Increased Prevalence and Associated Costs of Psychiatric Comorbidities in Patients Undergoing Sports Medicine Operative Procedures

Baron, Jacqueline; Khazi, Zain; Duchman, Kyle R.; Wolf, Brian R.; Westermann, Robert W.

doi:10.1016/j.arthro.2020.10.032

Cited by 14 publications

(13 citation statements)

References 38 publications

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“…Our overall rate of DA in this study at 28% is consistent with other population-based studies; Baron et al found that 28% of patients undergoing RCR and 25% of patients undergoing menisectomy had at least one psychiatric comorbidity and Stone et al found that 32% of patients undergoing total hip or total knee arthroplasty had a psychiatric disorder. 1 , 24 We also found an increased prevalence of DA among female patients, lower scores on outcome measures, and increased complications which are consistent with other studies in the literature. 1 , 14 , 18 …”

Section: Discussionsupporting

confidence: 91%

“…17 Psychiatric comorbidities, particularly anxiety and depression, have been associated with poorer outcomes in patients undergoing a wide variety of orthopedic procedures including joint replacement, spine surgery, and sports medicine procedures. 1 , 3 , 13 , 24 When looking specifically at patients undergoing rotator cuff repair (RCR), rates of anxiety and depression as high as 25% of the patients undergoing this procedure have been reported. 5 , 6 The presence of mental illness in patients undergoing RCR has been shown to increase the cost of care both to the patient and the health system and this is a concern with the increased focus on value-based care.…”

mentioning

confidence: 99%

“… 5 , 6 The presence of mental illness in patients undergoing RCR has been shown to increase the cost of care both to the patient and the health system and this is a concern with the increased focus on value-based care. 1 , 7 Patients with anxiety and depression who undergo RCR have also been shown to have increased risk of postoperative complications, persistent pain, and decreased functional scores. 13 , 14 , 18 …”

mentioning

confidence: 99%

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Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair

Johnson¹,

York²,

Lashgari³

et al. 2022

JSES International

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Section: Discussionsupporting

confidence: 91%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair

Johnson¹,

York²,

Lashgari³

et al. 2022

JSES International

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“…Despite these gaps in the literature, prior studies have shown that depression and anxiety are associated with higher rates of opioid use and increased costs of care for patients undergoing hip arthroscopy. 2,15 Given our findings that patients with preoperative depression experience higher rates of postoperative complications, the prevalence of depression in patients undergoing hip arthroscopy has the possibility to represent a significant burden to our health care system.…”

Section: Discussionmentioning

confidence: 99%

Association Between Comorbid Depression and Rates of Postoperative Complications, Readmissions, and Revision Arthroscopic Procedures After Elective Hip Arthroscopy

Freshman

Salesky

Cogan

et al. 2021

Orthopaedic Journal of Sports Medicine

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Background: Depression and related psychiatric diagnoses are common in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS). The effects of depression on postoperative complications, readmissions, and additional ipsilateral hip surgery are not well studied. Hypothesis: Patients with preoperative depression who undergo hip arthroscopy for FAIS would experience higher rates of 90-day postoperative complications and readmissions, with an increased risk of additional ipsilateral hip procedures, as compared with patients without depression. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective cohort study between 2010 and 2019 was performed using the Mariner/PearlDiver database. Current Procedural Terminology and International Classification of Diseases codes were used to compare patients with and without preexisting depression who underwent hip arthroscopy for FAIS. Patients were matched at a 1:1 ratio based on age, sex, Charlson Comorbidity Index, body mass index, and tobacco use. Patients undergoing shoulder or knee arthroscopy were also identified to compare lifetime preoperative depression prevalence amongst groups. Results: The lifetime preoperative depression prevalence was significantly higher in patients undergoing hip arthroscopy as compared with patients undergoing shoulder or knee arthroscopy (25.4% vs 22.2% vs 19.8%; P < .001). When compared with the patients without depression, patients with preoperative depression had higher rates of 90-day readmissions (2.4% vs 1.5%) and complications, including urinary tract infection (36.2% vs 28.9%), pneumonia (12.9% vs 9.1%), hematoma formation (3.1% vs 1.9%), acute kidney injury (4.0% vs 2.6%), deep venous thrombosis/pulmonary embolism (2.6% vs 1.7%), and superficial infection (4.9% vs 2.8%; P < .01 for all comparisons). Preoperative depression was associated with significantly higher odds of undergoing revision hip arthroscopy within 2 years (6.3% vs 2.4%; P < .001). Conclusion: Patients with preexisting depression experienced higher rates of 90-day postoperative complications and hospital readmissions after elective hip arthroscopy for FAIS and were more likely to undergo revision hip arthroscopy within 2 years of the index procedure.

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“…Frank et al (2020) investigated a cohort of 378 patients from a Veterans Healthcare Center in the USA and reported that patients with major depression or depressive disorder had 1.78 times higher rates of opioid use prior to spine surgery in comparison with patients with other or no comorbidities [25]. Baron et al (2021) screened patient records (57.7% male) in the Humana claims database in the USA. This study assessed 226,402 patients between 2007 and the first quarter of 2017.…”

Section: Psychiatric Comorbidity In Orthopedic Wardsmentioning

confidence: 99%

Social Workers’activities in the Field of Population’ Mental Health Preservation in the Xxi Century

et al. 2021

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The aim: Social work is focused on overcoming inequality and social isolation of individuals and communities due to health conditions. Therefore, substantiating the activities of social workers to preserve mental health of citizens is an important component of the new strategy for the development of the profession in the XXI century. Materials and methods: The methodological basis of the study is a holistic approach to the interpretation of individual health in the unity of physical, mental, social, and spiritual components; ecosystemic approach assumes the impact of the environment on the social functioning of the individual; interdisciplinary approach identifies ways of dealing withmental health challengein the global context; social inclusion approach provides a basis for the practice of experts of the social spherein the XXI century. Conclusions: The article substantiates the need for social workers to maintain the mental health of the population under the negative impact of global factors within their own countries and internationally. The evolution analysis of the international experience of transformations of social work practice in the area of mental health preservation is carried out. Preserving the mental health of citizens under the negative effects of globalization processes depends on the concerted actions of states, international organizations, civil society, communities, and individuals themselves. This encourages social workers to work at regional and international levels with institutions interested in fair policies and practices in social and health services.

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Increased Prevalence and Associated Costs of Psychiatric Comorbidities in Patients Undergoing Sports Medicine Operative Procedures

Cited by 14 publications

References 38 publications

Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair

Effects of preexisting depression and anxiety on postoperative outcomes following arthroscopic rotator cuff repair

Association Between Comorbid Depression and Rates of Postoperative Complications, Readmissions, and Revision Arthroscopic Procedures After Elective Hip Arthroscopy

Social Workers’activities in the Field of Population’ Mental Health Preservation in the Xxi Century

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