PROMIS Depression and Anxiety in shoulder surgery patients

Abstract

Aims The purpose of this study was to assess the prevalence of depression and anxiety symptoms in patients undergoing shoulder surgery using the National Institutes of Health (NIH) Patient-Reported Outcomes Measurement Information System (PROMIS) Depression and Anxiety computer adaptive tests, and to determine the factors associated with more severe symptoms. Additionally, we sought to determine whether PROMIS Depression and Anxiety were associated with functional outcomes after shoulder surgery. Methods This was a retrospective analysis of 293 patients from an urban population who underwent elective shoulder surgery from 2015 to 2018. Survey questionnaires included preoperative and two-year postoperative data. Bivariate analysis was used to identify associations and multivariable analysis was used to control for confounding variables. Results Mean two-year PROMIS Depression and Anxiety scores significantly improved from preoperative scores, with a greater improvement observed in PROMIS Anxiety. Worse PROMIS Depression and Anxiety scores were also significantly correlated with worse PROMIS Physical Function (PF) and American Shoulder and Elbow Surgeons scores (ASES). After controlling for confounding variables, worse PROMIS Depression was an independent predictor of worse PROMIS PF, while worse PROMIS Anxiety was an independent predictor of worse PROMIS PF and ASES scores. Conclusion Mean two-year PROMIS Depression and Anxiety scores improved after elective shoulder surgery and several patient characteristics were associated with these scores. Worse functional outcomes were associated with worse PROMIS Depression and Anxiety; however, more severe two-year PROMIS Anxiety was the strongest predictor of worse functional outcomes. Cite this article: Bone Joint J 2022;104-B(4):479–485.

Trato humanizado en pacientes quirúrgicos como estrategia para disminuir la ansiedad

“…Velásquez et al, (2023), afirman que la falta de información, incrementa los niveles de ansiedad en los pacientes quirúrgicos. Es así, que Baker et al, (2022), en su investigación realizada en 293 pacientes sometidos a diferentes cirugías, en los que se aplicó el cuestionario State-Trait Anxiety Inventory ( STAI), para identificar el nivel de ansiedad y un cuestionario general de evaluación de la actitud del paciente hacia el proceso quirúrgico, se obtuvo que el 16,8% afirmaron que sintieron ansiedad, el 87,7% indicó que preferiría ser informado sobre lo que les pasó y lo que se hará con ellos, además el dato más importante fue que el 91,3% de los pacientes no recibieron información prequirúrgica.…”

Research Trends of Patient-Reported Outcome Measures in Orthopedic Medical Practices: A Bibliometric and Visualized Study

“…By providing doctors with valuable insights into patients’ symptoms and overall health status, PROMs have the potential to enhance the quality of telemedicine services for patients in the future. Furthermore, the analysis of keywords indicates that the role of PROMs in psychological and mental health research has garnered increased concerns within the orthopedic field, particularly with regard to depression [ 38 , 39 ].…”

Shoulder & Elbow

“…Examining this issue, a group from Baltimore (Maryland, USA) has retrospectively examined their large cohort of patients, all of whom underwent elective shoulder surgery over a three-year period. 7 Using the National Institutes of Health's patient-reported outcomes measurement information system…”

“…Examining this issue, a group from Baltimore (Maryland, USA) has retrospectively examined their large cohort of patients, all of whom underwent elective shoulder surgery over a three-year period. 7 Using the National Institutes of Health’s patient-reported outcomes measurement information system (PROMIS) depression and anxiety scores were collected via computer-adaptive tests in 293 patients at preoperative and two-year postoperative timepoints. Bivariate analysis was used to identify associations, with multivariate analysis used to control for confounders.…”