Sex differences in patients’ recovery following an acute Achilles tendon rupture – a large cohort study
Abstract Introduction The incidence of Achilles tendon ruptures (ATR) has increased over the past few decades. Treatment may be individualised based upon multiple factors including age, pre-injury activity level and the separation of the ruptured tendon ends. Several studies indicate that women may...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-10-01
|
| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-022-05875-9 |
| _version_ | 1798029985560133632 |
|---|---|
| author | Elin Larsson Annelie Brorsson Malin Carling Christer Johansson Michael R Carmont Katarina Nilsson Helander |
| author_facet | Elin Larsson Annelie Brorsson Malin Carling Christer Johansson Michael R Carmont Katarina Nilsson Helander |
| author_sort | Elin Larsson |
| collection | DOAJ |
| description | Abstract Introduction The incidence of Achilles tendon ruptures (ATR) has increased over the past few decades. Treatment may be individualised based upon multiple factors including age, pre-injury activity level and the separation of the ruptured tendon ends. Several studies indicate that women may have a poorer self-reported and clinical outcome compared with men, but the number of women in these studies is often small due to the different incidence of ATR between the genders. Aims The primary aim of this study was to evaluate whether there is a difference in self-reported outcome after an acute ATR between women and men at one to five years following injury. The second aim was to compare the outcome between the surgically and non-surgically treated patients. Methods Data were obtained from the medical charts of patients treated for an acute ATR between 1 and 2015 and 31 December 2020 at Sahlgrenska University Hospital/Mölndal. The Achilles tendon total rupture score (ATRS) and additional questions relating to treatment and recovery were determined. A multiple regression analysis was performed to isolate the impact of sex when comparing the patient-reported outcome between women and men. Results A total of 856 patients were included of which 66% participated prospectively. Sex, BMI and age were found to be significant factors influencing the total ATRS score. Female gender resulted in a lower ATRS, 7.8 points (CI = 3.3 to 12.3), than male gender. It was found that treatment did not significantly predict the results of the ATRS. Conclusion To our knowledge, this is the first report with a larger number of women included showing that female sex predicts inferior self-reported results after an acute ATR. |
| first_indexed | 2024-04-11T19:34:16Z |
| format | Article |
| id | doaj.art-8c7bfaabe4324f718987f3c45c6ac7b3 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-11T19:34:16Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-8c7bfaabe4324f718987f3c45c6ac7b32022-12-22T04:06:55ZengBMCBMC Musculoskeletal Disorders1471-24742022-10-012311510.1186/s12891-022-05875-9Sex differences in patients’ recovery following an acute Achilles tendon rupture – a large cohort studyElin Larsson0Annelie Brorsson1Malin Carling2Christer Johansson3Michael R Carmont4Katarina Nilsson Helander5The Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg UniversityIFK Kliniken RehabThe Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg UniversityThe Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy, Gothenburg UniversityThe Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy, Gothenburg UniversityThe Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg UniversityAbstract Introduction The incidence of Achilles tendon ruptures (ATR) has increased over the past few decades. Treatment may be individualised based upon multiple factors including age, pre-injury activity level and the separation of the ruptured tendon ends. Several studies indicate that women may have a poorer self-reported and clinical outcome compared with men, but the number of women in these studies is often small due to the different incidence of ATR between the genders. Aims The primary aim of this study was to evaluate whether there is a difference in self-reported outcome after an acute ATR between women and men at one to five years following injury. The second aim was to compare the outcome between the surgically and non-surgically treated patients. Methods Data were obtained from the medical charts of patients treated for an acute ATR between 1 and 2015 and 31 December 2020 at Sahlgrenska University Hospital/Mölndal. The Achilles tendon total rupture score (ATRS) and additional questions relating to treatment and recovery were determined. A multiple regression analysis was performed to isolate the impact of sex when comparing the patient-reported outcome between women and men. Results A total of 856 patients were included of which 66% participated prospectively. Sex, BMI and age were found to be significant factors influencing the total ATRS score. Female gender resulted in a lower ATRS, 7.8 points (CI = 3.3 to 12.3), than male gender. It was found that treatment did not significantly predict the results of the ATRS. Conclusion To our knowledge, this is the first report with a larger number of women included showing that female sex predicts inferior self-reported results after an acute ATR.https://doi.org/10.1186/s12891-022-05875-9Achilles tendon ruptureATRSexesTreatmentAchilles tendon total rupture score |
| spellingShingle | Elin Larsson Annelie Brorsson Malin Carling Christer Johansson Michael R Carmont Katarina Nilsson Helander Sex differences in patients’ recovery following an acute Achilles tendon rupture – a large cohort study BMC Musculoskeletal Disorders Achilles tendon rupture ATR Sexes Treatment Achilles tendon total rupture score |
| title | Sex differences in patients’ recovery following an acute Achilles tendon rupture – a large cohort study |
| title_full | Sex differences in patients’ recovery following an acute Achilles tendon rupture – a large cohort study |
| title_fullStr | Sex differences in patients’ recovery following an acute Achilles tendon rupture – a large cohort study |
| title_full_unstemmed | Sex differences in patients’ recovery following an acute Achilles tendon rupture – a large cohort study |
| title_short | Sex differences in patients’ recovery following an acute Achilles tendon rupture – a large cohort study |
| title_sort | sex differences in patients recovery following an acute achilles tendon rupture a large cohort study |
| topic | Achilles tendon rupture ATR Sexes Treatment Achilles tendon total rupture score |
| url | https://doi.org/10.1186/s12891-022-05875-9 |
| work_keys_str_mv | AT elinlarsson sexdifferencesinpatientsrecoveryfollowinganacuteachillestendonrupturealargecohortstudy AT anneliebrorsson sexdifferencesinpatientsrecoveryfollowinganacuteachillestendonrupturealargecohortstudy AT malincarling sexdifferencesinpatientsrecoveryfollowinganacuteachillestendonrupturealargecohortstudy AT christerjohansson sexdifferencesinpatientsrecoveryfollowinganacuteachillestendonrupturealargecohortstudy AT michaelrcarmont sexdifferencesinpatientsrecoveryfollowinganacuteachillestendonrupturealargecohortstudy AT katarinanilssonhelander sexdifferencesinpatientsrecoveryfollowinganacuteachillestendonrupturealargecohortstudy |