Health-related quality of life of patients with rotator cuff injuries, Cofee Triangle, Colombia, 2013

Rincón-Hurtado, Ángela Maria; Rocha-Buelvas, Anderson; López-Cardona, Alejandro; Martínez, José William

doi:10.1016/j.rboe.2018.03.018

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Sumário

Artigos Originais • Rev. bras. ortop. 53 (3) • May-Jun 2018 • https://doi.org/10.1016/j.rboe.2018.03.018 copy

Health-related quality of life of patients with rotator cuff injuries, Cofee Triangle, Colombia, 2013^☆ ☆ Study conducted in the urban area of Pereira (Coffee Triangle), specifically at ESE Hospital San Jorge, I.P.S. Clínica San Rafael, Clínica Los Rosales, Clínica de Fracturas Ltda., and Clínica Comfamiliar Risaralda de Pereira.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To determine the quality of life related to health and its related factors in patients diagnosed with rotator cuff lesions in the Municipality of Pereira, Colombia, 2013.

Methods

Cross-sectional study. Simple random sampling of 239 patients over 18 years of age attended at five health care institutions in the urban area of Pereira. Socio-demographic, biological, clinical and self-perception aspects of the disability were collected regarding the quality of life related to health. Use of measures of frequency, Chi-square and logistic regression for analysis.

Results

72% (173) reported poor quality of life related to health in the physical health status component and 60% (144) in the mental health status component. Factors associated with poor quality of life related to health according to physical health status were: schooling, having caregiver, and shoulder disability in manual activities, daily activities and pain and physical limitation. While the factors associated with poor quality of life related to health in mental health status components were: schooling, having caregiver and shoulder disability due to pain and physical limitation. The greater the perception of shoulder disability, the worse the perception of health status.

Conclusion

The introduction of psychometric measures for the evaluation of the health status of patients with shoulder injuries contributes to a treatment adjusted to individual requirements and daily activities of the patient.

Keywords
Quality of life; Shoulder pain; Musculoskeletal system; Rotator cuff; Shoulder; Colombia

Question	No difficulty		Mild		Moderate		A considerable		Extreme
	n	%	n	%	n	%	n	%	n	%
To open a new or tightly closed vial	85	36	42	18	41	17	24	10	47	20
To write	164	69	31	13	29	12	11	5	4	2
To turn a key	164	69	31	13	28	12	9	4	7	3
To prepare food	160	67	36	15	23	10	12	5	8	3
To push a heavy door	102	43	46	19	38	16	21	9	32	13
Put an object above your head	69	29	35	15	46	19	29	12	60	25
Heavy home chores	70	29	37	15	42	18	29	12	61	26
To shear or tend a garden	142	59	21	9	22	9	21	9	33	14
To make up a bed	128	54	48	20	23	10	22	9	18	8
To carry a bag or briefcase	82	34	49	21	40	17	23	10	45	19
To carry an object of more than 5 kg	57	24	31	13	45	19	33	14	73	31
To change a high light bulb	86	36	32	13	29	12	21	9	71	30
To wash or dry one's hair	133	56	29	12	28	12	30	13	19	8
To wash one's back	75	31	33	14	43	18	35	15	53	22
Put on a closed sweater or jacket	90	38	28	12	44	18	47	20	30	13
Cut food with a knife	150	63	25	10	25	10	22	9	17	7
Recreational activities of low effort	152	64	34	14	24	10	11	5	18	8
Recreational activities that demand an effort	71	30	29	12	34	14	31	13	74	31
Recreational activities to move one's arm freely	73	31	23	10	34	14	33	14	76	32
Use of means of transportation	129	54	19	8	43	18	32	13	16	7
Intimate couple activities	159	75	16	8	17	8	14	7	6	3
Social activities	175	73	19	8	25	10	14	6	6	3
Limited daily activities	99	41	38	16	54	23	37	15	11	5
Shoulder pain	35	15	65	27	57	24	64	27	18	8
Pain when performing activities	41	17	47	20	61	26	66	28	24	10
Tingling sensation	130	54	25	10	41	17	35	15	8	3
Disability	111	46	20	8	41	17	57	24	10	4
Stiffness	133	56	27	11	34	14	34	14	11	5
Difficulty in sleeping	66	28	36	15	62	26	45	19	30	13
Impact on self-esteem	83	35	31	13	28	12	62	26	35	15

