Psychological Distress in Hip Arthroscopy Patients Affects Postoperative Pain Control

Potter, Michael Q.; Sun, Grant S.; Fraser, Jennifer; Beckmann, James T.; Swenson, Jeffrey D.; Maak, Travis G.; Aoki, Stephen K.

doi:10.1016/j.arthro.2013.11.010

Cited by 52 publications

(50 citation statements)

References 19 publications

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“…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%

“…However, structured interviews are impractical in an outpatient orthopaedic clinic, and the Distress Risk Assessment Method questionnaire is a validated [9,18] and widely used [3,7,8,19,[21][22][23][24]31] instrument to assess psychological distress without overly burdening the patient or clinician. In addition, surgical treatment was not standardized, and patients had additional arthroscopic procedures performed at the discretion of the treating surgeon.…”

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: Introductionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

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

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Fascia iliaca blockade with the addition of liposomal bupivacaine vs. plain bupivacaine for perioperative pain management following hip arthroscopy

Purcell

Nappo

Griffin

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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Investigating the Relationship Between Religiosity and Psychological Distress Among Surgical Inpatients: A Pilot Study

Farag

Behzadi

2017

J Relig Health

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Psychological distress may hinder recovery following surgery. Studies examining the relationship between psychological distress and religiosity in the acute post-operative setting are lacking. The present study investigated this relationship, evaluated protocol design, and explored coping mechanisms. Psychological distress of surgical inpatients was assessed using the Hospital Anxiety and Depression Scale (HADS) and Rotterdam Symptom Checklist (RSCL). Religiosity was assessed using the Santa Clara Strength of Religious Faith Questionnaire. Correlations were obtained using Minitab software. Qualitative analysis identified coping mechanisms. Of eligible inpatients, 13/54 were recruited. No significant correlation was found between religiosity and psychological distress. The RSCL had a strong correlation with HADS (R = 0.82, p = 0.001). Assessment of distress was >2 min faster using RSCL compared to HADS. Relationships with pets, friends or family, and God emerged as the most common coping mechanism. Given study limitations, no conclusion was drawn regarding the relationship between religiosity and psychological distress. Weaknesses in study protocol were identified, and recommendations were outlined to facilitate the definitive study. This includes use of RSCL instead of HADS. Further study is warranted to explore how to strengthen relationships for inpatients.

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Psychological Distress in Hip Arthroscopy Patients Affects Postoperative Pain Control

Cited by 52 publications

References 19 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

Fascia iliaca blockade with the addition of liposomal bupivacaine vs. plain bupivacaine for perioperative pain management following hip arthroscopy

Investigating the Relationship Between Religiosity and Psychological Distress Among Surgical Inpatients: A Pilot Study

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