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Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair

BACKGROUND: Rotator cuff repairs (RCRs) are one of the most commonly performed shoulder surgeries in the United States. Psychological health has been shown to influence postoperative outcomes in orthopedic procedures. The purpose of this study is to evaluate the relationship between depression and a...

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Autores principales: Johnson, Andrea H., York, James J., Lashgari, Cyrus J., Petre, Benjamin M., Turcotte, Justin J., Redziniak, Daniel E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9637647/
https://www.ncbi.nlm.nih.gov/pubmed/36353422
http://dx.doi.org/10.1016/j.jseint.2022.07.005
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author Johnson, Andrea H.
York, James J.
Lashgari, Cyrus J.
Petre, Benjamin M.
Turcotte, Justin J.
Redziniak, Daniel E.
author_facet Johnson, Andrea H.
York, James J.
Lashgari, Cyrus J.
Petre, Benjamin M.
Turcotte, Justin J.
Redziniak, Daniel E.
author_sort Johnson, Andrea H.
collection PubMed
description BACKGROUND: Rotator cuff repairs (RCRs) are one of the most commonly performed shoulder surgeries in the United States. Psychological health has been shown to influence postoperative outcomes in orthopedic procedures. The purpose of this study is to evaluate the relationship between depression and anxiety (DA) and psychotropic medication and postoperative outcomes following RCR. METHODS: A single institution retrospective observational cohort study of 816 patients undergoing arthroscopic RCR from January 2014 to October 2020 was conducted. Univariate statistics were used to assess differences in demographics, operative characteristics, and postoperative outcomes; multivariate analysis was used to evaluate risk factors for postoperative complications. RESULTS: Patients with DA were more likely to have a higher first (3.60 vs. 3.00, P = .004) and last (1.23 vs. 0.96, P = .042) postoperative pain scores, lower first (18.67 vs. 21.85, P = .008) and last (61.87 vs. 64.71, P = .014) Upper Extremity Functional Score (UEFS), more likely to experience an emergency department visit postoperatively (9.1 vs. 5.0%, P = .028), have a symptomatic recurrent tear (8.2 vs. 3.3%, P = .003), and persistent pain (4.3 vs. 1.2%, P = .011). After controlling for age, sex, body mass index, American Society of Anesthesiologists score, diabetes, smoking, coronary artery disease, asthma, hypertension, psychotropic medication and DA, having DA at the time of surgery was independently predictive of any complication (odds ratio, 2.033; P = .028) and persistent pain (odds ratio, 8.232; P ≤ .001). Patients with and without DA showed significant improvement in postoperative pain and UEFS from the first to the last measurement (P < .001). CONCLUSION: DA is not a deterrent for RCR but targeted interventions may be needed to decrease the occurrence of complications.
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spelling pubmed-96376472022-11-08 Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair Johnson, Andrea H. York, James J. Lashgari, Cyrus J. Petre, Benjamin M. Turcotte, Justin J. Redziniak, Daniel E. JSES Int Shoulder BACKGROUND: Rotator cuff repairs (RCRs) are one of the most commonly performed shoulder surgeries in the United States. Psychological health has been shown to influence postoperative outcomes in orthopedic procedures. The purpose of this study is to evaluate the relationship between depression and anxiety (DA) and psychotropic medication and postoperative outcomes following RCR. METHODS: A single institution retrospective observational cohort study of 816 patients undergoing arthroscopic RCR from January 2014 to October 2020 was conducted. Univariate statistics were used to assess differences in demographics, operative characteristics, and postoperative outcomes; multivariate analysis was used to evaluate risk factors for postoperative complications. RESULTS: Patients with DA were more likely to have a higher first (3.60 vs. 3.00, P = .004) and last (1.23 vs. 0.96, P = .042) postoperative pain scores, lower first (18.67 vs. 21.85, P = .008) and last (61.87 vs. 64.71, P = .014) Upper Extremity Functional Score (UEFS), more likely to experience an emergency department visit postoperatively (9.1 vs. 5.0%, P = .028), have a symptomatic recurrent tear (8.2 vs. 3.3%, P = .003), and persistent pain (4.3 vs. 1.2%, P = .011). After controlling for age, sex, body mass index, American Society of Anesthesiologists score, diabetes, smoking, coronary artery disease, asthma, hypertension, psychotropic medication and DA, having DA at the time of surgery was independently predictive of any complication (odds ratio, 2.033; P = .028) and persistent pain (odds ratio, 8.232; P ≤ .001). Patients with and without DA showed significant improvement in postoperative pain and UEFS from the first to the last measurement (P < .001). CONCLUSION: DA is not a deterrent for RCR but targeted interventions may be needed to decrease the occurrence of complications. Elsevier 2022-08-10 /pmc/articles/PMC9637647/ /pubmed/36353422 http://dx.doi.org/10.1016/j.jseint.2022.07.005 Text en © 2022 The Authors 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 Shoulder
Johnson, Andrea H.
York, James J.
Lashgari, Cyrus J.
Petre, Benjamin M.
Turcotte, Justin J.
Redziniak, Daniel E.
Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair
title Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair
title_full Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair
title_fullStr Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair
title_full_unstemmed Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair
title_short Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair
title_sort effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair
topic Shoulder
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9637647/
https://www.ncbi.nlm.nih.gov/pubmed/36353422
http://dx.doi.org/10.1016/j.jseint.2022.07.005
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