Impact of lifestyle and clinical factors on the prognosis of tennis elbow
Abstract Tennis elbow (lateral epicondylitis) typically responds well to conservative treatment, and few patients require surgical intervention. This study aimed to investigate the influence of lifestyle and clinical factors on the prognosis of tennis elbow. This prospective, multicenter, nested cas...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2024-02-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-53669-x |
| _version_ | 1797274564352278528 |
|---|---|
| author | Chan Zhang Zhongwei Jia Jiangbo Li Xu Wang Shengping Yang |
| author_facet | Chan Zhang Zhongwei Jia Jiangbo Li Xu Wang Shengping Yang |
| author_sort | Chan Zhang |
| collection | DOAJ |
| description | Abstract Tennis elbow (lateral epicondylitis) typically responds well to conservative treatment, and few patients require surgical intervention. This study aimed to investigate the influence of lifestyle and clinical factors on the prognosis of tennis elbow. This prospective, multicenter, nested case–control study included patients diagnosed with lateral epicondylitis after excluding other conditions. Patients who required surgery because of inadequate improvement after 6 months of conservative treatment were defined as the case group; the remaining patients constituted the control group. Propensity score matching was performed to eliminate baseline differences. Univariate and multivariate analyses were performed using logistic regression. This study included 265 patients (53 in the case group, 212 in the control group). Multivariate analysis revealed that smoking, alcohol consumption, and frequent physical exercise were independent risk factors for surgical intervention, whereas combined treatment with oral nonsteroidal anti-inflammatory drugs (NSAIDs) and local corticosteroid injections was a protective factor against surgery. Subgroup analysis showed that heavy drinkers had a 3.74-fold higher risk of requiring surgical treatment within 1 year than occasional drinkers. Smoking and alcohol consumption were associated with non-operative treatment failure in patients with lateral epicondylitis. Combining oral NSAIDs and corticosteroid injections is a favorable conservative treatment option. |
| first_indexed | 2024-03-07T15:00:12Z |
| format | Article |
| id | doaj.art-33e3454be6e047719a7bb490f891840c |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-07T15:00:12Z |
| publishDate | 2024-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-33e3454be6e047719a7bb490f891840c2024-03-05T19:10:20ZengNature PortfolioScientific Reports2045-23222024-02-011411610.1038/s41598-024-53669-xImpact of lifestyle and clinical factors on the prognosis of tennis elbowChan Zhang0Zhongwei Jia1Jiangbo Li2Xu Wang3Shengping Yang4College of Physical Education, Shanxi University of Finance and Economics, Sports Industry Research Center of Shanxi University of Finance and EconomicsDepartment of Orthopedic, Shanxi Provincial People’s HospitalDepartment of Orthopedic, Taiyuan Central HospitalDepartment of Literature Search, Shanxi Research Center for Information and Strategy of Science and TechnologyCollege of Physical Education, Shanxi University of Finance and Economics, Sports Industry Research Center of Shanxi University of Finance and EconomicsAbstract Tennis elbow (lateral epicondylitis) typically responds well to conservative treatment, and few patients require surgical intervention. This study aimed to investigate the influence of lifestyle and clinical factors on the prognosis of tennis elbow. This prospective, multicenter, nested case–control study included patients diagnosed with lateral epicondylitis after excluding other conditions. Patients who required surgery because of inadequate improvement after 6 months of conservative treatment were defined as the case group; the remaining patients constituted the control group. Propensity score matching was performed to eliminate baseline differences. Univariate and multivariate analyses were performed using logistic regression. This study included 265 patients (53 in the case group, 212 in the control group). Multivariate analysis revealed that smoking, alcohol consumption, and frequent physical exercise were independent risk factors for surgical intervention, whereas combined treatment with oral nonsteroidal anti-inflammatory drugs (NSAIDs) and local corticosteroid injections was a protective factor against surgery. Subgroup analysis showed that heavy drinkers had a 3.74-fold higher risk of requiring surgical treatment within 1 year than occasional drinkers. Smoking and alcohol consumption were associated with non-operative treatment failure in patients with lateral epicondylitis. Combining oral NSAIDs and corticosteroid injections is a favorable conservative treatment option.https://doi.org/10.1038/s41598-024-53669-x |
| spellingShingle | Chan Zhang Zhongwei Jia Jiangbo Li Xu Wang Shengping Yang Impact of lifestyle and clinical factors on the prognosis of tennis elbow Scientific Reports |
| title | Impact of lifestyle and clinical factors on the prognosis of tennis elbow |
| title_full | Impact of lifestyle and clinical factors on the prognosis of tennis elbow |
| title_fullStr | Impact of lifestyle and clinical factors on the prognosis of tennis elbow |
| title_full_unstemmed | Impact of lifestyle and clinical factors on the prognosis of tennis elbow |
| title_short | Impact of lifestyle and clinical factors on the prognosis of tennis elbow |
| title_sort | impact of lifestyle and clinical factors on the prognosis of tennis elbow |
| url | https://doi.org/10.1038/s41598-024-53669-x |
| work_keys_str_mv | AT chanzhang impactoflifestyleandclinicalfactorsontheprognosisoftenniselbow AT zhongweijia impactoflifestyleandclinicalfactorsontheprognosisoftenniselbow AT jiangboli impactoflifestyleandclinicalfactorsontheprognosisoftenniselbow AT xuwang impactoflifestyleandclinicalfactorsontheprognosisoftenniselbow AT shengpingyang impactoflifestyleandclinicalfactorsontheprognosisoftenniselbow |