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Association Between Preoperative Multidimensional Psychological Distress and Physical Function After Surgery for Sports-Related Injury.

Publication ,  Journal Article
Morriss, NJ; Kim, BI; Poehlein, E; Park, CN; Lentz, TA; Green, CL; Lau, BC
Published in: Orthop J Sports Med
April 2023

BACKGROUND: Psychological distress after orthopaedic surgery can lead to worse outcomes, including higher levels of disability and pain and lower quality of life. The 10-item Optimal Screening for Prediction for Referral and Outcome-Yellow Flag (OSPRO-YF) survey screens for multiple psychological constructs relevant to recovery from orthopaedic injury and may be useful to preoperatively identify patients who may require further psychological assessment and possible intervention after surgery. PURPOSE/HYPOTHESIS: To determine the association between the OSPRO-YF and physiological patient-reported outcomes (PROs). It was hypothesized that higher OSPRO-YF scores (indicating worse psychological distress) would be associated with worse PRO scores at time of return to sport. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: This study evaluated 107 patients at a single, academic health center who were assessed at a sports orthopaedics clinic and ultimately treated surgically for injuries to the knee, shoulder, foot, or ankle. Preoperatively, patients completed the OSPRO-YF survey as well as the following PRO measures: Patient-Reported Outcomes Measurement Information System (PROMIS), Single Assessment Numeric Evaluation, numeric rating scale for pain; American Shoulder and Elbow Surgeons standardized shoulder assessment form for patients with shoulder injuries, the International Knee Documentation Committee score (for patients with knee injuries), and the Foot and Ankle Ability Measure (FAAM; for patients with foot or ankle injuries). At the time of anticipated full recovery and/or return to sport, patients again completed the same PRO surveys. Multivariable regression was used to evaluate the association between total OSPRO-YF score at baseline and PRO scores at the time of functional recovery. RESULTS: The baseline OSPRO-YF score predicted postoperative PROMIS Physical Function and FAAM Sports scores only. A 1-unit increase in the OSPRO-YF was associated with a 0.55-point reduction in PROMIS Physical Function (95% CI, -1.05 to -0.04; P = .033) indicating worse outcomes. Among patients who underwent ankle surgery, a 1-unit increase in OSPRO-YF was associated with a 6.45-point reduction in FAAM Sports (95% CI, -12.0 to -0.87; P = .023). CONCLUSION: The study findings demonstrated that the OSPRO-YF survey predicts certain long-term PRO scores at the time of expected return to sport, independent of baseline scores.

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Published In

Orthop J Sports Med

DOI

ISSN

2325-9671

Publication Date

April 2023

Volume

11

Issue

4

Start / End Page

23259671231163854

Location

United States

Related Subject Headings

  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences
 

Citation

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Chicago
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Morriss, N. J., Kim, B. I., Poehlein, E., Park, C. N., Lentz, T. A., Green, C. L., & Lau, B. C. (2023). Association Between Preoperative Multidimensional Psychological Distress and Physical Function After Surgery for Sports-Related Injury. Orthop J Sports Med, 11(4), 23259671231163856. https://doi.org/10.1177/23259671231163854
Morriss, Nicholas J., Billy I. Kim, Emily Poehlein, Caroline N. Park, Trevor A. Lentz, Cynthia L. Green, and Brian C. Lau. “Association Between Preoperative Multidimensional Psychological Distress and Physical Function After Surgery for Sports-Related Injury.Orthop J Sports Med 11, no. 4 (April 2023): 23259671231163856. https://doi.org/10.1177/23259671231163854.
Morriss NJ, Kim BI, Poehlein E, Park CN, Lentz TA, Green CL, et al. Association Between Preoperative Multidimensional Psychological Distress and Physical Function After Surgery for Sports-Related Injury. Orthop J Sports Med. 2023 Apr;11(4):23259671231163856.
Morriss, Nicholas J., et al. “Association Between Preoperative Multidimensional Psychological Distress and Physical Function After Surgery for Sports-Related Injury.Orthop J Sports Med, vol. 11, no. 4, Apr. 2023, p. 23259671231163856. Pubmed, doi:10.1177/23259671231163854.
Morriss NJ, Kim BI, Poehlein E, Park CN, Lentz TA, Green CL, Lau BC. Association Between Preoperative Multidimensional Psychological Distress and Physical Function After Surgery for Sports-Related Injury. Orthop J Sports Med. 2023 Apr;11(4):23259671231163856.
Journal cover image

Published In

Orthop J Sports Med

DOI

ISSN

2325-9671

Publication Date

April 2023

Volume

11

Issue

4

Start / End Page

23259671231163854

Location

United States

Related Subject Headings

  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences