{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T08:25:21Z","timestamp":1694161521345},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introduction: The objective of this study was to analyze current evidence regarding surgical management of rotator cuff tears in patients\u00a0of 65 years of age and above. Our hypothesis was that surgical repair of rotator cuff tears, in patients older than 65 years, conveys\u00a0good outcome scores. We have not found a similar systematic review in current literature.Material and Methods: Medline\u00ae, PubMed, Scopus, and the Cochrane Register of Controlled Trials were searched from January 1999\u00a0unto December 2015 for studies, regardless of language, including the words \u2018rotator cuff\u2019 and \u201865 years\u2019 or \u201870 years\u2019. Inclusion criteria\u00a0were studies (level I to IV) that reported clinical outcomes in patients older than 65 years, having undertaken surgical repair of a symptomatic\u00a0rotator cuff tears. Arthroscopic, mini open and open techniques were included. Exclusion criteria were: studies with patients\u00a0younger than 65 years, studies that did not use validated outcome evaluation scores as primary assessment tools and those with follow\u00a0up under one year. This work followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses - PRISMA guidelines.\u00a0Data abstracted included patient demographics, tear pattern, surgical procedures, clinical and repair results. Outcome scores were\u00a0converted to percentages, allowing comparison of data between studies.Results: After deep analysis, 14 studies met the inclusion criteria: 11 level IV studies, 1 level III study and 2 level II studies. Seven\u00a0studies found statistically significant outcome improvements between pre and postoperative evaluations. All studies reported good or\u00a0excellent surgical outcomes.Discussion: Better results would probably be achieved if all studies had rigorous and homogeneous patient selection criteria, but the\u00a0fact is, that even though this was not the case, the clinical scores remained favorable, and with statistically significant outcome improvement\u00a0in all studies with prospectively collected data.Conclusion: Based on current literature, rotator cuff repair in patients older than 65 years imparts favorable improvement in clinical\u00a0outcome scores and overall patient satisfaction.<\/jats:p>","DOI":"10.20344\/amp.8307","type":"journal-article","created":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T12:19:19Z","timestamp":1493900359000},"page":"320-329","source":"Crossref","is-referenced-by-count":7,"title":["Surgical Treatment of Rotator Cuff Tears After 65 Years of Age: A Systematic Review"],"prefix":"10.20344","volume":"30","author":[{"given":"Bruno Mota","family":"Silva","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f3nio","family":"Cartucho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Sarmento","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuno","family":"Moura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2017,4,28]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/8307\/5007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/8307\/5007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T20:33:58Z","timestamp":1666730038000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/8307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,28]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2017,4,28]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.8307","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2017,4,28]]}}}