Resilience correlates with patient-reported outcome measures at a minimum of 2 years after arthroscopic rotator cuff repair

Abstract

Aims We aimed to evaluate the correlation between preoperative and postoperative resilience scores and postoperative outcomes at minimum 2-year follow-up after arthroscopic rotator cuff repair. Methods We prospectively enrolled 98 patients who underwent rotator cuff repair. We assessed resilience using the Brief Resilience Scale. Postoperatively, we obtained patient-reported outcomes measures including American Society of Shoulder and Elbow Surgeons scores, Single Assessment Numeric Evaluation, and Patient-Reported Outcome Measurement Information System Global Health-10 at minimum 2-year follow-up. We used Spearman correlation coefficients ( r) to assess the relationship between variables. Results Ninety-one of 98 patients (93%) provided follow-up at an average of 32 months. Preoperative Brief Resilience Scale did not show a statistically significant correlation with American Society of Shoulder and Elbow Surgeons ( r = 0.156; p = 0.142). However, preoperative Brief Resilience Scale showed statistically significant correlations with Patient-Reported Outcome Measurement Information System Global Health-10 ( r = 0.290; p = 0.005) and Single Assessment Numeric Evaluation ( r = 0.259; p = 0.014). Postoperative Brief Resilience Scale showed statistically significant correlations with American Society of Shoulder and Elbow Surgeons ( r = 0.291; p = 0.005), Single Assessment Numeric Evaluation ( r = 0.384; p < 0.001) and Patient-Reported Outcome Measurement Information System Global Health-10 ( r = 0.515; p < 0.001). Discussion Resilience may be a valuable predictor of patients at risk of having suboptimal outcomes after rotator cuff repair and a target to improve surgical outcomes through non-surgical means.

Association of Preoperative Patient Resilience With Postoperative Patient-Reported Outcomes and Sleep Quality Following Arthroscopic Rotator Cuff Repair: A Systematic Review

“…The remaining 12 studies underwent full-text review to determine whether they met our inclusion criteria, and five were excluded as they did not specify outcomes of rotator cuff repair alone. Seven studies were therefore included in this systematic review [ 21 - 27 ]. The PRISMA flow diagram depicting our search strategy and method of selecting articles is depicted in Figure 1 .…”

“…A significant correlation was also found between three-month BRS and three-month PROMIS-10 scores (r = 0.57, P = 0.0025), along with six-month BRS and six-month PROMIS 10 scores (r = 0.53, P = 0.0025). In their later study, Wilson et al assessed the correlation between both preoperative and postoperative resilience scores, BRS in this case, with PROMs at a 2.7-year follow-up [ 27 ]. Postoperative BRS compared to preoperative BRS scores had a much stronger correlation with postoperative ASES (r = 0.29 versus 0.16, P = 0.005 versus 0.142), PROMIS-10 (r = 0.52 versus 0.29, P < 0.001 versus = 0.005), and SANE (r = 0.38 versus 0.26, P < 0.001 versus = 0.014) scores.…”

“…The LOT-R scale quantifies resiliency by assigning a value to optimism or pessimism, with the idea that optimism correlates directly with resiliency. To the best of our knowledge, no studies evaluating the relationship between resiliency and postoperative outcomes have used the LOT-R scale, but have rather used the BRS or CD-RISC scales which may better be suited to directly assess resiliency in orthopedic surgery [ 15 , 22 - 23 , 25 - 27 , 30 - 35 ]. While both the CD-RISC and BRS scales are used to assess a patient’s ability to bounce back from stressful events, they can capture various aspects of resilience.…”