Patients recall worse preoperative pain after shoulder arthroplasty than originally reported: a study of recall accuracy using the American Shoulder and Elbow Surgeons score

Lowe, Jeremiah T.; Li, Xinning; Fasulo, Sydney M.; Testa, Edward J; Jawa, Andrew

doi:10.1016/j.jse.2016.09.004

Cited by 14 publications

(9 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This differs from findings of several other studies 4,8,13,15,19 ; however, those studies were completed in elderly patients undergoing arthroplasty. Lowe et al 15 studied 169 patients who had shoulder arthroplasty and found that although the patients appeared to recall function for up to 12 months, they could not recall their pain accurately for more than 6 weeks. No previously reported study included a population with a mean age similar to that of our study population.…”

Section: Discussioncontrasting

confidence: 94%

“…The ability to recall accurately is influenced by multiple factors, 7,14,20 and it is not surprising that the results of studies regarding the accuracy of patient recall of preoperative pain and function have reported variable results. 8,13,15,19,23,27 Several authors have reported that recall was inaccurate in patients who had undergone arthroplasty, 13,15,19 although early recall between 6 and 12 weeks seemed to be more accurate in this group. 8,17,27 These patients tend to be elderly patients with chronic conditions, and their recall ability appears to deteriorate with time.…”

mentioning

confidence: 93%

“…8,17,27 These patients tend to be elderly patients with chronic conditions, and their recall ability appears to deteriorate with time. Recall has been reported to be accurate for up to 2 years in patients with nontraumatic hand and elbow conditions using the shortened version of the Disabilities of the Arm, Shoulder and Hand questionnaire, yet Lowe et al 15 reported that recall assessed using the American Shoulder and Elbow Surgeons scoring system in patients undergoing shoulder arthroplasty was accurate only at the 6-week postoperative assessment. They reported that function could be accurately recalled for 12 months, but pain was recalled for only 6 weeks.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Patients Undergoing Shoulder Stabilization Procedures Do Not Accurately Recall Their Preoperative Symptoms at Short- to Midterm Follow-up

Hope

French²,

Pizzari

et al. 2019

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: A patient’s ability to recall symptoms is poor in some elderly populations, but we considered that the recall of younger patients may be more accurate. The accuracy of recall in younger patients after surgery has not been reported to date. Purpose: To assess younger patients’ abilities to recall their preoperative symptoms after having undergone shoulder stabilization surgery. We used 2 disease-specific, patient-reported outcome measures (PROMs)—the Western Ontario Shoulder Instability Index (WOSI) and the Melbourne Instability Shoulder Score (MISS)—at a period of up to 2 years postoperatively. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: Participants (N = 119) were stratified into 2 groups: early recall (at 6-8 months postoperatively; n = 58) and late recall (at 9-24 months postoperatively; n = 61). All patients completed the PROMs with instructions to recall preoperative function. The mean and absolute differences between the preoperative scores and recalled scores for each PROM were compared using paired t tests. Correlations between the actual and recalled scores of the subsections for each PROM were calculated using an intraclass correlation coefficient (ICC). The number of individuals who recalled within the minimal detectable change (MDC) of each PROM was calculated. Results: Comparison between the means of the actual and recalled preoperative scores for both groups did not demonstrate significant differences (early recall differences, MISS 1.05 and WOSI –38.64; late recall differences, MISS –0.25 and WOSI –24.02). Evaluation of the absolute difference, however, revealed a significant difference between actual and recalled scores for both the late and early groups (early recall absolute differences, MISS 12.26 and WOSI 216.71; late recall absolute differences, MISS 12.84 and WOSI 290.08). Average absolute differences were above the MDC scores of both PROMs at both time points. Subsections of each PROM demonstrated weak to moderate correlations between actual and recalled scores (ICC range, 0.17-0.61). Total scores for the PROMs reached moderate agreement between actual and recalled scores. Conclusion: Individual recall after shoulder instability surgery was not accurate. However, the mean recalled PROM scores of each group were not significantly different from the actual scores collected preoperatively, and recall did not deteriorate significantly over 2 years. This suggests that recall of the individual, even in this younger group, cannot be considered accurate for research purposes.

