Mental Health and Outcomes in Primary Total Joint Arthroplasty

Lavernia, Carlos J.; Alcerro, Jose C.; Brooks, Larry; Rossi, Mark D.

doi:10.1016/j.arth.2011.11.015

Cited by 88 publications

(70 citation statements)

References 39 publications

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“…As mentioned before, Lavernia et al [16] noted lower postoperative outcome scores in psychologically distressed patients undergoing arthroplasty, but scores improved by similar amounts from pre-to postoperatively in both nondistressed and distressed patients. Similarly, Maratos et al [19] saw lower overall postoperative SF-36 scores in patients undergoing spine surgery but no difference in the amount of improvement between distressed and nondistressed patients.…”

Section: Discussionmentioning

confidence: 64%

“…Similarly, preoperative scores on the VAS for pain and the American Shoulder and Elbow Surgeons score correlate with scores on the Hospital Anxiety and Depression Scale [6] and the Distress Risk Assessment Method [23] in patients with rotator cuff disease. In addition to influencing preoperative self-assessment scores, higher levels of distress also correlate with inferior patient-reported outcomes after surgical intervention in several areas of orthopaedics [4,16,22,31,32,34]. However, as noted earlier, whether a similar correlation between greater psychological distress and inferior postoperative outcome scores exists after arthroscopic rotator cuff repair has not, to our knowledge, been reported.…”

Section: Introductionmentioning

confidence: 69%

“…Higher levels of psychological distress also correlate with inferior patient-reported outcomes after surgical intervention in other areas of orthopaedics [4,16,22,31,32,34]. Here, we found that greater levels of pre-or postoperative psychological distress were not associated with clinically important differences in outcome scores (VAS for pain, Simple Shoulder Test, and American Shoulder and Elbow Surgeons score) 1 year after arthroscopic rotator cuff repair; similarly, higher levels of distress were not associated with less interval improvement in outcome scores (VAS for pain, Simple Shoulder Test, and American Shoulder and Elbow Surgeons score) at 1 year.…”

Section: Discussionmentioning

confidence: 99%

“…We [23] and others [6,28] have reported that greater distress is associated with lower preoperative self-assessment scores in patients with shoulder pathology, but to our knowledge, this is the first investigation to consider the relationship of distress and outcome scores after arthroscopic rotator cuff repair. Results from populations undergoing total joint arthroplasty [16], surgery for degenerative spine conditions [19,31,32], hip arthroscopy [22], or upper extremity surgery [33] have suggested that for distressed patients, higher levels of pain and lower levels of function often persist after surgical intervention. It is possible that our results here differ from most prior studies because of an underlying difference in the nature of rotator cuff disease.…”

Section: Discussionmentioning

confidence: 99%

“…Higher levels of psychological distress correlate with greater pain and decreased function in patients with low back pain [3,10], surgical spine conditions [1,4,31,32], hip and knee arthritis [11,14,16], femoroacetabular impingement [22,24], shoulder and rotator cuff pathology [6,23,27,28], and orthopaedic hand and elbow conditions [17,25,33,34].…”

Section: Introductionmentioning

confidence: 99%

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One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

Potter

Wylie

Greis

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Patients with shoulder and rotator cuff pathology who exhibit greater levels of psychological distress report inferior preoperative self-assessments of pain and function. In several other areas of orthopaedics, higher levels of distress correlate with a higher likelihood of persistent pain and disability after recovery from surgery. To our knowledge, the relationship between psychological distress and outcomes after arthroscopic rotator cuff repair has not been similarly investigated. Questions/purposes (1) Are higher levels of preoperative psychological distress associated with differences in outcome scores (visual analog scale [VAS] for pain, Simple Shoulder Test, and American Shoulder and Elbow Surgeons score) 1 year after arthroscopic rotator cuff repair? (2) Are higher levels of preoperative psychological distress associated with less improvement in outcome scores (VAS for pain, Simple Shoulder Test, and American Shoulder and Elbow Surgeons score) 1 year after arthroscopic rotator cuff repair? (3) Does the prevalence of psychological distress in a population with full-thickness rotator cuff tears change when assessed preoperatively and 1 year after arthroscopic rotator cuff repair? Methods Eighty-five patients with full-thickness rotator cuff tears were prospectively enrolled; 70 patients (82%) were assessed at 1-year followup. During the study period, the three participating surgeons performed 269 rotator cuff repairs; in large part, the low overall rate of enrollment was related to two surgeons enrolling only two patients total in the initial 14 months of the study. Psychological distress was quantified using the Distress Risk Assessment Method questionnaire, and patients completed self-assessments including the VAS for pain, the Simple Shoulder Test, and the American Shoulder and Elbow Surgeons score preoperatively and 1 year after arthroscopic rotator cuff repair. Fifty of 85 patients (59%) had normal levels of distress, 26 of 85 (31%) had moderate levels of distress, and nine of 85 (11%) had severe levels of distress. Statistical models were used to assess the effect of psychological distress on patient self-assessment of shoulder pain and function at 1 year after surgery. Results With the numbers available, distressed patients were not different from nondistressed patients in terms of One of the authors certifies that he (PEG), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of less than USD 10,000 of research support funding from DePuy Mitek (Raynham, MA, USA). One of the authors certifies that he (RTB), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000 to USD 100,000 of research support funding from DePuy Mitek. One of the authors certifies that he (RZT), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 100,000 to USD 1,000,000 of research support funding from the Depart...

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

Potter

Wylie

Greis

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

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Disparities in Health Care for Black Patients in Physical Medicine and Rehabilitation in the United States: A Narrative Review

Odonkor

Esparza

Flores

et al. 2020

PM&R

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Racial health disparities continue to disproportionately affect Black persons in the United States. Black individuals also have increased risk of worse outcomes associated with social determinants of health including socioeconomic factors such as income, education, and employment. This narrative review included studies originally spanning a period of approximately one decade (December 2009‐December 2019) from online databases and with subsequent updates though June 2020. The findings to date suggest pervasive inequities across common conditions and injuries in physical medicine and rehabilitation for this group compared to other racial/ethnic groups. We found health disparities across several domains for Black persons with stroke, traumatic brain injury, spinal cord injury, hip/knee osteoarthritis, and fractures, as well as cardiovascular and pulmonary disease. Although more research is needed, some contributing factors include low access to rehabilitation care, fewer referrals, lower utilization rates, perceived bias, and more self‐reliance, even after adjusting for hospital characteristics, age, disease severity, and relevant socioeconomic variables. Some studies found that Black individuals were less likely to receive care that was concordant with clinical guidelines per the reported literature. Our review highlights many gaps in the literature on racial disparities that are particularly notable in cardiac, pulmonary, and critical care rehabilitation. Clinicians, researchers, and policy makers should therefore consider race and ethnicity as important factors as we strive to optimize rehabilitation care for an increasingly diverse U.S. population.

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Quality of Life and Patient Satisfaction After Total Knee Arthroplasty Using Contemporary Designs

Dailiana

Papakostidou

Karachalios

2015

Total Knee Arthroplasty

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Mental Health and Outcomes in Primary Total Joint Arthroplasty

Cited by 88 publications

References 39 publications

One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

Disparities in Health Care for Black Patients in Physical Medicine and Rehabilitation in the United States: A Narrative Review

Quality of Life and Patient Satisfaction After Total Knee Arthroplasty Using Contemporary Designs

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