Original ArticlesTwo 6-year follow-up studies of large and massive rotator cuff tears: Comparison of outcome measures*,**
Section snippets
Methods
The methods used are described in 2 sections. The first section discusses the methods involved in the development of the RC-QOL and the FSET. The second section describes the follow-up study on the cohort of large and massive rotator cuff tears with comparison of the outcome measures.
Results
The results are reported in 2 sections. The first section presents the results of the development of the RC-QOL and the FSET; the second section presents the results of the follow-up study.
Discussion
There is still controversy as to the optimal treatment of full-thickness rotator cuff tears. Many patients respond favorably to nonoperative therapy.6 However, agreement exists with regard to the difficulty of treating patients with large cuff tears and especially of treating patients with massive cuff tears.3, 4, 9 A plethora of repair techniques has been suggested, most of them focusing on reattaching the torn cuff edge to its origin through use of a variety of methods*
Conclusions
The new RC-QOL and the complementary FSET are excellent outcome measures designed specifically for the evaluation of patients with rotator cuff disease. The RC-QOL is a multidimensional, reliable, and valid outcome measure that is self-administered and, in a format developed recently, computer-based. Patients with massive cuff tears have satisfactory outcomes. However, in this series of patients, massive tears rated significantly poorer in all 3 shoulder-related outcome measures than large cuff
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Cited by (117)
The responsiveness and validity of the Rotator Cuff Quality of Life (RC-QOL) index in a 2-year follow-up study
2022, JSES InternationalCitation Excerpt :While this appears to violate certain guidelines, it is important to note that patient groups that participated at the 2-year time interval were not statistically different in age and sex characteristics as those that participated at baseline. The RC-QOL is an easy-to-administer, economical tool that accurately evaluates quality of life, discriminates between patients based on function, and has predictive properties that can provide insight into which patients will likely be successful with nonoperative treatment programs.3,14 Due to a lack of consensus on appropriate measures of responsiveness, more testing using alternate distribution- and anchor-based analyses is important to further bolster the quality of the RC-QOL.
Adaptation and transcultural translation of the Rotator Cuff Quality of Life questionnaire into Spanish
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2019, European Journal of Integrative MedicineWOrk-Related Questionnaire for UPper extremity disorders (WORQ-UP): Factor Analysis and Internal Consistency
2018, Archives of Physical Medicine and RehabilitationMeasuring Quality and Outcomes in Sports Medicine
2018, Clinics in Sports Medicine
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Reprint requests: Robert M. Hollinshead, MD, FRCSC, University of Calgary, Sport Medicine Centre, 2500 University Drive NW, Calgary, Alberta, T2N 1N4, Canada.
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J Shoulder Elbow Surg 2000;9:373-81.