Relevant treatment outcomes for individuals aged 60 and older with massive rotator cuff tears: a qualitative study with 16 patients

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• dc.contributor.author Barrufet González, Cristina
• dc.contributor.author Zamora, Víctor
• dc.contributor.author Lizano-Barrantes, Catalina
• dc.contributor.author Torrens Cánovas, Carlos
• dc.contributor.author Burón, Andrea
• dc.contributor.author Calvo, Emilio
• dc.contributor.author Peidró, Lluis
• dc.contributor.author Miquel, Joan
• dc.contributor.author Barco, Raúl
• dc.contributor.author Ferrer Forés, Maria Montserrat
• dc.date.accessioned 2025-09-19T07:39:02Z
• dc.date.available 2025-09-19T07:39:02Z
• dc.date.issued 2025
• dc.description.abstract Background and purpose: Qualitative research on individuals with massive rotator cuff tears (MRCT) is scarce. This study aims to identify the perceptions, concerns, and treatment outcomes relevant to individuals with MRCT of the shoulder, as expected before treatment or experienced afterward. Methods: A qualitative study was designed using a hermeneutic phenomenological methodology. Purposive sampling was employed to identify potentially eligible patients (diagnosed with MRCT and aged 60-85 years) in the trauma and orthopedic outpatient clinics of 3 hospitals in Spain. The study employed 2 segmentation criteria: type of treatment and timing (before/after treatment). 16 interviews were conducted to capture the patients' perspective: 9 were semi-structured and 7 were in-depth. Interpretative phenomenological analysis was used, and triangulation was performed by 3 researchers with diverse backgrounds. Results: The mean age of participants (10 women and 6 men) was 71 years, with most having their dominant limb affected. The analysis revealed 4 themes (13 subthemes): MRCT impact on daily living (shoulder-derived functional limitation, pain, and emotional disturbance); treatment outcomes (recovering independence, pain relief, and social participation); clinical management (communication with health professionals, duration of the diagnostic/therapeutic process, and participation in decision-making); and characteristics of the individual (sex, work, and comorbidity). Special unmet needs were identified for women, with more prolonged diagnostic and therapeutic processes while bearing most household responsibilities. Conclusion: Recovering independence and pain relief were the principal outcomes from the perspective of patients with MRCT, and social participation and emotional well-being were closely linked. Measuring these outcomes could improve shared decision-making, while addressing systemic barriers to enhance patient participation.
• dc.format.mimetype application/pdf
• dc.identifier.citation Barrufet C, Zamora V, Lizano-Barrantes C, Torrens C, Burón A, Calvo E, et al. Relevant treatment outcomes for individuals aged 60 and older with massive rotator cuff tears: a qualitative study with 16 patients. Acta Orthop. 2025 Apr 14;96:322-30. DOI: 10.2340/17453674.2025.43474
• dc.identifier.doi http://dx.doi.org/10.2340/17453674.2025.43474
• dc.identifier.issn 1745-3674
• dc.identifier.uri http://hdl.handle.net/10230/71236
• dc.language.iso eng
• dc.publisher Medical Journals Sweden AB
• dc.relation.ispartof Acta Orthop. 2025 Apr 14;96:322-30
• dc.rights © 2025 The Author(s). Published by MJS Publishing – Medical Journals Sweden, on behalf of the Nordic Orthopedic Federation. This work is licensed under a Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Dependence perception
• dc.subject.keyword Pain
• dc.subject.keyword Patient-reported outcomes
• dc.subject.keyword Qualitative research
• dc.subject.keyword Rotator cuff
• dc.subject.keyword Shoulder
• dc.title Relevant treatment outcomes for individuals aged 60 and older with massive rotator cuff tears: a qualitative study with 16 patients
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion