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Sjoerd K. Bulstra - One of the best experts on this subject based on the ideXlab platform.
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The development of the Patient Expectations of Shoulder Surgery survey.
Journal of shoulder and elbow surgery, 2017Co-Authors: Rinco C.t. Koorevaar, Tsjitske M. Haanstra, Esther Van 't Riet, Okke F.o. Lambers Heerspink, Sjoerd K. BulstraAbstract:Background Patient satisfaction after a surgical procedure is dependent on meeting preoperative expectations. There is currently no patient expectations survey available for patients undergoing Shoulder Surgery that is validated, reliable, and easy to use in daily practice. The aim of this study was to develop a Patient Expectations of Shoulder Surgery (PESS) survey. Methods In 315 patients, answers to an open-ended question about patient expectations were collected before Shoulder Surgery to develop the PESS survey. Patients' expectations of the PESS survey were associated with clinical outcome (change of Disabilities of the Arm, Shoulder, and Hand score). Content validity was assessed by a panel of 10 patients scheduled for Shoulder Surgery, and test-retest reliability was evaluated. Results Six items were included in the PESS survey: pain relief, improved range of motion, improved ability to perform daily activities, improved ability to perform work, improved ability to participate in recreational activities and sports, and stop Shoulder from dislocating. Three of the 6 expectations were significantly associated with clinical outcome after Shoulder Surgery. Test-retest reliability was high with an intraclass correlation coefficient of 0.52-0.92. Discussion The PESS survey is a valid and reliable survey that can be used in future clinical research and in daily orthopedic practice. We believe that the preoperative evaluation of patient expectations should be a standard procedure before Shoulder Surgery.
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Incidence and prognostic factors for postoperative frozen Shoulder after Shoulder Surgery: a prospective cohort study
Archives of Orthopaedic and Trauma Surgery, 2017Co-Authors: Rinco C.t. Koorevaar, Esther Van‘t Riet, Marcel Ipskamp, Sjoerd K. BulstraAbstract:Purpose Frozen Shoulder is a potential complication after Shoulder Surgery. It is a clinical condition that is often associated with marked disability and can have a profound effect on the patient’s quality of life. The incidence, etiology, pathology and prognostic factors of postoperative frozen Shoulder after Shoulder Surgery are not known. The purpose of this explorative study was to determine the incidence of postoperative frozen Shoulder after various operative Shoulder procedures. A second aim was to identify prognostic factors for postoperative frozen Shoulder after Shoulder Surgery. Methods 505 consecutive patients undergoing elective Shoulder Surgery were included in this prospective cohort study. Follow-up was 6 months after Surgery. A prediction model was developed to identify prognostic factors for postoperative frozen Shoulder after Shoulder Surgery using the TRIPOD guidelines. We nominated five potential predictors: gender, diabetes mellitus, type of physiotherapy, arthroscopic Surgery and DASH score. Results Frozen Shoulder was identified in 11% of the patients after Shoulder Surgery and was more common in females (15%) than in males (8%). Frozen Shoulder was encountered after all types of operative procedures. A prediction model based on four variables (diabetes mellitus, specialized Shoulder physiotherapy, arthroscopic Surgery and DASH score) discriminated reasonably well with an AUC of 0.712. Conclusions Postoperative frozen Shoulder is a serious complication after Shoulder Surgery, with an incidence of 11%. Four prognostic factors were identified for postoperative frozen Shoulder: diabetes mellitus, arthroscopic Surgery, specialized Shoulder physiotherapy and DASH score. The combination of these four variables provided a prediction rule for postoperative frozen Shoulder with reasonable fit. Level of evidence Level II, prospective cohort study.
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Incidence and prognostic factors for postoperative frozen Shoulder after Shoulder Surgery: a prospective cohort study.
Archives of orthopaedic and trauma surgery, 2017Co-Authors: Rinco C.t. Koorevaar, Esther Van 't Riet, Marcel Ipskamp, Sjoerd K. BulstraAbstract:Frozen Shoulder is a potential complication after Shoulder Surgery. It is a clinical condition that is often associated with marked disability and can have a profound effect on the patient’s quality of life. The incidence, etiology, pathology and prognostic factors of postoperative frozen Shoulder after Shoulder Surgery are not known. The purpose of this explorative study was to determine the incidence of postoperative frozen Shoulder after various operative Shoulder procedures. A second aim was to identify prognostic factors for postoperative frozen Shoulder after Shoulder Surgery. 505 consecutive patients undergoing elective Shoulder Surgery were included in this prospective cohort study. Follow-up was 6 months after Surgery. A prediction model was developed to identify prognostic factors for postoperative frozen Shoulder after Shoulder Surgery using the TRIPOD guidelines. We nominated five potential predictors: gender, diabetes mellitus, type of physiotherapy, arthroscopic Surgery and DASH score. Frozen Shoulder was identified in 11% of the patients after Shoulder Surgery and was more common in females (15%) than in males (8%). Frozen Shoulder was encountered after all types of operative procedures. A prediction model based on four variables (diabetes mellitus, specialized Shoulder physiotherapy, arthroscopic Surgery and DASH score) discriminated reasonably well with an AUC of 0.712. Postoperative frozen Shoulder is a serious complication after Shoulder Surgery, with an incidence of 11%. Four prognostic factors were identified for postoperative frozen Shoulder: diabetes mellitus, arthroscopic Surgery, specialized Shoulder physiotherapy and DASH score. The combination of these four variables provided a prediction rule for postoperative frozen Shoulder with reasonable fit. Level II, prospective cohort study.
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the influence of preoperative and postoperative psychological symptoms on clinical outcome after Shoulder Surgery a prospective longitudinal cohort study
PLOS ONE, 2016Co-Authors: Rinco C.t. Koorevaar, Esther Van T Riet, Marleen J J Gerritsen, Kim Madden, Sjoerd K. BulstraAbstract:BACKGROUND: Psychological symptoms are highly prevalent in patients with Shoulder complaints. Psychological symptoms in patients with Shoulder complaints might play a role in the aetiology, perceived disability and pain and clinical outcome of treatment. The aim of this study was to assess whether preoperative symptoms of distress, depression, anxiety and somatisation were associated with a change in function after Shoulder Surgery and postoperative patient perceived improvement of pain and function. In addition, the change of psychological symptoms after Shoulder Surgery was analyzed and the influence of postoperative symptoms of psychological disorders after Surgery on the change in function after Shoulder Surgery and perceived postoperative improvement of pain and function. METHODS AND FINDINGS: A prospective longitudinal cohort study was performed in a general teaching hospital. 315 consecutive patients planned for elective Shoulder Surgery were included. Outcome measures included change of Disabilities of the Arm, Shoulder and Hand (DASH) score and anchor questions about improvement in pain and function after Surgery. Psychological symptoms were identified before and 12 months after Surgery with the validated Four-Dimensional Symptom Questionnaire (4DSQ). Psychological symptoms were encountered in all the various Shoulder diagnoses. Preoperative symptoms of psychological disorders persisted after Surgery in 56% of patients, 10% of patients with no symptoms of psychological disorders before Surgery developed new psychological symptoms. Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after Shoulder Surgery. Patients with symptoms of psychological disorders after Surgery were less likely to improve on the DASH score. Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain. Postoperative symptoms of distress, depression and somatisation were associated with worse perceived improvement of function. CONCLUSIONS: Preoperative symptoms of distress, depression, anxiety and somatisation were not associated with worse clinical outcome 12 months after Shoulder Surgery. Symptoms of psychological disorders before Shoulder Surgery persisted in 56% of patients after Surgery. Postoperative symptoms of psychological disorders 12 months after Shoulder Surgery were strongly associated with worse clinical outcome.
