Meta-analysis of obesity on the outcome of rotator cuff repair.
10.12200/j.issn.1003-0034.2023.12.017
- VernacularTitle:肥胖影响肩袖修复术后结果的Meta分析
- Author:
Jun-Wen LIANG
1
;
Zhi-Tao YANG
1
;
Tao LIU
1
;
Xi-Hao WANG
1
;
Sen FANG
1
;
Bai-Rong ZHANG
1
;
Xiang-Dong YUN
2
Author Information
1. Department of Orthopaedics, the Second Hospital of Lanzhou University, Lanzhou 730030, Gansu, China.
2. Department of Orthopaedics, the Second Hospital of Lanzhou University, Lanzhou 730030, Gansu, China; Key Laboratory of Bone and Joint Disease of Gansu Province, Lanzhou 730030, Gansu, China.
- Publication Type:Journal Article
- Keywords:
Meta-analysis;
Obesity;
Prognosis;
Rotator cuff repair
- MeSH:
Humans;
Rotator Cuff/surgery*;
Rotator Cuff Injuries/complications*;
Retrospective Studies;
Prospective Studies;
Treatment Outcome;
Shoulder Pain;
Obesity/surgery*;
Arthroscopy
- From:
China Journal of Orthopaedics and Traumatology
2023;36(12):1196-1202
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To systematically evaluate obesity on the outcome of rotator cuff repair.
METHODS:Literatures on the relationship between obesity and outcomes after rotator cuff repair were searched from PubMed, Embase, Cochrane Library, Web of Science, China biology medicine(CBM), CNKI, Wanfang and VIP databases from building database to August 1, 2022, and were screened independently by two authors according to inclusion and exclusion criteria. Endnote X9 and Excel 2019 were used for literature extraction, management and data entry, and Newcastle-Ottawa Scale (NOS) was used to evaluate quality of the included literatures. STATA 16.0 and RevMan 5.4 softwares were used to evaluate postoperative retear rate, reoperation rate, complication rate, American Shoulder and Elbow Surgeons (ASES) score, visual analogue scale (VAS), operative time and external rotation angle of shoulder joint pain were analyzed.
RESULTS:Totally 13 literatures were included, including 6 retrospective studies, 5 case-control studies, 1 prospective cohort study, and 1 abstract of a study for which the full text was not available, with 85 503 patients (31 973 in obese group and 53 530 in non-obese group). Meta-analysis showed there were statistical differences between two groups in retear rate [OR=2.58, 95%CI(1.23, 5.41), P=0.01], reoperation rate[OR=1.31, 95%CI(1.21, 1.42), P<0.00], complication rate [OR=1.57, 95%CI(1.31, 1.87), P=0.00], ASES score[MD=-3.59, 95%CI(-5.45, -1.74), P=0.00], and VAS[MD=0.24, 95%CI(0.00, 0.49), P=0.05]. While there were no differences between two groups in operative time[MD=6.03, 95%CI(-7.63, 19.69), P=0.39], external rotation angle of shoulder joint[MD=-1.79, 95%CI(-5.30, 1.71), P=0.32].
CONCLUSION:Obesity is associated with higher rates of retear, resurgery, complications, poorer shoulder function and pain after rotator cuff repair.
