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Postoperative Negative Pain Thoughts and Their Correlation With Patient-Reported Outcomes After Arthroscopic Rotator Cuff Repair: An Observational Cohort Study.
- Source :
- American Journal of Sports Medicine; Jun2024, Vol. 52 Issue 7, p1700-1706, 7p
- Publication Year :
- 2024
-
Abstract
- Background: Pain and pain perception are influenced by patients' thoughts. The short form Negative Pain Thoughts Questionnaire (NPTQ-SF) can be used to quantify unhelpful negative cognitive biases about pain, but the relationship between NPTQ-SF scores and orthopaedic surgery outcomes is not known. Purpose/Hypothesis: The purpose was to assess the relationship between negative pain thoughts, as measured by the NPTQ-SF, and patient-reported outcomes in patients undergoing arthroscopic rotator cuff repair, as well as to compare NPTQ-SF scores and outcomes between patients with and without a history of chronic pain and psychiatric history. It was hypothesized that patients with worse negative pain thoughts would have worse patient-reported outcomes. Study Design: Cohort study; Level of evidence, 2. Methods: In total, 109 patients undergoing arthroscopic rotator cuff repair were administered the 4-item NPTQ-SF, 12-item Short Form Health Survey (SF-12), American Shoulder and Elbow Surgeons (ASES) Shoulder Evaluation Form, and visual analog scale pain survey preoperatively between July 2021 and August 2022. The same surveys were completed ≥6 months postoperatively by 74 patients confirmed to have undergone arthroscopic rotator cuff repair. Results: Preoperative NPTQ-SF scores did not show any correlation with the postoperative patient-reported outcomes measured in this study. Postoperative NPTQ-SF scores were statistically significantly negatively correlated with postoperative SF-12 Physical Health Score, SF-12 Mental Health Score, ASES, and satisfaction scores (P <.05). Postoperative NPTQ-SF scores were statistically significantly positively correlated with postoperative visual analog scale scores (P <.001). Moreover, postoperative NPTQ-SF scores were statistically significantly negatively correlated with achieving a Patient Acceptable Symptom State and the minimal clinically important difference on the postoperative ASES form (P <.001 and P =.009, respectively). Conclusion: Postoperative patient thought patterns and their perception of pain are correlated with postoperative outcomes after rotator cuff repair. This correlation suggests a role for counseling and expectation management in the postoperative setting. Conversely, preoperative thought patterns regarding pain, as measured by the NPTQ-SF, do not correlate with postoperative patient-reported outcome measures. Therefore, the NPTQ-SF should not be used as a preoperative tool to aid the prediction of outcomes after rotator cuff repair. [ABSTRACT FROM AUTHOR]
- Subjects :
- SHOULDER physiology
SCALE analysis (Psychology)
PEARSON correlation (Statistics)
HEALTH status indicators
SATISFACTION
CHRONIC pain
T-test (Statistics)
POSTOPERATIVE pain
ARTHROSCOPY
QUESTIONNAIRES
SCIENTIFIC observation
CHI-squared test
LONGITUDINAL method
ROTATOR cuff injuries
HEALTH outcome assessment
DATA analysis software
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 03635465
- Volume :
- 52
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- American Journal of Sports Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 177595332
- Full Text :
- https://doi.org/10.1177/03635465241247289