ArticleCureus2025
The Association Between HbA1c Level and the Outcomes of Rotator Cuff Repair Surgery in Patients Managed at a Tertiary Center: A Retrospective Cohort Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Preoperative hyperglycemia within 24 hours of surgery is associated with adverse outcomes after rotator cuff repair.Clinics in shoulder and elbow · 2026Article
- Multimodal Prehabilitation for Hernia Repair: Linking Metabolic Modulation and Mechanical Methods.Biomedicines · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Rotator cuff tears are a leading cause of shoulder dysfunction and often require surgical repair. Diabetes mellitus can impair tendon healing through chronic inflammation and poor glycemic control, reflected by elevated glycated hemoglobin (HbA1c) levels. This study aimed to explore the association between HbA1c levels and the outcomes of rotator cuff repair surgery in patients managed at a tertiary center. Methodology This retrospective cohort study was conducted at King Abdulaziz Medical City, Riyadh, Saudi Arabia, from February 2020 to February 2025. Data were collected on demographics, pre- and postoperative details, outcomes, and comorbidities. Data were analyzed using Fisher's exact test, Spearman's correlation, independent-sample t-tests, and descriptive statistics, conducted using SPSS version 29.0.0 (IBM Corp., Armonk, NY, USA). Results Of the 79 eligible patients, 38 were excluded due to incomplete HbA1c data, and 41 were analyzed. Most patients were female (28; 68.3%) with a mean age of 57.1 ± 7.6 years (range = 39-69 years). The average body mass index was 30.2 ± 4.3 kg/m², with 18 (43.9%) patients classed as overweight and 19 (46.3%) obese. Common comorbidities included dyslipidemia (32; 78.0%), hypertension (23; 56.1%), and diabetes (21; 51.2%). Preoperative HbA1c showed no correlation with functional improvements in abduction (r = 0.132, p = 0.455), forward flexion (r = -0.082, p = 0.646), external rotation (r = 0.292, p = 0.187), or return to work (r = 0.008, p = 0.961). Complication rates were similar between controlled (6; 66.7%) and uncontrolled (3; 33.3%) HbA1c groups (p = 0.707). Hypertension (B = 1.327, p = 0.032) and liver disease (B = 3.913, p = 0.009) predicted higher postoperative HbA1c, while other comorbidities showed no significant associations. Conclusions Preoperative HbA1c was not associated with postoperative functional outcomes or complications. However, certain comorbidities were linked to higher postoperative HbA1c, suggesting that overall health conditions may influence recovery more than glycemic control alone. These findings highlight the importance of comprehensive perioperative assessment and tailored management strategies to optimize outcomes in rotator cuff repair patients.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.