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Related Experiment Video

Updated: Jun 23, 2025

Reverse Total Shoulder Arthroplasty
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Association Between Preoperative Patient Resilience and Patient-Reported Outcomes After Rotator Cuff Repair.

Ryan W Paul1,2, Sydney Streicher3, Matthew Wallingford3

  • 1Rothman Orthopaedic Institute, Philadelphia, Pennsylvania, USA.

Orthopaedic Journal of Sports Medicine
|June 17, 2024
PubMed
Summary

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Preoperative Resilience Does Not Predict Functional Outcomes After Rotator Cuff Repair: A Systematic Review.

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This summary is machine-generated.

Preoperative resilience did not impact 2-year outcomes for rotator cuff repair (RCR) patients. However, resilience at the 2-year mark was linked to improved shoulder function scores.

Area of Science:

  • Orthopaedic Surgery
  • Psychological Health
  • Patient Outcomes

Background:

  • Mental and emotional health significantly influence outcomes following orthopaedic surgery.
  • Patient resilience is a key factor in achieving positive postoperative functional outcomes.

Purpose of the Study:

  • To investigate the association between preoperative patient resilience and 2-year patient-reported outcomes after rotator cuff repair (RCR).
  • To test the hypothesis that lower preoperative resilience correlates with poorer outcomes 2 years post-RCR.

Main Methods:

  • A cohort study (Level of evidence, 3) included 100 patients undergoing arthroscopic RCR.
  • Preoperative Brief Resilience Scale (BRS) scores were collected, and patients were grouped by resilience levels.
  • Two-year postoperative outcomes were assessed using American Shoulder and Elbow Surgeons (ASES) and Single Assessment Numeric Evaluation (SANE) scores.
Keywords:
arthroscopypatient-reported outcomepsychologyresiliencerotator cuffshoulder

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Main Results:

  • No significant differences in 2-year postoperative outcomes (ASES, SANE scores, revision rates) were observed across low, normal, and high preoperative resilience groups.
  • Preoperative resilience was not significantly associated with improvement in ASES scores.
  • Resilience at the 2-year follow-up, however, was significantly related to ASES score improvement.

Conclusions:

  • Preoperative patient resilience does not appear to affect patient-reported outcomes 2 years after arthroscopic rotator cuff repair.
  • While preoperative resilience did not predict functional improvement, resilience measured at the 2-year follow-up was associated with better outcomes.