Moore Brady P, Allen Dexter, Clark David S, Somerson Jeremy S
John Sealy School of Medicine, The University of Texas Medical Branch, Galveston, TX, USA.
Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX, USA.
Shoulder Elbow. 2024 Aug 30:17585732241274577. doi: 10.1177/17585732241274577.
The association between preoperative mental health trends and arthroscopic rotator cuff repair (RCR) outcomes and patient satisfaction has not been previously described. We investigated the association between a subjective change in preoperative mental health and patient-reported outcome measures (PROMs) and achievement of patient satisfaction and substantial clinical benefit (SCB), defined as an improvement of American Shoulder and Elbow Surgeons Standardized Shoulder Assessment score ≥ 17.5, following RCR.
Among patients undergoing RCR, various PROMs were collected preoperatively and at follow-up intervals up to 2 years postoperatively. Patient satisfaction and achievement of SCB were analyzed relative to subjective reports of better, worse, or unchanged mental health in the year preceding RCR and preoperative PROMs.
Eighty-eight patients (47 male and 41 female) with a median age of 60.0 years (interquartile range (IQR), 10.0) were included in this study. All patients (n = 13) who reported improved mental health status preceding RCR had significantly better satisfaction (= 0.03) and SCB ( ≤ 0.05) at 2 years postoperatively compared to patients who reported worse or unchanged mental status.
Subjective improvement in mental health status preceding arthroscopic RCR was associated with patient satisfaction and achievement of SCB at 2 years postoperatively.
术前心理健康趋势与关节镜下肩袖修复术（RCR）的结果及患者满意度之间的关联此前尚未有过描述。我们研究了术前心理健康的主观变化与患者报告的结局指标（PROMs）之间的关联，以及RCR术后患者满意度的达成情况和显著临床获益（SCB），显著临床获益定义为美国肩肘外科医师协会标准化肩关节评估得分提高≥17.5分。
在接受RCR的患者中，术前及术后长达2年的随访间隔期收集了各种PROMs。相对于RCR前一年的心理健康状况主观报告以及术前PROMs，分析了患者满意度和SCB的达成情况。
本研究纳入了88例患者（47例男性和41例女性），中位年龄为60.0岁（四分位间距（IQR），10.0）。与心理健康状况报告较差或未改变的患者相比，所有在RCR前报告心理健康状况改善的患者（n = 13）在术后2年时的满意度（= 0.03）和SCB（≤ 0.05）显著更好。
关节镜下RCR前心理健康状况的主观改善与术后2年时的患者满意度和SCB的达成情况相关。
