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 ?
Randomized Trials to Modify Patients’ Preoperative Expectations of Hip and Knee Arthroplasties
Abstract Patients have multiple expectations of THA and TKA . We asked whether preoperative educational classes addressing recovery during the first year could modify patients ’ expectations of their 12-month postoperative recovery . Participants were enrolled consecutively in two r and omized , controlled trials , one for THA ( 177 patients ) and one for TKA ( 143 patients ) . Control patients preoperatively received a st and ard THA or TKA class addressing recovery immediately after surgery . Intervention patients preoperatively received the st and ard class plus a joint-specific module addressing recovery during the first 12 months . Before and after the class , patients completed either a hip-specific or knee-specific vali date d expectations survey . The main outcome was the within-patient change in expectation scores ( maximum increase , + 100 ; maximum decrease , −100 ) before and after the class but preoperatively . Mean changes in hip scores were + 3.3 ± 8 for intervention patients ( range , −22–+32 ) and + 4.9 ± 8 for control patients ( range , −13–+29 ) . Mean changes in knee scores were −3.4 ± 10 for intervention patients ( range , −26–+33 ) and + 2.4 ± 10 for control patients ( range , −30–+30 ) . Patients ’ preoperative expectations of their recovery from THA or TKA can be modified by preoperative educational classes . Level of Evidence : Level I , therapeutic study . See the Guidelines for Authors for a complete description of levels of evidence
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 ?