Results Weak to moderate cross-sectional associations were found for emotional or mental health with function or disability and pain in multiple studies .
Lower emotional or mental health function was associated with greater pain or disability or lower physical function at initial evaluation .
Conclusions At the initial evaluation of patients with rotator cuff tear , there was an association between self-reported function and pain and emotional or mental health .
However , these factors were not associated with patient-reported outcomes after intervention .
Preoperative patient expectation is an important predictor of patient-reported outcomes in patients after rotator cuff surgery and may be a modifiable target for enhancing recovery .
Background Psychosocial factors are key determinants of health and can influence patient-reported outcomes after rotator cuff tears .
However , to our knowledge , a systematic review of published studies has not been conducted to determine the degree of consistency and strength of the relationship between psychosocial factors and patient-reported outcomes in this patient population .
Questions / purpose s ( 1 ) Are psychosocial factors associated with patient-reported measures at initial clinical presentation in patients with rotator cuff tears ? (
2 ) Are psychosocial factors associated with patient-reported outcomes after treatment in patients with rotator cuff tears ?
What factors are predictors of emotional health in patients with full-thickness rotator cuff tears?
BACKGROUND The importance of emotional and psychological factors in treatment of patients with rotator cuff disease has been recently emphasized . Our goal was to establish factors most predictive of poor emotional health in patients with full-thickness rotator cuff tears ( FT RCTs ) . METHODS In 2007 , we began to prospect ively collect data on patients with symptomatic , atraumatic FT RCTs . All patients completed a question naire collecting data on demographics , symptom characteristics , comorbidities , willingness to undergo surgery , and patient-related outcomes ( 12-Item Short Form Health Survey , American Shoulder and Elbow Surgeons score , Western Ontario Rotator Cuff Index [ WORC ] , Single Assessment Numeric Evaluation score , Shoulder Activity Scale ) . Physicians recorded physical examination and imaging data . To evaluate the predictors of lower WORC emotion scores , a linear multiple regression model was fit . RESULTS Baseline data for 452 patients were used for analysis . In patients with symptomatic FT RCTs , the factors most predictive of worse WORC emotion scores were higher levels of pain ( interquartile range odds ratio , -18.9 ; 95 % confidence interval , -20.2 to -11.6 ; P < .0001 ) and lower Single Assessment Numeric Evaluation scores ( rating of percentage normal that patients perceive their shoulder to be ; interquartile range odds ratio , 6.2 ; 95 % confidence interval , 2.5 - 9.95 ; P = .0012 ) . Higher education ( P = .006 ) and unemployment status ( P = .0025 ) were associated with higher WORC emotion scores . CONCLUSIONS Education level , employment status , pain levels , and patient perception of percentage of shoulder normalcy were most predictive of emotional health in patients with FT RCTs . Structural data , such astendon tear size , were not . Those with poor emotional health may perceive their shoulder to be worse than others and experience more pain . This may allow us to better optimize patient outcomes with nonoperative and operative treatment of rotator cuff tears
Results Weak to moderate cross-sectional associations were found for emotional or mental health with function or disability and pain in multiple studies .
Lower emotional or mental health function was associated with greater pain or disability or lower physical function at initial evaluation .
Conclusions At the initial evaluation of patients with rotator cuff tear , there was an association between self-reported function and pain and emotional or mental health .
However , these factors were not associated with patient-reported outcomes after intervention .
Preoperative patient expectation is an important predictor of patient-reported outcomes in patients after rotator cuff surgery and may be a modifiable target for enhancing recovery .
Background Psychosocial factors are key determinants of health and can influence patient-reported outcomes after rotator cuff tears .
However , to our knowledge , a systematic review of published studies has not been conducted to determine the degree of consistency and strength of the relationship between psychosocial factors and patient-reported outcomes in this patient population .
Questions / purpose s ( 1 ) Are psychosocial factors associated with patient-reported measures at initial clinical presentation in patients with rotator cuff tears ? (
2 ) Are psychosocial factors associated with patient-reported outcomes after treatment in patients with rotator cuff tears ?