The effect of psychological status on pain and surgical outcome in patients requiring arthroscopic subacromial decompression

Do psychological factors affect outcomes in musculoskeletal shoulder disorders? A systematic review

“…Cohort University Clinic, Sports Medicine, USA Patients scheduled for arthroscopic subacromial decompression Yes, 50 pat. 80% power 62 (63%) 46 Arthroscopic subacromial decompression with /without supraspinatus repair NA 6 months after surgery 25% Function: (WORC and DASH) Global Rating of change Yeoman et al 2012 [ 71 ] Prosp. Cohort Department of Orthopaedics Surgery, Scotland Patients scheduled for shoulder arthroscopy 49 31 (67%) 55 Shoulder arthroscopic surgery NA 6 weeks 0 Shoulder pain and function (OSS), Pain (VAS) a Setting: represents location of intervention; SS calc sample size calculation; b Female: percentage reported or author estimate; RCT randomized controlled trial, NR not reported, NA not applicable 4DSQ Four-Dimensional Symptom Questionnaire, ASES the American Shoulder and Elbow Surgeons’ Scale, BPI Brief Pain Inventory, CBT cognitive behavioural therapy approach, DASH (and quickDASH) (Quick) Disability of the Arm, Shoulder and Hand Questionnaire, EQ-5D EuroQol- 5 Dimension, FABQ Fear Avoidance Beliefs Questionnaire (FABQ-P: physical activity subscale; FABQ-W, work subscale), FLEX-SF Flexilevel Scale of Shoulder Function, GE graded exercise, HADS Hospital Anxiety and Depression Scale, HSCL-25 Hopkins Symptoms Checklist, MCID A minimal clinically important difference, MODEMS Musculoskeletal Outcomes Data Evaluation and Management System, NPRS Numeric Pain Rating Scale, NRS Numeric Rating Scale, OSS Oxford Shoulder Score, PCCL Pain Coping and Cognition List, PCS Pain Catastrophizing Scale, PSFS Patient Specific Functional Scale, PT physical therapy, RCT randomized controlled trial, SDQ Shoulder Disability Questionnaire, SF-36 Short Form Survey, SPADI Shoulder Pain and Disability Index, SST Simple Shoulder Test, TSK Tampa Scale of Kinesiophobia, UC usual care, UCLA Scale The University of California at Los Angeles Shoulder Score, VAS Visual Analog Scale, WORC Western Ontario Rotator Cuff Index …”

“…FABQ-Work was associated with a lower success rate (OR 0.92, 95% CI 0.85–1.00). FABQ work subscale of ≤25 and surgery on the dominant shoulder were both strongly predictive of being a responder to surgery (FABQ work ≤25 points Beta 2.73, OR 15.29 (95% CI 2.30–101.9), p = 0.005) Yeoman et al 2012 [ 71 ] (+) Pain (VAS) Shoulder pain and function (OSS) - - - - HADS (> 7 points) no significant difference in the postoperative function and VAS in the depression versus the no depression group (6 weeks follow-up); HADS (> 7 points) no significant difference in the postoperative function and VAS in the anxiety versus the no anxiety group (6 weeks follow-up). Overall study quality, high (++), moderate (+), low (0) + Statistically significant relationship was found; − no statistically significant relationship was found a ADI Author defined instrument, 4DSQ Four-Dimensional Symptom Questionnaire, ASES the American Shoulder and Elbow Surgeons’ Scale, BPI Brief Pain Inventory, CBT cognitive behavioural therapy approach, DASH (and quickDASH) (Quick) Disability of the Arm, Shoulder and Hand Questionnaire, EQ-5D EuroQol- 5 Dimension, FABQ Fear Avoidance Beliefs Questionnaire (FABQ-P: physical activity subscale; FABQ-W, work subscale), FLEX-SF Flexilevel Scale of Shoulder Function, GE graded exercise, HADS Hospital Anxiety and Depression Scale, HSCL-25 Hopkins Symptoms Checklist, MCID A minimal clinically important difference, MODEMS Musculoskeletal Outcomes Data Evaluation and Management System, NPRS Numeric Pain Rating Scale, NRS Numeric Rating Scale, OSS Oxford Shoulder Score, PCCL Pain Coping and Cognition List, PCS Pain Catastrophizing Scale, PSFS Patient Specific Functional Scale, PT physical therapy, RCT randomized controlled trial, SDQ Shoulder Disability Questionnaire, SF-36 Short Form Survey, SPADI Shoulder Pain and Disability Index, SST Simple Shoulder Test, TSK Tampa Scale of Kinesiophobia, UC usual care, UCLA Scale The University of California at Los Angeles Shoulder Score, VAS Visual Analog Scale, WORC Western Ontario Rotator Cuff Index …”

Are Psychosocial Factors Associated With Patient-reported Outcome Measures in Patients With Rotator Cuff Tears? A Systematic Review

“…Thirty-nine full-text articles were identified for review. Of these, 28 were excluded for not including a specific sample of patients with rotator cuff tears [3,5,6,39,63,64,67,73,74,77,86,92], not measuring a psychosocial factor [4,12,13,21,32,34,41,52,57,58,65,79,81], and not incorporating a relevant clinical outcome [7,18,93]. Eleven studies met the eligibility criteria for inclusion into this review [2, 10, 11, 31, 59-62, 80, 88, 89].…”