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Factors Influencing the Size of a Non-Traumatic Full-Thickness Rotator Cuff Tear: Focusing on Socioeconomic Factors

Author

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  • Suk-Woong Kang

    (Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan 50612, Korea
    Department of Orthopedic Surgery, Medical College, Pusan National University, Yangsan 50612, Korea)

  • Chan-Kue Park

    (Department of Radiology, Pusan National University Yangsan Hospital, Medical College, Pusan National University, Yangsan 50612, Korea)

  • Seung-Hun Woo

    (Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan 50612, Korea
    Department of Orthopedic Surgery, Medical College, Pusan National University, Yangsan 50612, Korea)

  • Tae-Woo Kim

    (Department of Orthopedic Surgery, Pusan National University Yangsan Hospital, Yangsan 50612, Korea
    Department of Orthopedic Surgery, Medical College, Pusan National University, Yangsan 50612, Korea)

  • Min-Hui Moon

    (Office of Public Healthcare Service, Pusan National University Yangsan Hospital, Yangsan 50612, Korea)

  • Ji-Hee Yang

    (Department of Medicine, Medical College, Pusan National University, Yangsan 50612, Korea)

  • Min-Hyeok Choi

    (Office of Public Healthcare Service, Pusan National University Yangsan Hospital, Yangsan 50612, Korea
    Department of Preventive and Occupational & Environmental Medicine, Medical College, Pusan National University, Yangsan 50612, Korea)

Abstract

This study aimed to identify the risk factors for non-traumatic rotator cuff tears in Korean adult patients who underwent surgical treatment, focusing on socioeconomic factors. A retrospective study was conducted with 659 patients who were diagnosed with a full rotator cuff tear and underwent surgical treatment. The outcome variable was the rotator cuff tear size (mm), as indicated by preoperative magnetic resonance imaging. Socioeconomic variables included occupation, education level, insurance type, and residential area. Univariate analyses were used to evaluate the relation between tear size and independent variables, and multivariate regression was used to estimate the effects of socioeconomic factors on tear size after adjusting for other variables. Significant differences were found in mean tear size according to age, occupation, residence area, and symptom duration ( p < 0.05) in multivariate regression analysis. Rural residents had a 2.12 mm larger tear size than urban residents. Compared to National Health Insurance patients, the tear size of Medicaid beneficiaries was significantly larger (6.79 mm) in urban areas. The larger the rotator cuff tear, the greater the risk of retear and poor shoulder function. Therefore, policy efforts are required to expand access to medical care for the vulnerable.

Suggested Citation

  • Suk-Woong Kang & Chan-Kue Park & Seung-Hun Woo & Tae-Woo Kim & Min-Hui Moon & Ji-Hee Yang & Min-Hyeok Choi, 2022. "Factors Influencing the Size of a Non-Traumatic Full-Thickness Rotator Cuff Tear: Focusing on Socioeconomic Factors," IJERPH, MDPI, vol. 19(10), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:6137-:d:818303
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    References listed on IDEAS

    as
    1. Min Hyeok Choi & Ji Hee Yang & Jae Seung Seo & Yoon-ji Kim & Suk-Woong Kang, 2021. "Prevalence and diagnosis experience of osteoporosis in postmenopausal women over 50: Focusing on socioeconomic factors," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-10, March.
    2. Young-Hoon Lee, 2018. "Socioeconomic differences among community-dwelling diabetic adults screened for diabetic retinopathy and nephropathy: The 2015 Korean Community Health Survey," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
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