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The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study
PloS one, 2016Co-Authors: Rinco C.t. Koorevaar, Esther Van 't Riet, Marleen J J Gerritsen, Kim Madden, Sjoerd K. BulstraAbstract:BACKGROUND: Psychological symptoms are highly prevalent in patients with Shoulder complaints. Psychological symptoms in patients with Shoulder complaints might play a role in the aetiology, perceived disability and pain and clinical outcome of treatment. The aim of this study was to assess whether preoperative symptoms of distress, depression, anxiety and somatisation were associated with a change in function after Shoulder Surgery and postoperative patient perceived improvement of pain and function. In addition, the change of psychological symptoms after Shoulder Surgery was analyzed and the influence of postoperative symptoms of psychological disorders after Surgery on the change in function after Shoulder Surgery and perceived postoperative improvement of pain and function. METHODS AND FINDINGS: A prospective longitudinal cohort study was performed in a general teaching hospital. 315 consecutive patients planned for elective Shoulder Surgery were included. Outcome measures included change of Disabilities of the Arm, Shoulder and Hand (DASH) score and anchor questions about improvement in pain and function after Surgery. Psychological symptoms were identified before and 12 months after Surgery with the validated Four-Dimensional Symptom Questionnaire (4DSQ). Psychological symptoms were encountered in all the various Shoulder diagnoses. Preoperative symptoms of psychological disorders persisted after Surgery in 56% of patients, 10% of patients with no symptoms of psychological disorders before Surgery developed new psychological symptoms. Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after Shoulder Surgery. Patients with symptoms of psychological disorders after Surgery were less likely to improve on the DASH score. Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain. Postoperative symptoms of distress, depression and somatisation were associated with worse perceived improvement of function. CONCLUSIONS: Preoperative symptoms of distress, depression, anxiety and somatisation were not associated with worse clinical outcome 12 months after Shoulder Surgery. Symptoms of psychological disorders before Shoulder Surgery persisted in 56% of patients after Surgery. Postoperative symptoms of psychological disorders 12 months after Shoulder Surgery were strongly associated with worse clinical outcome.
Rinco C.t. Koorevaar - One of the best experts on this subject based on the ideXlab platform.
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The development of the Patient Expectations of Shoulder Surgery survey.
Journal of shoulder and elbow surgery, 2017Co-Authors: Rinco C.t. Koorevaar, Tsjitske M. Haanstra, Esther Van 't Riet, Okke F.o. Lambers Heerspink, Sjoerd K. BulstraAbstract:Background Patient satisfaction after a surgical procedure is dependent on meeting preoperative expectations. There is currently no patient expectations survey available for patients undergoing Shoulder Surgery that is validated, reliable, and easy to use in daily practice. The aim of this study was to develop a Patient Expectations of Shoulder Surgery (PESS) survey. Methods In 315 patients, answers to an open-ended question about patient expectations were collected before Shoulder Surgery to develop the PESS survey. Patients' expectations of the PESS survey were associated with clinical outcome (change of Disabilities of the Arm, Shoulder, and Hand score). Content validity was assessed by a panel of 10 patients scheduled for Shoulder Surgery, and test-retest reliability was evaluated. Results Six items were included in the PESS survey: pain relief, improved range of motion, improved ability to perform daily activities, improved ability to perform work, improved ability to participate in recreational activities and sports, and stop Shoulder from dislocating. Three of the 6 expectations were significantly associated with clinical outcome after Shoulder Surgery. Test-retest reliability was high with an intraclass correlation coefficient of 0.52-0.92. Discussion The PESS survey is a valid and reliable survey that can be used in future clinical research and in daily orthopedic practice. We believe that the preoperative evaluation of patient expectations should be a standard procedure before Shoulder Surgery.
