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].
CONCLUSIONS: Obesity is associated with higher rates of retear, resurgery, complications, poorer shoulder function and pain after 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].
CONCLUSIONS: Obesity is associated with higher rates of retear, resurgery, complications, poorer shoulder function and pain after rotator cuff repair.
摘要：
目的：系统评价肥胖对肩袖修复的影响。
方法：从PubMed,Embase,科克伦图书馆,WebofScience,中国生物医药(CBM),CNKI,万方和VIP数据库从建库至2022年8月1日，由两位作者根据纳入和排除标准独立筛选。尾注X9和Excel2019用于文献提取，管理和数据输入，采用纽卡斯尔-渥太华量表(NOS)对纳入文献进行质量评价。使用STATA16.0和RevMan5.4软件评估术后再撕裂率，再手术率,并发症发生率,美国肩肘外科医师（ASES）评分，视觉模拟量表（VAS），分析肩关节疼痛的手术时间和外旋转角度。
结果：共纳入13篇文献，包括6项回顾性研究，5个病例对照研究，1项前瞻性队列研究，和1份全文不可用的研究摘要，85503例患者（肥胖组31973例，非肥胖组53530例）。Meta分析显示两组患者的再撕裂率差异有统计学意义[OR=2.58,95CI(1.23,5.41),P=0.01],再手术率[OR=1.31，95CI（1.21，1.42），P<0.00],并发症发生率[OR=1.57，95CI（1.31，1.87），P=0.00],ASES评分[MD=-3.59，95CI（-5.45，-1.74），P=0.00],和VAS[MD=0.24，95CI（0.00，0.49），P=0.05。两组手术时间无差异[MD=6.03,95CI(-7.63,19.69),P=0.39],肩关节外旋角度[MD=-1.79,95CI(-5.30,1.71),P=0.32]。
结论：肥胖与更高的再撕裂率相关，复活,并发症,肩袖修复后肩关节功能较差和疼痛。
方法：从PubMed,Embase,科克伦图书馆,WebofScience,中国生物医药(CBM),CNKI,万方和VIP数据库从建库至2022年8月1日，由两位作者根据纳入和排除标准独立筛选。尾注X9和Excel2019用于文献提取，管理和数据输入，采用纽卡斯尔-渥太华量表(NOS)对纳入文献进行质量评价。使用STATA16.0和RevMan5.4软件评估术后再撕裂率，再手术率,并发症发生率,美国肩肘外科医师（ASES）评分，视觉模拟量表（VAS），分析肩关节疼痛的手术时间和外旋转角度。
结果：共纳入13篇文献，包括6项回顾性研究，5个病例对照研究，1项前瞻性队列研究，和1份全文不可用的研究摘要，85503例患者（肥胖组31973例，非肥胖组53530例）。Meta分析显示两组患者的再撕裂率差异有统计学意义[OR=2.58,95CI(1.23,5.41),P=0.01],再手术率[OR=1.31，95CI（1.21，1.42），P<0.00],并发症发生率[OR=1.57，95CI（1.31，1.87），P=0.00],ASES评分[MD=-3.59，95CI（-5.45，-1.74），P=0.00],和VAS[MD=0.24，95CI（0.00，0.49），P=0.05。两组手术时间无差异[MD=6.03,95CI(-7.63,19.69),P=0.39],肩关节外旋角度[MD=-1.79,95CI(-5.30,1.71),P=0.32]。
结论：肥胖与更高的再撕裂率相关，复活,并发症,肩袖修复后肩关节功能较差和疼痛。
