{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T13:42:44Z","timestamp":1793367764555,"version":"4.5.0"},"reference-count":36,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T00:00:00Z","timestamp":1663027200000},"content-version":"unspecified","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000341","name":"Arthritis Research UK","doi-asserted-by":"publisher","award":["19550"],"award-info":[{"award-number":["19550"]}],"id":[{"id":"10.13039\/501100000341","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To define the population prevalence of rotator cuff tears and test their association with pain and function loss; determine if severity symptom correlates with tear stage severity, and quantify the impact of symptomatic rotator cuff tears on primary healthcare services in a general population cohort of women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Individuals were part of the Chingford 1000\u2009Women cohort, a 20-year-old longitudinal population study comprising 1003\u2009women aged between 64 and 87, and representative of the population of the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Rotator cuff pathology prevalence on ultrasound, shoulder symptoms using the Oxford Shoulder Score and resultant number of general practitioner (GP) consultations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The population prevalence of full-thickness tears was 22.2%, which increased with age (p=0.004) and whether it was the dominant arm (Relative Risk 1.64, OR 1.58, 95%\u2009CI 1.07 to 2.33, p=0.021).<\/jats:p>\n                    <jats:p>Although 48.4% of full-thickness tears were asymptomatic, there was an association between rotator cuff tears and patient-reported symptoms. Individuals with at least one full-thickness tear were 1.97 times more likely than those with bilateral normal tendons (OR 3.53, 95%\u2009CI 2.00 to 5.61, p&lt;0.001) to have symptoms. Severity of symptoms was not related to the severity of the pathology until tears are &gt;2.5\u2009cm (p=0.009).<\/jats:p>\n                    <jats:p>In the cohort, 8.9% had seen their GP with shoulder pain and a full-thickness rotator cuff tear, 18.8% with shoulder pain and an abnormality and 29.3% with shoulder pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Rotator cuff tears are common, and primary care services are heavily impacted. As 50% of tears remain asymptomatic, future research may investigate the cause of pain and whether different treatment modalities, aside from addressing the pathology, need further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-059175","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T11:44:59Z","timestamp":1663069499000},"page":"e059175","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":104,"title":["Prevalence of rotator cuff tendon tears and symptoms in a Chingford general population cohort, and the resultant impact on UK health services: a cross-sectional observational study"],"prefix":"10.1136","volume":"12","author":[{"given":"Hannah","family":"Hinsley","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0588-5894","authenticated-orcid":false,"given":"Charlotte","family":"Ganderton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel K","family":"Arden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5940-1464","authenticated-orcid":false,"given":"Andrew J","family":"Carr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,9,13]]},"reference":[{"key":"2022091308351383000_12.9.e059175.1"},{"key":"2022091308351383000_12.9.e059175.2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.57.11.649"},{"key":"2022091308351383000_12.9.e059175.3","doi-asserted-by":"publisher","DOI":"10.1136\/ard.56.5.308"},{"key":"2022091308351383000_12.9.e059175.4","doi-asserted-by":"publisher","DOI":"10.1054\/cuor.2002.0257"},{"key":"2022091308351383000_12.9.e059175.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00132-004-0746-9"},{"key":"2022091308351383000_12.9.e059175.6","doi-asserted-by":"publisher","DOI":"10.1002\/art.22222"},{"key":"2022091308351383000_12.9.e059175.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.11.012"},{"key":"2022091308351383000_12.9.e059175.8","doi-asserted-by":"crossref","first-page":"391","DOI":"10.32098\/mltj.03.2014.20","article-title":"Classification of rotator cuff tendinopathy using high definition ultrasound","volume":"4","author":"Hinsley","year":"2014","journal-title":"Muscles Ligaments Tendons J"},{"key":"2022091308351383000_12.9.e059175.9","doi-asserted-by":"crossref","first-page":"708","DOI":"10.2106\/00004623-200404000-00007","article-title":"Detection and quantification of rotator cuff tears. 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