The Effect of Preexisting and Shoulder Specific Depression and Anxiety on Patient-Reported Outcomes After Arthroscopic Rotator Cuff Repair
Clinical Question: What is the effect of a preexisting diagnosis of depression or anxiety – as well as those feelings directly related to the shoulder – on the Am Shoulder and Elbow Surgeons (ASES) Score?
Bottom Line: Patients with a history of depression and/or anxiety have LOWER outcome scores pre-op and post-op.
Points to Consider: This is a level 3, cohort study. Of the 187 patients, 53 patients had preexisting depression and/or anxiety. Patients with these diagnoses had significantly lower pre-op and post-op ASES scores. However, the change in score (pre-op to post-op) was NOT significantly different between groups.
Takeaway: Patients with depression and/or anxiety should expect the same amount of relief following RCR (change in score), however, they have lower outcome scores pre and post op compared to their peers. Stronger feelings of depression or anxiety directly related to the shoulder actually had a GREATER amount of improvement from surgery, though!
About the Author:
Catherine A. Logan, MD, MBA, MSPT is a sports medicine Orthopaedic Surgeon and writer. Based in Denver, CO, she is an attending at Colorado Sports Medicine & Orthopaedics at Rose Medical Center. Dr. Logan is the Head League Physician for Premier Lacrosse League (PLL) member of the team physician pool for the US Ski & Snowboard teams each year. Dr. Logan completed her Orthopaedic Surgery residency at the Harvard Combined Orthopaedic Residency Program and her Sports Medicine Fellowship training at the prestigious Steadman Philippon Research Institute/The Steadman Clinic in Vail, CO. Logan is also on the board of The Chill Foundation.