Diagnostic Labels for Rotator Cuff Disease Can Increase People's Perceived Need for Shoulder Surgery: An Online Randomized Controlled Trial

OBJECTIVETo investigate whether different labels for rotator cuff disease influence people's perceived need for surgery. DESIGNRandomized controlled experiment. METHODSParticipants with and without shoulder pain read a vignette describing a patient with rotator cuff disease and were randomized...

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Bibliographic Details
Published in:The journal of orthopaedic and sports physical therapy 2021-08, Vol.51 (8), p.401-411
Main Authors: Zadro, Joshua R., O'Keeffe, Mary, Ferreira, Giovanni E., Haas, Romi, Harris, Ian A., Buchbinder, Rachelle, Maher, Christopher G.
Format: Article
Language:English
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Summary:OBJECTIVETo investigate whether different labels for rotator cuff disease influence people's perceived need for surgery. DESIGNRandomized controlled experiment. METHODSParticipants with and without shoulder pain read a vignette describing a patient with rotator cuff disease and were randomized to 1 of 6 terms describing rotator cuff disease: subacromial impingement syndrome, rotator cuff tear, bursitis, rotator cuff-related shoulder pain, shoulder sprain, and episode of shoulder pain. Perceived need for shoulder surgery was the primary outcome. Secondary outcomes included perceived need for imaging, an injection, a second opinion, and to see a specialist; perceived seriousness of the condition; recovery expectations; and perceived impact on work attendance. Using a Bonferroni correction (significance, P
ISSN:0190-6011
1938-1344
DOI:10.2519/jospt.2021.10375