OPTIMAL CUT-OFF SCORES FOR DISEASE-SPECIFIC QUALITY OF LIFE TO DISCRIMINATE CLINICAL OUTCOMES IN PATIENTS WITH ARTHROSCOPIC ROTATOR CUFF REPAIR

Authors : Caner Karartı, Hakkı Çağdaş Basat, İsmail Özsoy, Fatih Özyurt

Pages : 174-183

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Publication Date : 2024-06-30

Article Type : Research Paper

Abstract :Objective: Identifying a cut-off score would be useful in detecting improvements in disease-specific quality of life (DS-QoL) in patients with arthroscopic rotator cuff repair (ARCR). The aim of this study was to identify clear cut-off values for the Western Ontario Rotator Cuff Index (WORC) score. In addition, the ability of these cut-off scores to predict DS-QoL level was investigated. Method: A total of 38 ARCR patients were included in this cross-sectional study. Patients were assessed using the Constant-Murley and WORC scores following 12 weeks of physiotherapy. Pearson correlation coefficients were used to analyse the relationship between these scores. The WORC cut-off scores representing excellent and good DS-QoL were calculated on the basis of the Constant score. The ability of the these cut-offs to predict the level of DS-QoL was examined using logistic regression analysis. Results: The WORC cut-off scores of 87.5 and 79.5 were found to be excellent and good level of DS-QoL. Participants with WORC scores above these cut-offs have a 1.25 and 1.74 times higher level of DS-QoL, respectively. Conclusion: The success of physiotherapy and ARCR could be assessed using the identified cut-off scores. It seems necessary to use more specific interventions for patients not meeting the WORC cut-off scores in order to improve DS-QoL.
Keywords : Rotator Manşet, Rüptür, Omuz Yaralanmaları, Ortopedi