show abstract

Section: Discussioncontrasting

confidence: 94%

mentioning

confidence: 93%

mentioning

confidence: 99%

See 1 more Smart Citation

Patients Undergoing Shoulder Stabilization Procedures Do Not Accurately Recall Their Preoperative Symptoms at Short- to Midterm Follow-up

Hope

French²,

Pizzari

et al. 2019

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…In a study of patients who received a shoulder alloplasty, the preoperative function was recalled with good precision postoperatively, but beyond 6 weeks, the preoperative pain was overestimated, and recalled ASES (American Shoulder and Elbow Surgeons) scores were unreliable. 30 In a weight-loss project, patients who lost weight recalled the initial condition more positive when compared to their real-time assessment than patients who gained weight in the project. 31 The effect of recall bias is substantial.…”

Section: Discussionmentioning

confidence: 99%

Potential problems in the use of patient reported outcome measures (PROMs) and reporting of PROM data in sports science

Krogsgaard

Brodersen

Jensen

et al. 2020

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

To evaluate the effect of a treatment for anterior cruciate ligament insufficiency (ACLD) in the knee using a patient reported outcome measure (PROM) that is specific for shoulder instability is obviously inappropriate. Likewise, it may be suboptimal to use PROMs for hip and knee osteoarthritis (like the Western Ontario and McMaster Universities Arthritis Index [WOMAC]) or meniscal injury (like the Western Ontario Meniscal Evaluation Tool [WOMET]) for

show abstract

“…Likewise, qualitative and quantitative knowledge of a patient’s preoperative opioid analgesic use, if any, may influence the planning and efficacy of postoperative analgesic efforts [8-10]. Furthermore, if this information is recorded prior to surgery instead of after, the risk of recall bias (error caused by the inaccurate recollection of information by study participants) is decreased [11-12]. Recording of this surgery-specific baseline pain data by anesthesia providers in a consistent manner may be challenging.…”

Section: Introductionmentioning

confidence: 99%

A Multi-faceted Educational Approach for Pain Metric Recording Prior to Knee and Hip Arthroplasty: Effects on Documentation by an Acute Pain Service

Ardon

Warrick

Wickas

2019

Cureus

View full text Add to dashboard Cite

Background Despite the increased use of electronic medical records (EMRs) in past years, the recording of clinically useful baseline pain information may still be lacking. An educational effort targeted at the acute pain service and reinforced by electronic prompting may be an effective way to promote electronic documentation of relevant pain metrics. The objective of this study was to assess whether an educational effort with electronic prompting in the EMR promotes the documentation of baseline pain scores and preoperative opioid use by an acute pain service (APS). Methods A total of 98 patients were included in this study: 49 in the study group and 49 in the control group. The study group consisted of patients who underwent knee and hip arthroplasties after the institution of a multimodal analgesia educational program that also incorporated an electronic prompt to promote behavior change. Primary outcomes were the frequency of documentation of baseline pain scores and preoperative opioid use. Results After the implementation of the education initiative, 67% of the patients had baseline pain scores recorded in the preoperative APS documentation, compared to 20% in the control group ( p = 0.0001). Preoperative opioid use was recorded in 24% of APS documentation within the control group, but this increased to 73% after the educational intervention ( p = 0.0001). Documentation of resting pain scores on the day of surgery also increased from 59% to 87% ( p = 0.0014). Conclusions The introduction of a multi-dimensional educational effort focused on baseline pain metric recording within the context of an analgesic change of practice increased assessment of both baseline pain and preoperative opioid use by APS. These results can be applied to other settings in which a focused change of practice is required and an electronic medical record already utilized.

show abstract

Patients recall worse preoperative pain after shoulder arthroplasty than originally reported: a study of recall accuracy using the American Shoulder and Elbow Surgeons score

Cited by 14 publications

References 16 publications

Patients Undergoing Shoulder Stabilization Procedures Do Not Accurately Recall Their Preoperative Symptoms at Short- to Midterm Follow-up

Patients Undergoing Shoulder Stabilization Procedures Do Not Accurately Recall Their Preoperative Symptoms at Short- to Midterm Follow-up

Potential problems in the use of patient reported outcome measures (PROMs) and reporting of PROM data in sports science

A Multi-faceted Educational Approach for Pain Metric Recording Prior to Knee and Hip Arthroplasty: Effects on Documentation by an Acute Pain Service

Contact Info

Product

Resources

About