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Incidence and prognostic factors for postoperative frozen Shoulder after Shoulder Surgery: a prospective cohort study
Archives of Orthopaedic and Trauma Surgery, 2017Co-Authors: Rinco C.t. Koorevaar, Esther Van‘t Riet, Marcel Ipskamp, Sjoerd K. BulstraAbstract:Purpose Frozen Shoulder is a potential complication after Shoulder Surgery. It is a clinical condition that is often associated with marked disability and can have a profound effect on the patient’s quality of life. The incidence, etiology, pathology and prognostic factors of postoperative frozen Shoulder after Shoulder Surgery are not known. The purpose of this explorative study was to determine the incidence of postoperative frozen Shoulder after various operative Shoulder procedures. A second aim was to identify prognostic factors for postoperative frozen Shoulder after Shoulder Surgery. Methods 505 consecutive patients undergoing elective Shoulder Surgery were included in this prospective cohort study. Follow-up was 6 months after Surgery. A prediction model was developed to identify prognostic factors for postoperative frozen Shoulder after Shoulder Surgery using the TRIPOD guidelines. We nominated five potential predictors: gender, diabetes mellitus, type of physiotherapy, arthroscopic Surgery and DASH score. Results Frozen Shoulder was identified in 11% of the patients after Shoulder Surgery and was more common in females (15%) than in males (8%). Frozen Shoulder was encountered after all types of operative procedures. A prediction model based on four variables (diabetes mellitus, specialized Shoulder physiotherapy, arthroscopic Surgery and DASH score) discriminated reasonably well with an AUC of 0.712. Conclusions Postoperative frozen Shoulder is a serious complication after Shoulder Surgery, with an incidence of 11%. Four prognostic factors were identified for postoperative frozen Shoulder: diabetes mellitus, arthroscopic Surgery, specialized Shoulder physiotherapy and DASH score. The combination of these four variables provided a prediction rule for postoperative frozen Shoulder with reasonable fit. Level of evidence Level II, prospective cohort study.
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Incidence and prognostic factors for postoperative frozen Shoulder after Shoulder Surgery: a prospective cohort study.
Archives of orthopaedic and trauma surgery, 2017Co-Authors: Rinco C.t. Koorevaar, Esther Van 't Riet, Marcel Ipskamp, Sjoerd K. BulstraAbstract:Frozen Shoulder is a potential complication after Shoulder Surgery. It is a clinical condition that is often associated with marked disability and can have a profound effect on the patient’s quality of life. The incidence, etiology, pathology and prognostic factors of postoperative frozen Shoulder after Shoulder Surgery are not known. The purpose of this explorative study was to determine the incidence of postoperative frozen Shoulder after various operative Shoulder procedures. A second aim was to identify prognostic factors for postoperative frozen Shoulder after Shoulder Surgery. 505 consecutive patients undergoing elective Shoulder Surgery were included in this prospective cohort study. Follow-up was 6 months after Surgery. A prediction model was developed to identify prognostic factors for postoperative frozen Shoulder after Shoulder Surgery using the TRIPOD guidelines. We nominated five potential predictors: gender, diabetes mellitus, type of physiotherapy, arthroscopic Surgery and DASH score. Frozen Shoulder was identified in 11% of the patients after Shoulder Surgery and was more common in females (15%) than in males (8%). Frozen Shoulder was encountered after all types of operative procedures. A prediction model based on four variables (diabetes mellitus, specialized Shoulder physiotherapy, arthroscopic Surgery and DASH score) discriminated reasonably well with an AUC of 0.712. Postoperative frozen Shoulder is a serious complication after Shoulder Surgery, with an incidence of 11%. Four prognostic factors were identified for postoperative frozen Shoulder: diabetes mellitus, arthroscopic Surgery, specialized Shoulder physiotherapy and DASH score. The combination of these four variables provided a prediction rule for postoperative frozen Shoulder with reasonable fit. Level II, prospective cohort study.
