Nicholson JA, et al. - Through a total of 112 patients who were prospectively observed for two years post-arthroscopic rotator cuff repair, the experts intended to assess the impact of age on the cost-effectiveness of arthroscopic rotator cuff repair. Significant betterment in the mean Disabilities of the Arm, Shoulder and Hand questionnaire and Oxford Shoulder scores were observed. Functional improvements were sustained with no marked change among one and two years postoperatively. No significant difference between those aged below or above 65 years of age with postoperative shoulder function or EuroQol five-dimension questionnaire (EQ-5D) gains could be ascertained. Moreover, smoking was the only characteristic that markedly adversely influenced the EQ-5D at two years postoperatively. The total mean per-patient cost was £3646.94 and the mean EQ-5D difference at one year was 0.2691, yielding a mean incremental cost-effectiveness ratio of £13 552.36/ quality-adjusted-life-year (QALY) which declined at two years to £5694.78/QALY. Hence, it was concluded that arthroscopic rotator cuff repair resulted in outstanding patient satisfaction and cost-effectiveness, despite the age.