{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T23:55:03Z","timestamp":1778802903052,"version":"3.51.4"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,10,31]],"date-time":"2017-10-31T00:00:00Z","timestamp":1509408000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,10,31]],"date-time":"2017-10-31T00:00:00Z","timestamp":1509408000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,10,31]],"date-time":"2017-10-31T00:00:00Z","timestamp":1509408000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.fr","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the influence of pre\u2010existing obesity (body mass index [BMI] \u2265 30) on outcomes after rotator cuff repair surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We collected data on adult patients who underwent surgical repair for symptomatic full\u2010thickness rotator cuff tears confirmed by imaging between 2012 and 2015. The required follow\u2010up was 3\u00a0years. At baseline and 6, 12, 24, and 36\u00a0months, the American Shoulder and Elbow Surgeons score, Western Ontario Rotator Cuff index, and visual analog scale pain scores were collected. Complications were assessed by a chart review. Obesity was defined as BMI \u2265 30. Chi\u2010square analysis and Student's\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test examined differences between categorical and continuous variables at baseline. Generalized estimating equations examined the effects of fixed factors on outcome variables longitudinally from baseline to 36\u00a0months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010nine percent of 213 subjects were obese (mean BMI\u00a0= 29.2; range, 16\u201048; standard deviation, 5.8). There were no statistically significant differences between obese and nonobese subjects in other baseline characteristics. When controlling for covariates, obese subjects reported no differences in Western Ontario Rotator Cuff, American Shoulder and Elbow Surgeons, or visual analog scale pain scores when compared with nonobese subjects at baseline and over 3\u00a0years from surgery. Although obese patients were more likely to have inpatient surgery, there was no difference in the incidence of postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Contrary to our hypothesis, obese participants who underwent rotator cuff repair reported no difference in functional outcome or pain scores compared with nonobese participants over 3\u00a0years. In addition, obesity was not associated with postoperative complications in this study. However, as we hypothesized, obese participants were more likely than nonobese participants to have repair in the inpatient setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2017.08.248","type":"journal-article","created":{"date-parts":[[2018,2,5]],"date-time":"2018-02-05T07:15:52Z","timestamp":1517814952000},"page":"754-761","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":44,"title":["Does Increased Body Mass Index Influence Outcomes After Rotator Cuff Repair?"],"prefix":"10.1002","volume":"34","author":[{"given":"Katie E.","family":"Kessler","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Michigan Ann Arbor Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher B.","family":"Robbins","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Michigan Ann Arbor Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asheesh","family":"Bedi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Michigan Ann Arbor Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James E.","family":"Carpenter","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Michigan Ann Arbor Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel J.","family":"Gagnier","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Michigan Ann Arbor Michigan U.S.A."},{"name":"Department of Epidemiology University of Michigan Ann Arbor Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce S.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Michigan Ann Arbor Michigan U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,31]]},"reference":[{"key":"e_1_2_2_2_2","first-page":"30","article-title":"The incidence of full thickness rotator cuff tears in a large cadaveric population","volume":"54","author":"Lehman C.","year":"1995","journal-title":"Bull Hosp Jt Dis"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2012.07.001"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.732"},{"key":"e_1_2_2_5_2","unstructured":"US Department of Health and Human Services.Managing Overweight and Obesity in Adults: Systematic Evidence Review from the Obesity Expert Panel 2013http:\/\/www.nhlbi.nih.gov\/sites\/www.nhlbi.nih.gov\/files\/obesity\u2010evidence\u2010review.pdf Accessed June 12 2016"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.redar.2014.03.016"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.03.016"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200404000-00011"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.03.003"},{"key":"e_1_2_2_10_2","first-page":"662","article-title":"Outcome of open rotator cuff repair. 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