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 ?
Improvement in Pain After Lumbar Spine Surgery: The Role of Preoperative Expectations of Pain Relief
Objectives : Improvement in pain is a major expectation of patients undergoing lumbar spine surgery . Material s and Methods : Among 422 patients , the goal of this prospect i ve study was to measure 2-year postoperative pain and to determine whether this outcome varied according to patient and clinical characteristics , including amount of pain relief expected preoperatively . Before surgery patients completed valid question naires that addressed clinical characteristics and expectations for pain improvement . Two years after surgery patients reported how much pain improvement they actually received . Results : The mean age was 56 years old and 55 % were men . Two years after surgery 11 % of patients reported no improvement in pain , 28 % reported a little to moderate improvement , 44 % reported a lot of improvement , and 17 % reported complete improvement . In multivariable analysis , patients reported less pain improvement if , before surgery , they expected greater pain improvement ( odds ratio [ OR ] 1.4 ) , had a positive screen for depression ( OR 1.7 ) , were having revision surgery ( OR 1.6 ) , had surgery at L4 or L5 ( OR 2.5 ) , had a degenerative diagnosis ( OR 1.6 ) , and if , after surgery , they had another surgery ( OR 2.8 ) and greater back ( OR 1.3 ) and leg ( OR 1.1 ) pain ( all variables P⩽0.05 ) . Conclusions : Pain is not uncommon after lumbar surgery and is associated with a network of clinical , surgical , and psychological variables . This study provides evidence that patients ’ expectations about pain are an independent variable in this network . Because expectations are potentially modifiable this study supports addressing pain-related expectations with patients before surgery through discussion s with surgeons and through formal preoperative patient education
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 ?