Four-Month Improvement Predicts Surgery and One-Year Outcomes in Subacromial Pain Syndrome: Nationwide Cohort Study (pubmed.ncbi.nlm.nih.gov)

• Four-month response strongly predicts surgery probability
• Symptom status at four months correlates with one-year outcomes
• Early identification of non-responders aids surgical referral decisions

"A nationwide cohort study examined whether improvement and status at four months in patients with subacromial pain syndrome predict the probability of surgery and one-year outcomes. The findings indicate that patients with poor improvement or persistent symptoms at four months are significantly more likely to undergo surgery and have poorer one-year functional outcomes. The study highlights the importance of early monitoring to identify non-responders and guide treatment decisions, including surgical referral."