Association Between Sleep Dysfunction and PROMIS Scores in Patients with Rotator Cuff Tears.

The purpose of this study was to utilize PROMIS sleep scores to determine the prevalence of sleep dysfunction and its association with other PROMIS scores in patients with rotator cuff tears (RCT). Patients were retrospectively identified using International Classification of Diseases- 10 codes for RCT pathology, and PROMIS outcomes were assessed at multiple visits between November 2017 through February 2020. Generalized linear mixed effects models were fit with PROMIS sleep score as the predictor variable and other PROMIS scores as the response variable. Additionally, models were fit using a clinically significant dichotomization of PROMIS sleep score to assess differences in average PROMIS scores. The study cohort included 481 patients, 201 (41.8%) of which had disrupted sleep at first-visit. A higher percentage of those with disrupted sleep at first-visit were female, non-White, and not married compared to those with normal sleep. PROMIS scores at first-visit differed by sleep category. Higher PROMIS sleep scores were associated with higher anxiety, depression, fatigue, pain intensity, and pain interference scores and lower physical function, social participation, and upper extremity scores. Relationships were similar when dichotomous PROMIS sleep scores were considered. There was a high prevalence of sleep dysfunction in patients with RCT. Sleep disturbance is associated with increased anxiety, depression, fatigue, pain intensity, pain interference and decreased physical function, social participation, and upper extremity function in patients with RCTs. III - Retrospective Cohort Study.

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