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The Effects of Patient Resilience and Catastrophizing on Carpal Tunnel Surgical Outcomes

PURPOSE: Outcomes following carpal tunnel release (CTR) are generally favorable. When patient satisfaction or symptom resolution is not as expected, understanding what factors contribute to that outcome could allow for strategies targeted at improving results. Our purpose was to determine if measura...

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Autores principales: McLaren, Sarah, Sims, Laura, Cheng, Yanzhao, Khan, Raymond, Sauder, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991772/
https://www.ncbi.nlm.nih.gov/pubmed/35415583
http://dx.doi.org/10.1016/j.jhsg.2021.07.006
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author McLaren, Sarah
Sims, Laura
Cheng, Yanzhao
Khan, Raymond
Sauder, David
author_facet McLaren, Sarah
Sims, Laura
Cheng, Yanzhao
Khan, Raymond
Sauder, David
author_sort McLaren, Sarah
collection PubMed
description PURPOSE: Outcomes following carpal tunnel release (CTR) are generally favorable. When patient satisfaction or symptom resolution is not as expected, understanding what factors contribute to that outcome could allow for strategies targeted at improving results. Our purpose was to determine if measurable mental health factors, specifically resilience and pain catastrophization, correlate with patients’ postoperative outcomes following CTR. METHODS: A prospective cohort study was performed. Ninety-four patients were recruited to take part in the study. Patients completed written consent, the Boston Carpal Tunnel Questionnaire (BCTQ), the Pain Catastrophizing Scale, and the Brief Resilience Scale. A single surgeon, or his resident under supervision, performed an open CTR under local anesthetic. Our primary outcome measure was a repeat BCTQ at 6 months. Pearson correlation coefficients and univariate analyses were performed to assess the correlation between Pain Catastrophizing Scale and Brief Resilience Scale scores and final BCTQ scores. RESULTS: Forty-three and 63 participants completed the BCTQ at 3 and 6 months, respectively. This was 10% below the number needed to achieve appropriate power. Among those that responded, all participants showed improvement in their symptoms (P = .001). There was no correlation between patients’ Pain Catastrophizing Scale or Brief Resilience Scale scores and 6-month BCTQ scores or the amount of improvement in the BCTQ at final follow-up. CONCLUSIONS: Most participants improved following CTR. Patients’ self-assessed resilience, and the degree of pain catastrophization did no correlate with the amount of improvement patients had after surgery. TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic II.
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spelling pubmed-89917722022-04-11 The Effects of Patient Resilience and Catastrophizing on Carpal Tunnel Surgical Outcomes McLaren, Sarah Sims, Laura Cheng, Yanzhao Khan, Raymond Sauder, David J Hand Surg Glob Online Original Research PURPOSE: Outcomes following carpal tunnel release (CTR) are generally favorable. When patient satisfaction or symptom resolution is not as expected, understanding what factors contribute to that outcome could allow for strategies targeted at improving results. Our purpose was to determine if measurable mental health factors, specifically resilience and pain catastrophization, correlate with patients’ postoperative outcomes following CTR. METHODS: A prospective cohort study was performed. Ninety-four patients were recruited to take part in the study. Patients completed written consent, the Boston Carpal Tunnel Questionnaire (BCTQ), the Pain Catastrophizing Scale, and the Brief Resilience Scale. A single surgeon, or his resident under supervision, performed an open CTR under local anesthetic. Our primary outcome measure was a repeat BCTQ at 6 months. Pearson correlation coefficients and univariate analyses were performed to assess the correlation between Pain Catastrophizing Scale and Brief Resilience Scale scores and final BCTQ scores. RESULTS: Forty-three and 63 participants completed the BCTQ at 3 and 6 months, respectively. This was 10% below the number needed to achieve appropriate power. Among those that responded, all participants showed improvement in their symptoms (P = .001). There was no correlation between patients’ Pain Catastrophizing Scale or Brief Resilience Scale scores and 6-month BCTQ scores or the amount of improvement in the BCTQ at final follow-up. CONCLUSIONS: Most participants improved following CTR. Patients’ self-assessed resilience, and the degree of pain catastrophization did no correlate with the amount of improvement patients had after surgery. TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic II. Elsevier 2021-09-06 /pmc/articles/PMC8991772/ /pubmed/35415583 http://dx.doi.org/10.1016/j.jhsg.2021.07.006 Text en © 2021 THE AUTHORS. Published by Elsevier Inc. on behalf of The American Society for Surgery of the Hand. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research
McLaren, Sarah
Sims, Laura
Cheng, Yanzhao
Khan, Raymond
Sauder, David
The Effects of Patient Resilience and Catastrophizing on Carpal Tunnel Surgical Outcomes
title The Effects of Patient Resilience and Catastrophizing on Carpal Tunnel Surgical Outcomes
title_full The Effects of Patient Resilience and Catastrophizing on Carpal Tunnel Surgical Outcomes
title_fullStr The Effects of Patient Resilience and Catastrophizing on Carpal Tunnel Surgical Outcomes
title_full_unstemmed The Effects of Patient Resilience and Catastrophizing on Carpal Tunnel Surgical Outcomes
title_short The Effects of Patient Resilience and Catastrophizing on Carpal Tunnel Surgical Outcomes
title_sort effects of patient resilience and catastrophizing on carpal tunnel surgical outcomes
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991772/
https://www.ncbi.nlm.nih.gov/pubmed/35415583
http://dx.doi.org/10.1016/j.jhsg.2021.07.006
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