. METHODS: Patients who received primary 
      complete repair of supraspinatus tendon tear between 2014 and 2020 were 
      retrospectively identified. Patients were excluded if a postoperative magnetic 
      resonance imaging scan was not available or if the follow-up was less than 2 
      years. Visual analog score (VAS), American Shoulder and Elbow Surgeons (ASES) 
      score, and active forward flexion were assessed at the 2-year follow-up. The 
      percentage of patients acquiring minimal clinically important difference (MCID) 
      was reported. RESULTS: One hundred primary supraspinatus tendon repairs were 
      included. The healing rate was 77% in smokers and 90% in nonsmokers. Smoking was 
      the independent predictor of a poorer 2-year VAS (P < .001) and ASES (P < .001) 
      scores. Significant improvement in clinical outcomes was observed between 
      preoperation and the 2-year follow-up, regardless of the integrity of the repair 
      or smoking status (P < .001). When the repaired tendon was intact, nonsmokers had 
      a greater chance of achieving MCID in 2-year VAS and ASES scores than smokers. 
      Ninety-nine percent of nonsmokers, compared with 82% of smokers, achieved MCID in 
      VAS at the 2-year follow-up (P = .023). The corresponding figures for ASES were 
      98% and 71%, respectively (P = .004). CONCLUSIONS: In this study, smoking was 
      associated with poorer clinical outcomes, including a greater 2-year VAS pain 
      score and a lower 2-year ASES score, when compared with nonsmokers, even in cases 
      in which there was no full-thickness retear of the repaired supraspinatus tendon. 
      LEVEL OF EVIDENCE: Level III, retrospective cohort study.
CI  - (c) 2024 The Authors.
FAU - Yau, W P
AU  - Yau WP
AD  - Department of Orthopaedics and Traumatology, School of Clinical Medicine, Li Ka 
      Shing Faculty of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong.
LA  - eng
PT  - Journal Article
DEP - 20240213
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC10877171
COIS- The author (W.P.Y.) declares that they have no known competing financial 
      interests or personal relationships that could have appeared to influence the 
      work reported in this paper. Full ICMJE author disclosure forms are available for 
      this article online, as supplementary material.
EDAT- 2024/02/21 11:15
MHDA- 2024/02/21 11:16
PMCR- 2024/02/13
CRDT- 2024/02/21 03:55
PHST- 2023/08/09 00:00 [received]
PHST- 2023/12/26 00:00 [accepted]
PHST- 2024/02/21 11:16 [medline]
PHST- 2024/02/21 11:15 [pubmed]
PHST- 2024/02/21 03:55 [entrez]
PHST- 2024/02/13 00:00 [pmc-release]
AID - S2666-061X(23)00228-6 [pii]
AID - 100877 [pii]
AID - 10.1016/j.asmr.2023.100877 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2024 Feb 13;6(2):100877. doi: 
      10.1016/j.asmr.2023.100877. eCollection 2024 Apr.