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the influence of preoperative and postoperative psychological symptoms on clinical outcome after Shoulder Surgery a prospective longitudinal cohort study
PLOS ONE, 2016Co-Authors: Rinco C.t. Koorevaar, Esther Van T Riet, Marleen J J Gerritsen, Kim Madden, Sjoerd K. BulstraAbstract:BACKGROUND: Psychological symptoms are highly prevalent in patients with Shoulder complaints. Psychological symptoms in patients with Shoulder complaints might play a role in the aetiology, perceived disability and pain and clinical outcome of treatment. The aim of this study was to assess whether preoperative symptoms of distress, depression, anxiety and somatisation were associated with a change in function after Shoulder Surgery and postoperative patient perceived improvement of pain and function. In addition, the change of psychological symptoms after Shoulder Surgery was analyzed and the influence of postoperative symptoms of psychological disorders after Surgery on the change in function after Shoulder Surgery and perceived postoperative improvement of pain and function. METHODS AND FINDINGS: A prospective longitudinal cohort study was performed in a general teaching hospital. 315 consecutive patients planned for elective Shoulder Surgery were included. Outcome measures included change of Disabilities of the Arm, Shoulder and Hand (DASH) score and anchor questions about improvement in pain and function after Surgery. Psychological symptoms were identified before and 12 months after Surgery with the validated Four-Dimensional Symptom Questionnaire (4DSQ). Psychological symptoms were encountered in all the various Shoulder diagnoses. Preoperative symptoms of psychological disorders persisted after Surgery in 56% of patients, 10% of patients with no symptoms of psychological disorders before Surgery developed new psychological symptoms. Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after Shoulder Surgery. Patients with symptoms of psychological disorders after Surgery were less likely to improve on the DASH score. Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain. Postoperative symptoms of distress, depression and somatisation were associated with worse perceived improvement of function. CONCLUSIONS: Preoperative symptoms of distress, depression, anxiety and somatisation were not associated with worse clinical outcome 12 months after Shoulder Surgery. Symptoms of psychological disorders before Shoulder Surgery persisted in 56% of patients after Surgery. Postoperative symptoms of psychological disorders 12 months after Shoulder Surgery were strongly associated with worse clinical outcome.
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The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study
PloS one, 2016Co-Authors: Rinco C.t. Koorevaar, Esther Van 't Riet, Marleen J J Gerritsen, Kim Madden, Sjoerd K. BulstraAbstract:BACKGROUND: Psychological symptoms are highly prevalent in patients with Shoulder complaints. Psychological symptoms in patients with Shoulder complaints might play a role in the aetiology, perceived disability and pain and clinical outcome of treatment. The aim of this study was to assess whether preoperative symptoms of distress, depression, anxiety and somatisation were associated with a change in function after Shoulder Surgery and postoperative patient perceived improvement of pain and function. In addition, the change of psychological symptoms after Shoulder Surgery was analyzed and the influence of postoperative symptoms of psychological disorders after Surgery on the change in function after Shoulder Surgery and perceived postoperative improvement of pain and function. METHODS AND FINDINGS: A prospective longitudinal cohort study was performed in a general teaching hospital. 315 consecutive patients planned for elective Shoulder Surgery were included. Outcome measures included change of Disabilities of the Arm, Shoulder and Hand (DASH) score and anchor questions about improvement in pain and function after Surgery. Psychological symptoms were identified before and 12 months after Surgery with the validated Four-Dimensional Symptom Questionnaire (4DSQ). Psychological symptoms were encountered in all the various Shoulder diagnoses. Preoperative symptoms of psychological disorders persisted after Surgery in 56% of patients, 10% of patients with no symptoms of psychological disorders before Surgery developed new psychological symptoms. Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after Shoulder Surgery. Patients with symptoms of psychological disorders after Surgery were less likely to improve on the DASH score. Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain. Postoperative symptoms of distress, depression and somatisation were associated with worse perceived improvement of function. CONCLUSIONS: Preoperative symptoms of distress, depression, anxiety and somatisation were not associated with worse clinical outcome 12 months after Shoulder Surgery. Symptoms of psychological disorders before Shoulder Surgery persisted in 56% of patients after Surgery. Postoperative symptoms of psychological disorders 12 months after Shoulder Surgery were strongly associated with worse clinical outcome.
Anthony A. Romeo - One of the best experts on this subject based on the ideXlab platform.
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Understanding and Treating Iatrogenic Nerve Injuries in Shoulder Surgery.
