Predictors of Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference two years after arthroscopic rotator
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Updated: Oct 3, 2026
Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
Published on: January 23, 2026
Joseph M Blommer1, Karli Funk1, Samuel L Kinney1
1Department of Orthopaedics, University of Maryland School of Medicine, Baltimore, MD, USA.
Background:
Rotator cuff tears are a leading cause of shoulder pain and disability in adults. Arthroscopic rotator cuff repair (RCR) aims to improve function and reduce pain. The Patient-Reported Outcome Measurement Information System (PROMIS) Pain Interference (PI) assesses the impact of pain on daily life. This study aimed to identify pre-operative predictors of PROMIS PI two years after RCR.
Methods:
Patients undergoing arthroscopic RCR from June 2015 to April 2022 were identified from a prospectively enrolled orthopedic registry. Chart review of the electronic medical record was performed for demographic factors, surgical factors, and patients' Charlson Comorbidity Index (CCI). Patient-reported outcomes were collected at baseline and two years postoperatively, including six PROMIS domains, American Shoulder and Elbow Surgeons score (ASES), Numeric Pain Scale of the operative shoulder and body, Tegner Activity Scale, and Marx Activity Rating Scale of the upper extremity. Statistical analyses were conducted to identify significant predictors of 2-year PROMIS PI scores and change in PROMIS PI from baseline.
Results:
Among 203 patients, 152 (75%) completed 2-year patient-reported outcomes after RCR. On multivariable regression, higher pre-operative ASES independently predicted better 2-year PROMIS PI (estimate: -0.17, 95% CI: -0.25 to -0.08, P < .001), whereas a greater CCI (estimate: 1.14, 95% CI: 0.07-2.20, P = .037) and higher pre-operative PROMIS Depression scores (estimate: 0.38, 95% CI: 0.22-0.54, P < .001) predicted worse 2-year PROMIS PI. Greater CCI (estimate: 2.07, 95% CI: 0.07-2.21, P < .001) also independently predicted less 2-year improvement in PROMIS PI.
Conclusion:
Better pre-operative ASES scores independently predicted better 2-year PROMIS PI, while worse pre-operative PROMIS Depression, and higher CCI predicted worse 2-year PROMIS PI after RCR. Pre-operative assessment of these measures is a good indicator of post-operative pain and may inform pre-operative counseling in patients undergoing arthroscopic RCR.
