Prevalence of osteoporosis and osteopenia in patients with rotator cuff tears: a systematic review and meta-analysis
Authors' conclusion
Osteoporosis and osteopenia were common in the rotator cuff tear cohorts included in this review, with pooled prevalence estimates of 17.3% and 41.9%, respectively. These findings highlight the clinical relevance of bone health in this population. Without age- and sex-matched comparator data, the estimates are descriptive and do not indicate whether osteoporosis or osteopenia is more prevalent than in comparable populations. Further comparative studies using standardized diagnostic criteria and appropriate comparator groups are warranted.
Study context
- Population
- Patients with rotator cuff tears and available categorical bone-status dataparticipants with rotator cuff tears in twelve studies
- Participants
- 1,413 patients
- Outcome
- Pooled prevalence of osteoporosis
Methodological detailsrandom-effects models, Joanna Briggs Institute (JBI) critical appraisal checklist for studies reporting prevalence data
- Random-effects models
- JBI critical appraisal checklist for studies reporting prevalence data
Pooled result
As reported in the abstract
Cases among participants (10 studies)
184 cases among 1,094 participants
Pooled prevalence
17.3%
95% CI 13.4% to 22.1%; I² = 69.0%
Further pooled results
Osteoporosis, sensitivity analysis restricted to five studies using explicit World Health Organization-compatible criteria at conventional dual-energy X-ray absorptiometry sites
- Cases among participants
- 83 cases were identified among 535 participants
- Pooled prevalence
- 17.1% (95% CI, 12.1% to 23.6%; I² = 61.1%)
Osteopenia (principal secondary outcome, seven studies)
- Cases among 721 participants
- 297
- Pooled prevalence
- 41.9% (95% CI, 36.3% to 47.8%; I² = 54.6%)
Abnormal bone mass (exploratory combined outcome, seven studies)
- Cases among 721 participants
- 404
- Pooled prevalence
- 57.9% (95% CI, 50.0% to 65.5%; I² = 74.0%)
Differences among the clinically defined population subgroups
- Not statistically significant
- P for interaction = 0.083
Original publication
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