The Journal of the American Academy of Orthopaedic Surgeons, 2020Co-Authors: Ranjan Gupta, Nilay Patel, Augustus D. Mazzocca, Anthony A. RomeoAbstract:As surgical techniques and technology continue to advance in Shoulder Surgery along with the increased use of regional anesthesia, it is important to remember that iatrogenic nerve injuries remain a possible complication. Iatrogenic nerve injuries associated with Shoulder Surgery lead to patient disability and distress, increased healthcare costs, and possibly additional procedures. To obtain the best possible outcome for the patient after the nerve injury has been discovered, a timely appreciation of the management options is necessary rather than expectant management. Early recognition, appropriate neurodiagnostic testing, and prompt treatment or referral are mandatory for optimal outcomes.
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Shoulder Surgery in Professional Baseball Players
Orthopaedic Journal of Sports Medicine, 2019Co-Authors: Peter N. Chalmers, Brandon J. Erickson, John D’angelo, Anthony A. RomeoAbstract:Objectives: Injury rates are increasing in professional baseball players. There is little information regarding Shoulder surgeries in these athletes. The purpose of this study is to report the incidence, procedure type, demographics, and return to sport (RTS) rate of Shoulder surgeries in MLB players Methods: All MLB players who underwent Surgery between 2012-2016 were identified from a database prospectively maintained by the MLB. Demographic information as well as details regarding the procedure were recorded. RTS rates were determined. Only those players with a minimum of six month follow-up were included. Results: There were 581 Shoulder surgeries (542 players) performed, and thus the incidence of Shoulder Surgery among professional baseball players is 1.48%. Pitchers accounted for the majority of players who had Shoulder Surgery (60%). Overall, 19% surgeries were performed on players in the majors and most players were between 20-25 years old. The majority of procedures were performed on the posterior and anterior labrum. Of these, 67% involved labral repair. Within surgeries that addressed the rotator cuff, 84% involved debridement, most tears were articular sided (87%), and 75% involved the supraspinatus. Overall, 11% of players had a history of prior Shoulder Surgery and 76% had spent time on the disabled list prior to Surgery. The overall rate of RTS was 63%, with 86% of those who returned returning to at least the same level of play as prior to Surgery or higher. Of those who returned to their prior level of play, 73% later ascended to a higher level of play or were not able because they were in the major leagues pre-operatively. Conclusion: Shoulder Surgery is uncommon among MLB players. Of those players who undergo Surgery, the majority are pitchers and minor league players. Most procedures involve the labrum. Rotator cuff tears are mostly articular sided supraspinatus tears. Overall RTS rates are 56%, with only 41% able to return to the same level of play as before Surgery.
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Does Prior Shoulder Surgery Negatively Impact Shoulder Arthroplasty Outcomes
Orthopaedic Journal of Sports Medicine, 2015Co-Authors: Rachel M. Frank, Brian J. Cole, Sal Aiyash, Noam Kupfer, Annemarie K. Tilton, Nikhil N. Verma, Gregory P. Nicholson, Anthony A. RomeoAbstract:Objectives: Several studies have shown a negative correlation between prior knee arthroscopy and ultimate knee arthroplasty outcomes compared to patients without prior arthroscopy. The purpose of this study was to determine the effects of prior Shoulder Surgery on patients undergoing total Shoulder arthroplasty (TSA) and reverse total Shoulder arthroplasty (rTSA) compared to patients without prior Shoulder Surgery.
Kim Madden - One of the best experts on this subject based on the ideXlab platform.
