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 ?
Patient expectations before arthroscopic shoulder surgery: correlation with patients' reasons for seeking treatment.
BACKGROUND Elevated expectations before orthopaedic procedures appear to correlate with inferior preoperative subjective measures . The purpose of this study was to evaluate preoperative patient expectations before  arthroscopic shoulder surgery  and to correlate them with preoperative subjective measures and patients ' reasons for seeking treatment . METHODS We prospect ively collected and retrospectively analyzed data from patients before elective arthroscopic shoulder surgery for a wide range of pathologic processes . Preoperative subjective data included QuickDASH scores , pain and functional components of the American Shoulder and Elbow Surgeons ( ASES ) score , and mental and physical components of the SF-12 score . Expectations data were collected and grouped on the basis of the reasons for seeking of medical treatment and ranked according to their relative importance . RESULTS The study included 313 shoulders . There were 205 men and 108 women with a mean age at surgery of 48.7 years ( range , 18 - 78 years ) . Overall , the most important expectations were for the " shoulder to be back to the way it was before the problem started " and to continue participation in sporting activities . Patients who presented with the " shoulder coming out " had fewer important expectations than did those who presented for other reasons . Those patients who indicated a desire to continue participation in sports had significantly less pain ( improved ASES pain scores ) compared with the rest of the population . CONCLUSIONS Although return to sport was the most important expectation overall , the importance of other expectations varied by patients ' reasons for seeking treatment . The current question naire may have limited use in patients with shoulder instability . LEVEL OF EVIDENCE Level III , cross-sectional design , epidemiology
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 ?