Does Rotator Cuff Repair Improve Psychologic Status and Quality of Life in Patients With Rotator Cuff Tear?

Cho, Chul-Hyun; Song, Kyung‐Bin; Hwang, Ilseon; Warner, Jon J.P.

doi:10.1007/s11999-015-4258-1

Cited by 110 publications

(129 citation statements)

References 24 publications

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“…Future studies could focus on the prevention of psychological symptoms after shoulder surgery, for example by cognitive treatment, and observe the effect on clinical outcome. Two recent studies, with small study populations, evaluated preoperative psychological distress and functional outcome after rotator cuff surgery [18,19]. Their results are in line with the results found in this study that preoperative symptoms of psychological disorders were not negatively associated with functional outcome after shoulder surgery.…”

Section: Discussionsupporting

confidence: 87%

“…In orthopaedic literature, preoperative psychological distress such as depression and anxiety has been reported to be associated with worse clinical outcomes after surgery of the hip, knee and lumbar spine [16,17]. In two recent studies, preoperative psychological distress was not associated with clinical outcome after rotator cuff surgery [18,19]. If, however, preoperative psychological status appears to have an impact on the outcome after shoulder surgery, then the identification and treatment of psychological disorders should be an essential part of the preoperative assessment.…”

Section: Introductionmentioning

confidence: 99%

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The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study

et al. 2016

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BackgroundPsychological symptoms are highly prevalent in patients with shoulder complaints. Psychological symptoms in patients with shoulder complaints might play a role in the aetiology, perceived disability and pain and clinical outcome of treatment. The aim of this study was to assess whether preoperative symptoms of distress, depression, anxiety and somatisation were associated with a change in function after shoulder surgery and postoperative patient perceived improvement of pain and function. In addition, the change of psychological symptoms after shoulder surgery was analyzed and the influence of postoperative symptoms of psychological disorders after surgery on the change in function after shoulder surgery and perceived postoperative improvement of pain and function.Methods and FindingsA prospective longitudinal cohort study was performed in a general teaching hospital. 315 consecutive patients planned for elective shoulder surgery were included. Outcome measures included change of Disabilities of the Arm, Shoulder and Hand (DASH) score and anchor questions about improvement in pain and function after surgery. Psychological symptoms were identified before and 12 months after surgery with the validated Four-Dimensional Symptom Questionnaire (4DSQ). Psychological symptoms were encountered in all the various shoulder diagnoses. Preoperative symptoms of psychological disorders persisted after surgery in 56% of patients, 10% of patients with no symptoms of psychological disorders before surgery developed new psychological symptoms. Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after shoulder surgery. Patients with symptoms of psychological disorders after surgery were less likely to improve on the DASH score. Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain. Postoperative symptoms of distress, depression and somatisation were associated with worse perceived improvement of function.ConclusionsPreoperative symptoms of distress, depression, anxiety and somatisation were not associated with worse clinical outcome 12 months after shoulder surgery. Symptoms of psychological disorders before shoulder surgery persisted in 56% of patients after surgery. Postoperative symptoms of psychological disorders 12 months after shoulder surgery were strongly associated with worse clinical outcome.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study

et al. 2016

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“…Through the implementation of arthroscopic rotator cuff repair, it was found that the joint function, the sleep quality, the anxiety situation and the quality of life of patients has been signi cantly improved during the 2-year follow-up. But the impact on depression was not signi cant, which was consistent with the study of Cho C et al [19]. and Kennedy P et al [20].…”

Section: Discussionsupporting

confidence: 90%

The Effect of Rotator Cuff Repair on the Clinical and Psychological Meaningful Improvement in Patients with Rotator Cuff Tear and Insomnia.

Tong¹,

Wu²,

Liu³

et al. 2020

Preprint

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Background: Rotator cuff repair is widely used to treat rotator cuff tear, but its impact on the psychological status in patients with rotator cuff tears and insomnia is still poorly understood.Methods: 240 patients were enrolled who underwent rotator cuff repair at the first affiliated hospital of soochow university from 2014-2018. During the 2-year follow-up period, the patients were assessed preoperatively and postoperatively at 3 months, 6 months, 12 months and 24 months by using Constant, Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), American Shoulder and Elbow Surgeons’ Scale (ASES), Hospital Anxiety and Depression Scale, depression subsection (HADS-D), Hospital Anxiety and Depression Scale, anxiety subsection (HADS-A), and World Health Organization Quality-of-life Scale Abbreviated Version (WHOQOL-BREF).Results: Finally, a total of 240 patients were enrolled in this study and finished the 2 year follow-up.There were 107 men(43.8%) and 133 women(56.2%), and the mean age of the patients was 54.2±7.5 years. With the prolongation of postoperative time, pain, activity of daily life, joint mobility and muscle strength were gradually improved from 4.8 ± 2.2, 7.2 ± 3.4, 14.2 ± 5.5, 7.8 ± 3.5, and 34.0 ± 11.3, respectively, before surgery to 13.2 ± 3.2, 17.8 ± 2.8, 34.0 ± 6.4, 21.0 ± 4.0, and 85.9 ± 12.4, at 2 years after surgery, which was statistically significant (P < 0.001).The scores of ASES and WHOQOL-BREF also increased significantly from 40.5 ± 9.6, 58.3 ± 8.6 before operation to 87.7 ± 10.2, 69.3 ± 7.9 at two years after operation (P < 0.001). HADS-A decreased linearly from 4.8±2.4 before operation to 1.4 ± 1.2 at two years after operation (P < 0.01). The pain scores had a highly positive correlation with the Constant and the ASES scores. The PSQI and the ISI scores had a positive correlation with the HADS-A scores.Conclusion: For the patients with rotator cuff tears and insomnia, rotator cuff repair may contribute to the improvement of clinical outcome and status of anxiety.

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“…However, to our knowledge, no studies have sought to correlate cervical sagittal realignment for patients with kyphotic cervical deformities from tuberculosis with improvements to patient-reported outcomes, which questionnaires generally are multidimensional, and assess a combination of aspects of impairments and/or disability. They reflect a patient's health status, and are means of gathering patients' views on recovery [3,12]. Lee et al [10] reported that patient-reported outcomes are associated with cervical sagittal alignment, however, not specifically in this population of patients.…”

Section: Introductionmentioning

confidence: 99%

Débridement and Reconstruction Improve Postoperative Sagittal Alignment in Kyphotic Cervical Spinal Tuberculosis

Pan

Luo

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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show abstract

Does Rotator Cuff Repair Improve Psychologic Status and Quality of Life in Patients With Rotator Cuff Tear?

Cited by 110 publications

References 24 publications

The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study

The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study

The Effect of Rotator Cuff Repair on the Clinical and Psychological Meaningful Improvement in Patients with Rotator Cuff Tear and Insomnia.

Débridement and Reconstruction Improve Postoperative Sagittal Alignment in Kyphotic Cervical Spinal Tuberculosis

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