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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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Does Resilience Change in Patients Undergoing Shoulder Surgery? A Retrospective Comparative Study Utilizing the Brief
Daniel J Song1, Emily R McDermott2, Daniel Homeier2
1Department of Orthopaedic Surgery, Evans Army Community Hospital, Fort Carson, CO, USA.
Clinical Orthopaedics and Related Research
|January 22, 2025
Summary
Resilience in shoulder surgery patients appears static by group but dynamic individually. High resilience may correlate with less postoperative pain, while low resilience indicates potential for significant change.
Area of Science:
- Orthopaedic Surgery
- Psychology
- Patient Outcomes
Background:
- Resilience, the capacity to adapt to stress, is increasingly recognized for its impact on patient-centered care and surgical outcomes.
- The dynamic nature of resilience and its modifiability in the perioperative period remain unclear, impacting patient-reported outcome scores.
Purpose of the Study:
- To investigate postoperative changes in resilience.
- To analyze how outcome measures correlate with resilience groupings.
- To identify factors associated with resilience instability post-surgery.
Main Methods:
- Retrospective analysis of 121 patients undergoing shoulder surgery, measuring resilience via the Brief Resilience Scale (BRS) and outcomes using Numeric Rating Scale (NRS) and Single Assessment Numeric Evaluation (SANE).
- Patients were stratified into low, intermediate, and high resilience groups preoperatively.
- Resilience instability was defined as a change of ≥ 1 SD in BRS score between follow-up points.
Main Results:
- Resilience groups remained largely consistent, with low resilience patients showing a slight increase in BRS scores postoperatively.
- All patients demonstrated decreased NRS (pain) and improved SANE scores post-surgery.
- High resilience patients reported lower NRS scores at 1-2 and 6-10 months post-surgery compared to intermediate and low resilience groups.
Conclusions:
- While resilience may appear static at a group level, it demonstrates dynamic and complex changes at the individual level.
- Higher preoperative resilience is associated with reduced postoperative pain.
- Identifying patients with low resilience may highlight those likely to experience significant shifts in this trait.
