The Association Between Self-assessed Improvement in Mental Health Preceding Rotator Cuff Repair and Patient Satisfaction: A Retrospective Cohort Study

Overview

Journal Shoulder Elbow

Date 2024 Nov 18

PMID 39552654

Authors

Brady P Moore

Dexter Allen

David S Clark

Jeremy S Somerson

Affiliations

Soon will be listed here.

Abstract

Background: 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.

Methods: 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.

Results: 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.

Discussion: Subjective improvement in mental health status preceding arthroscopic RCR was associated with patient satisfaction and achievement of SCB at 2 years postoperatively.

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