Safety of arthroscopic rotator cuff repair: using a core event set for clinician and patient assessment of risks in a multicenter cohort study
| Title: | Safety of arthroscopic rotator cuff repair: using a core event set for clinician and patient assessment of risks in a multicenter cohort study |
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| Authors: | Alexandre Lädermann; Andreas Mueller; Sabina Hunziker; Christian Jung; Christian Appenzeller-Herzog; Florian Grubhofer; Soheila Aghlmandi; Hans-Kaspar Schwyzer; Fabrizio Moro; Matthias Flury; Barbara Wirth; Markus Scheibel; Laurent Audigé; Philipp Moroder; Thomas Stojanov; David Schwappach; Christian Candrian; Gregory Cunningham; Holger Durchholz; Karim Eid; Bernhard Jost; Claudio Rosso; Michael Schär; Thomas Suter; Karl Wieser; Doruk Akgün; Claudia Haag-Schumacher; Britta Hansen; Johannes Weihs; Paolo Lombardo; Larissa Hübscher; Ralph Berther; Christine Ehrmann; Susanne Bensler; Michael Glanzmann; Florian Freislederer; Cécile Grobet; Marije de Jong; Martina Wehrli; Jan Schätz; Francesco Marbach; Florian Schönweger; Giuseppe Filardo; Filippo Del Grande; Pietro Feltri; Christian Spross; Martin Olach; Michael Badulescu; Vilijam Zdravkovic; Stephanie Lüscher; Jörg Scheler; Lena Öhrström; Annabel Hayoz; Julia Müller-Lebschi; Christian Gerber; Samy Bouaicha; Paul Borbas; Anita Hasler; Sabrina Catanzaro; Sabine Wyss; Reto Sutter; Mohy Taha; Cornelia Baum; Simone Hatz; Giorgio Tamborrini-Schütz; Nicolas Gallusser; Matthias A Zumstein; Markus Pisan; Kushtrim Grezda; Sebastian Andreas Müller; Isabella Weiss; Eduardo Samaniego; Sebastian A Müller; Markus Saner; Mai Lan Dao Trong; Carlos Buitrago-Tellez; Julian Hasler; Ulf Riede; Beat Moor; Matthias Biner; Christoph Spormann; Rainer Egli; Stephanie Erdbrink; Kate Gerber; Yannick Fritz; Emanuel Benninger; Philemon Grimm; Daniela Brune; Stefan Diermayr; Marco Etter; Ralph Ringer; Fabian Napieralski; Jan Rechsteiner; Roland Camenzind; Bettina Hochreiter; Roy Marcus; Farah Selman; Andreas Marc Müller; Franziska Eckers |
| Source: | BMJ Surgery, Interventions, & Health Technologies, Vol 7, Iss 1 (2025) |
| Publisher Information: | BMJ Publishing Group |
| Publication Year: | 2025 |
| Collection: | Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: | Medical technology; R855-855.5; Surgery; RD1-811 |
| Description: | Objectives Reporting standards for adverse events (AEs) in arthroscopic rotator cuff repair (ARCR) vary. A standardized “core event set” (CES) was developed to enhance AE documentation. This study describes AE risks in a large Swiss-German ARCR cohort, evaluates concordance between patient-reported and clinician-reported events, and investigates AE variability according to tear severity.Design Prospective multicenter cohort study.Setting Between June 2020 and November 2021, 973 patients were enrolled across 19 orthopedic centers and followed for 24 months.Participants Adult patients with a rotator cuff tear.Interventions Primary ARCR.Main outcome measures AEs were documented using a structured CES and classified into five severity grades. AE reporting was compared between patients and clinical staff. AE cumulative risks (CR) were calculated by occurrence period, severity grade, and tear severity.Results A total of 342 AEs were documented in 314 patients within 2 years. Of these, 41% were reported only by clinical staff, 40% only by patients, and 19% by both. The 2-year CR of AEs was 29.1%, with persistent pain (12.2%) and deep soft tissue complications (10.6%) being most common. Severity classification revealed 61.7% grade I, 24.3% grade II, 13.2% grade III, and 0.9% grade IV. Tear severity was inversely associated with overall AE risk, ranging from 41.5% in partial tears to 28% in massive tears.Conclusions Standardized AE documentation using CES identified pain, deep soft tissue complications, and rotator cuff issues as the most frequent local AEs. Both clinicians and patients should be involved in AE reporting. Most AEs were mild, and tear severity predicted AE risk, highlighting the need for tailored postoperative strategies and further research on preventive measures. |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | https://sit.bmj.com/content/7/1/e000400.full; https://doaj.org/toc/2631-4940; https://doaj.org/article/302fb3ceb763437ebb27b42774d3676a |
| DOI: | 10.1136/bmjsit-2025-000400 |
| Availability: | https://doi.org/10.1136/bmjsit-2025-000400; https://doaj.org/article/302fb3ceb763437ebb27b42774d3676a |
| Accession Number: | edsbas.EDDC75DB |
| Database: | BASE |