PROMIS Depression and Anxiety in shoulder surgery patients

Area of Science:

• Orthopedics
• Psychiatry
• Rehabilitation Medicine

Background:

• Mental health significantly impacts surgical recovery.
• Preoperative and postoperative psychological states require assessment in orthopedic surgery patients.
• Patient-Reported Outcomes Measurement Information System (PROMIS) tools offer validated measures for depression and anxiety.

Purpose of the Study:

• To evaluate depression and anxiety symptom prevalence using PROMIS in shoulder surgery patients.
• To identify factors associated with symptom severity.
• To determine the relationship between PROMIS scores and functional outcomes post-surgery.

Main Methods:

• Retrospective analysis of 293 patients undergoing elective shoulder surgery (2015-2018).
• Utilized preoperative and two-year postoperative survey data.
• Employed bivariate and multivariable analyses to assess associations and control for confounders.

Main Results:

• Significant improvement in mean two-year PROMIS Depression and Anxiety scores from preoperative levels.
• Greater improvement noted in PROMIS Anxiety scores.
• Worse PROMIS Depression and Anxiety scores correlated with poorer PROMIS Physical Function (PF) and American Shoulder and Elbow Surgeons (ASES) scores.
• Worse PROMIS Depression independently predicted worse PROMIS PF; worse PROMIS Anxiety independently predicted worse PROMIS PF and ASES scores.

Conclusions:

• Elective shoulder surgery leads to improved depression and anxiety symptoms.
• Patient characteristics influence these psychological scores.
• Poorer functional outcomes are linked to higher depression and anxiety scores, with anxiety being the strongest predictor.