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the influence of preoperative and postoperative psychological symptoms on clinical outcome after Shoulder Surgery a prospective longitudinal cohort study
PLOS ONE, 2016Co-Authors: Rinco C.t. Koorevaar, Esther Van T Riet, Marleen J J Gerritsen, Kim Madden, Sjoerd K. BulstraAbstract:BACKGROUND: Psychological symptoms are highly prevalent in patients with Shoulder complaints. Psychological symptoms in patients with Shoulder complaints might play a role in the aetiology, perceived disability and pain and clinical outcome of treatment. The aim of this study was to assess whether preoperative symptoms of distress, depression, anxiety and somatisation were associated with a change in function after Shoulder Surgery and postoperative patient perceived improvement of pain and function. In addition, the change of psychological symptoms after Shoulder Surgery was analyzed and the influence of postoperative symptoms of psychological disorders after Surgery on the change in function after Shoulder Surgery and perceived postoperative improvement of pain and function. METHODS AND FINDINGS: A prospective longitudinal cohort study was performed in a general teaching hospital. 315 consecutive patients planned for elective Shoulder Surgery were included. Outcome measures included change of Disabilities of the Arm, Shoulder and Hand (DASH) score and anchor questions about improvement in pain and function after Surgery. Psychological symptoms were identified before and 12 months after Surgery with the validated Four-Dimensional Symptom Questionnaire (4DSQ). Psychological symptoms were encountered in all the various Shoulder diagnoses. Preoperative symptoms of psychological disorders persisted after Surgery in 56% of patients, 10% of patients with no symptoms of psychological disorders before Surgery developed new psychological symptoms. Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after Shoulder Surgery. Patients with symptoms of psychological disorders after Surgery were less likely to improve on the DASH score. Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain. Postoperative symptoms of distress, depression and somatisation were associated with worse perceived improvement of function. CONCLUSIONS: Preoperative symptoms of distress, depression, anxiety and somatisation were not associated with worse clinical outcome 12 months after Shoulder Surgery. Symptoms of psychological disorders before Shoulder Surgery persisted in 56% of patients after Surgery. Postoperative symptoms of psychological disorders 12 months after Shoulder Surgery were strongly associated with worse clinical outcome.
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The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study
PloS one, 2016Co-Authors: Rinco C.t. Koorevaar, Esther Van 't Riet, Marleen J J Gerritsen, Kim Madden, Sjoerd K. BulstraAbstract:BACKGROUND: Psychological symptoms are highly prevalent in patients with Shoulder complaints. Psychological symptoms in patients with Shoulder complaints might play a role in the aetiology, perceived disability and pain and clinical outcome of treatment. The aim of this study was to assess whether preoperative symptoms of distress, depression, anxiety and somatisation were associated with a change in function after Shoulder Surgery and postoperative patient perceived improvement of pain and function. In addition, the change of psychological symptoms after Shoulder Surgery was analyzed and the influence of postoperative symptoms of psychological disorders after Surgery on the change in function after Shoulder Surgery and perceived postoperative improvement of pain and function. METHODS AND FINDINGS: A prospective longitudinal cohort study was performed in a general teaching hospital. 315 consecutive patients planned for elective Shoulder Surgery were included. Outcome measures included change of Disabilities of the Arm, Shoulder and Hand (DASH) score and anchor questions about improvement in pain and function after Surgery. Psychological symptoms were identified before and 12 months after Surgery with the validated Four-Dimensional Symptom Questionnaire (4DSQ). Psychological symptoms were encountered in all the various Shoulder diagnoses. Preoperative symptoms of psychological disorders persisted after Surgery in 56% of patients, 10% of patients with no symptoms of psychological disorders before Surgery developed new psychological symptoms. Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after Shoulder Surgery. Patients with symptoms of psychological disorders after Surgery were less likely to improve on the DASH score. Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain. Postoperative symptoms of distress, depression and somatisation were associated with worse perceived improvement of function. CONCLUSIONS: Preoperative symptoms of distress, depression, anxiety and somatisation were not associated with worse clinical outcome 12 months after Shoulder Surgery. Symptoms of psychological disorders before Shoulder Surgery persisted in 56% of patients after Surgery. Postoperative symptoms of psychological disorders 12 months after Shoulder Surgery were strongly associated with worse clinical outcome.
Marleen J J Gerritsen - One of the best experts on this subject based on the ideXlab platform.