	Model 1	Model 2	Model 3	Model 4
A. Physical health criterion
Verisimilitude	-57.855	-51.12	-53.15	-61.15
Significant variables	2	3	3	4
Pseudo r	0.52	0.57	0.56	0.54
Hosmer & Lemeshow (p value)	0.84	0.83	0.28	0.32
AIC	141.71	140.24	140.31	140.89
BIC	185.34	203.93	197.3	191.23
B. Mental health criterion
Verisimilitude	-91.179	-99.15	-99.2	-99.78
Significant variables	2	2	3	4
Pseudo r	0.31	0.31	0.31	0.3
Hosmer & Lemeshow (p value)	0.59	0.54	0.27	0.21
AIC	221.7	220.31	218.4	217.5
BIC	261.9	257.23	251.9	247.7

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] *Corresponding author. E-mail: rochabuelvas@gmail.com (A. Rocha-Buelvas).

Physical health
Variable	B	OR	p	95% CI
Gender
Female		1
Male	-0.92	0.4	0.13	0.12	1.34
Grouped age
Younger than 50		1
50 or over	0.54	1.71	0.36	0.52	5.61
Marital status
No partner		1
With partner		2.91	0.06	0.92	9.15
Level of education
Primary		1
Secondary	-1.77	0.17	0.01	0.04	0.68
Technical	-2.81	0.06	0	0	0.49
University	-1.77	0.17	0.04	0.03	0.93
Monthly salary (Colombian pesos)
Lower than or equal to $535,000		1
Between $535,000 and $1,070,000	0.62	1.85	0.38	0.46	7.44
Between $1,070.000 and $1,605,000	-1.71	0.18	0.07	0.02	1.2
More than $1,605,000	0.01	1.01	0.99	0.13	7.65
Not applicable	-0.6	0.55	0.44	0.12	2.47
Has a caregiver
No		1
Yes	1.35	3.86	0.04	1.03	14.53
Factor 1 DASH: manual activities	0.12	1.13	0.02	1.01	1.27
Factor 2 DASH: daily activities	0.22	1.25	0.15	0.91	1.71
Factor 3 DASH: pain and physical limitation	0.36	1.44	0	1.18	1.75
Mental health
Variable	B	OR	p	95% CI
Gender
Female		1
Male	0.26	1.3	0.63	0.45	3.81
Age
Younger than 50		1
50 or older	-0.21	0.81	0.64	0.33	1.96
Level of education
Primary		1
Secondary	-0.6	0.55	0.21	0.22	1.4
Technical	-0.03	0.97	0.97	0.27	3.49
University	-1.61	0.2	0.01	0.06	0.68
Main activity in the previous month
Unemployed		1
Employed	-0.87	0.42	0.27	0.09	1.96
Student	-3.22	0.04	0.03	0	0.79
Retired	-1.43	0.24	0.17	0.03	1.86
Permanent disability	-1.77	0.17	0.14	0.01	1.84
Hogar	-0.45	0.64	0.6	0.11	3.47
Other	-0.09	0.91	0.93	0.1	7.86
Has caregiver
No		1
Yes	1.89	6.64	0	1.01	7.86
Received treatment for right lesion
Rotator tendinitis		1
Rotator tear	0.79	2.21	0.09	0.87	5.63
Other
Factor 2 DASH: Daily activities	0.14	1.15	0.02	1.01	1.3
Factor 3 DASH: Pain and physical limitation	0.17	1.18	0.001	1.07	1.3