Is Social Support Associated With Upper Extremity Disability?

Nota, Sjoerd; Spit, Silke A.; Oosterhoff, Thijs C.H.; Hageman, Michiel G.J.S.; Ring, David; Vranceanu, Ana‐Maria

doi:10.1007/s11999-016-4892-2

Cited by 28 publications

(16 citation statements)

References 29 publications

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“…With the current healthcare climate requiring proof of patient-centered care [31,33,35,38,42,43], efforts to understand and meet patient expectations potentially carry greater impact than currently used objective metrics. Because the ability of our profession to measure the quality and effectiveness of treatment is an evolving and imperfect science, identifying the factors associated with a spectrum of patient expectations allows providers to recognize patients whose pretreatment characteristics may be asynchronous with the projected treatment results.…”

Section: Patientsmentioning

confidence: 99%

What Demographic and Clinical Characteristics Correlate With Expectations With Trapeziometacarpal Arthritis?

Kang

Nguyen

Hashmi

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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Section: Patientsmentioning

confidence: 99%

What Demographic and Clinical Characteristics Correlate With Expectations With Trapeziometacarpal Arthritis?

Kang

Nguyen

Hashmi

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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“…9,11,13,18,19 Menendez observed that 51% of variability in the qDASH was explained by differences in PROMIS PI CAT scores among new or follow-up hand surgery patients at an urban academic medical center, and furthermore reported a large correlation between PROMIS PI and qDASH scores and medium correlation between PROMIS depression CAT and qDASH scores. 19 Nota observed that pain interference had a strong influence on qDASH variability in a similar patient cohort.…”

Section: Discussionmentioning

confidence: 99%

“…19 Nota observed that pain interference had a strong influence on qDASH variability in a similar patient cohort. 11 Three months following hand fracture surgical treatment, Roh observed that Pain Catastrophizing Scale (PCS) scores correlated with increased disability on the qDASH. 18 Interestingly and without a clear explanation, these correlations were absent at the six month postoperative visit.…”

Section: Discussionmentioning

confidence: 99%

“…The PROMIS Anxiety CAT was developed and validated to measure anxiety symptoms, 10 however it remains unclear whether these scores influence functional status for hand and upper extremity patients as measured by the PROMIS PF CAT, PROMIS UE CAT, or qDASH. Pain interference (PI), or the extent to which pain interferes with accomplishing goals, has a strong influence on perceived disability among hand and wrist patients 11 and can be efficiently quantified using the PROMIS PI CAT. 12 PROMIS PI scores independently predicted inferior PROMIS PF and UE CAT scores amongst outpatients seeking hand surgical care, albeit in limited populations of 84 and 93 patients at a single center, respectively.…”

Section: Introductionmentioning

confidence: 99%

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Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Kazmers

Hung

Rane

et al. 2017

The Journal of Hand Surgery

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Purpose The relationship between psychosocial factors and self-reported physical function among hand and upper extremity patients is complex. The Patient-Reported Outcomes Measurement Information System (PROMIS) platform has attempted to create a variety of specifically-targeted metrics which can be administered using computer adaptive testing (CAT). Three metrics measuring self-reported physical function (herein referred to in combination as “functional” metrics) include the PROMIS Physical Function (PF) CAT, PROMIS Upper Extremity (UE) CAT, and the quick-Dash (qDASH). Two metrics assessing psychosocial factors include the PROMIS Anxiety and Pain Interference (PI) CATs (“non-functional” metrics). This study evaluates whether the functional metrics were correlated with non-functional metrics. Methods The five questionnaires were administered prospectively on a tablet computer to all consecutive adult patients presenting to outpatient hand and upper extremity (non-shoulder) clinic at a tertiary academic medical center from 1/1/2014 – 11/1/2014. For patients with multiple visits during the study period, only the first was included. Data were evaluated retrospectively to assess the relationship between functional and non-functional measures, with Pearson correlation coefficients to understand the relationship between continuous variables, and one-way ANOVAs to examine for differences in outcome measures across demographic groups. Multivariable linear regression analyses were performed to determine factors predicting functional disability. Results We included 1299 patients: mean age was 46.8 years, 53% were female, and 23% were unemployed or on disability. The PROMIS PF CAT, PROMIS UE CAT, and qDASH scores were all significantly correlated with PROMIS Anxiety CAT (Pearson correlation coefficients −0.46, −0.48, and 0.53, respectively) and PROMIS PI CAT (−0.60, −0.65, and 0.76, respectively) scores. Multivariable regression analyses demonstrated that increased PROMIS Anxiety and Pain Interference CAT scores each independently and adversely influenced PROMIS PF CAT, PROMIS UE CAT, and qDASH scores. Conclusions Increasing levels of patient anxiety and pain interference are independently associated with decreased patient-reported upper extremity function. Clinical Relevance Statement This study provides further support of the biopsychosocial model by highlighting that increased anxiety is associated with decreased self-reported function using the PROMIS platform.

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“…[9][10][11]13 This work represents a prospective, longitudinal study of a focused cohort of isolated elbow fractures assessed from first orthopedic review after the emergency department to several months after injury. 37,48 We aimed to identify the demographic, injury, psychological, and social factors associated with limitations 6-9 months after elbow fractures using the WHO International Classification of Disability, Functioning and Health as a framework for organizing these variables (Fig. 2).…”

Section: Q7mentioning

confidence: 99%

Psychosocial factors affecting variation in patient-reported outcomes after elbow fractures

Jayakumar

Teunis

Vranceanu

et al. 2019

Journal of Shoulder and Elbow Surgery

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Is Social Support Associated With Upper Extremity Disability?

Abstract: Background Pain intensity and disability correlate with psychosocial factors such as depression and pain interference (the degree to which pain interferes with activities of daily living) as much or more than pathophysiology in upper extremity illness.

Cited by 28 publications

References 29 publications

What Demographic and Clinical Characteristics Correlate With Expectations With Trapeziometacarpal Arthritis?

What Demographic and Clinical Characteristics Correlate With Expectations With Trapeziometacarpal Arthritis?

Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Psychosocial factors affecting variation in patient-reported outcomes after elbow fractures

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