The Shoulder Physio Podcast #48 Rotator Cuff Surgery: What Makes it Worthwhile?
In this solo episode of The Shoulder Physio Podcast, Dr Jared Powell explores a deceptively simple question: How much benefit does rotator cuff surgery need to provide to be considered worthwhile?
Jared explores a new 2025 study by Harrison Hansford and colleagues, which uses a clever benefit–harm trade-off approach to quantify what patients actually want from surgery.
This episode challenges the way we interpret research, the limits of "statistical significance," and the need for truly patient-centred decision-making. If you're still recommending surgery after failed physio without asking what makes it worthwhile to the person in front of you, this one’s for you.
Key topics include:
-
The concept of the smallest worthwhile effect
-
Is “does it work?” the wrong question?
-
Shared decision-making and expectation alignment
-
How the evidence stacks up (or doesn’t)
-
Why patient-defined outcomes matter more than p-values
Check out the Shoulder Physio Online Course here
Connect with Jared:
Jared on Instagram: @shoulder_physio
Jared on X: @jaredpowell12
See our Disclaimer here: The Shoulder Physio - Disclaimer