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the influence of preoperative and postoperative psychological symptoms on clinical outcome after Shoulder Surgery a prospective longitudinal cohort study
PLOS ONE, 2016Co-Authors: Rinco C.t. Koorevaar, Esther Van T Riet, Marleen J J Gerritsen, Kim Madden, Sjoerd K. BulstraAbstract:BACKGROUND: Psychological symptoms are highly prevalent in patients with Shoulder complaints. Psychological symptoms in patients with Shoulder complaints might play a role in the aetiology, perceived disability and pain and clinical outcome of treatment. The aim of this study was to assess whether preoperative symptoms of distress, depression, anxiety and somatisation were associated with a change in function after Shoulder Surgery and postoperative patient perceived improvement of pain and function. In addition, the change of psychological symptoms after Shoulder Surgery was analyzed and the influence of postoperative symptoms of psychological disorders after Surgery on the change in function after Shoulder Surgery and perceived postoperative improvement of pain and function. METHODS AND FINDINGS: A prospective longitudinal cohort study was performed in a general teaching hospital. 315 consecutive patients planned for elective Shoulder Surgery were included. Outcome measures included change of Disabilities of the Arm, Shoulder and Hand (DASH) score and anchor questions about improvement in pain and function after Surgery. Psychological symptoms were identified before and 12 months after Surgery with the validated Four-Dimensional Symptom Questionnaire (4DSQ). Psychological symptoms were encountered in all the various Shoulder diagnoses. Preoperative symptoms of psychological disorders persisted after Surgery in 56% of patients, 10% of patients with no symptoms of psychological disorders before Surgery developed new psychological symptoms. Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after Shoulder Surgery. Patients with symptoms of psychological disorders after Surgery were less likely to improve on the DASH score. Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain. Postoperative symptoms of distress, depression and somatisation were associated with worse perceived improvement of function. CONCLUSIONS: Preoperative symptoms of distress, depression, anxiety and somatisation were not associated with worse clinical outcome 12 months after Shoulder Surgery. Symptoms of psychological disorders before Shoulder Surgery persisted in 56% of patients after Surgery. Postoperative symptoms of psychological disorders 12 months after Shoulder Surgery were strongly associated with worse clinical outcome.
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The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study
PloS one, 2016Co-Authors: Rinco C.t. Koorevaar, Esther Van 't Riet, Marleen J J Gerritsen, Kim Madden, Sjoerd K. BulstraAbstract:BACKGROUND: Psychological symptoms are highly prevalent in patients with Shoulder complaints. Psychological symptoms in patients with Shoulder complaints might play a role in the aetiology, perceived disability and pain and clinical outcome of treatment. The aim of this study was to assess whether preoperative symptoms of distress, depression, anxiety and somatisation were associated with a change in function after Shoulder Surgery and postoperative patient perceived improvement of pain and function. In addition, the change of psychological symptoms after Shoulder Surgery was analyzed and the influence of postoperative symptoms of psychological disorders after Surgery on the change in function after Shoulder Surgery and perceived postoperative improvement of pain and function. METHODS AND FINDINGS: A prospective longitudinal cohort study was performed in a general teaching hospital. 315 consecutive patients planned for elective Shoulder Surgery were included. Outcome measures included change of Disabilities of the Arm, Shoulder and Hand (DASH) score and anchor questions about improvement in pain and function after Surgery. Psychological symptoms were identified before and 12 months after Surgery with the validated Four-Dimensional Symptom Questionnaire (4DSQ). Psychological symptoms were encountered in all the various Shoulder diagnoses. Preoperative symptoms of psychological disorders persisted after Surgery in 56% of patients, 10% of patients with no symptoms of psychological disorders before Surgery developed new psychological symptoms. Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after Shoulder Surgery. Patients with symptoms of psychological disorders after Surgery were less likely to improve on the DASH score. Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain. Postoperative symptoms of distress, depression and somatisation were associated with worse perceived improvement of function. CONCLUSIONS: Preoperative symptoms of distress, depression, anxiety and somatisation were not associated with worse clinical outcome 12 months after Shoulder Surgery. Symptoms of psychological disorders before Shoulder Surgery persisted in 56% of patients after Surgery. Postoperative symptoms of psychological disorders 12 months after Shoulder Surgery were strongly associated with worse clinical outcome.
