Journal article
Depression and anxiety are associated with worse baseline function in hip arthroscopy patients
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, Vol.30(10), pp.3563-3569
10/2022
DOI: 10.1007/s00167-022-06963-y
PMID: 35416491
Abstract
Purpose
The purpose of this study was to analyze the correlation between baseline depression and anxiety and preoperative functional status in hip arthroscopy patients.
Methods
A prospective, institutional review board-approved orthopaedic registry was used to retrospectively study 104 patients undergoing hip arthroscopy. Enrolled patients were administered baseline questionnaires for Patient-Reported Outcomes Measurement Information System (PROMIS) domains, Musculoskeletal Outcomes Data Evaluation and Management System (MODEMS) preoperative expectations, and Numeric Pain Scale (NPS).
Results
The average baseline PROMIS Depression and Anxiety scores were 49.9 ± 9.8 and 55.5 ± 9.3, respectively. Bivariate analysis demonstrated that greater baseline PROMIS Anxiety correlated with worse preoperative PROMIS PI (
p
< 0.001), Fatigue (
p
< 0.001), Social Satisfaction (p < 0.001), and NPS score (
p
= 0.013). Bivariate analysis showed that greater PROMIS Depression correlated with worse preoperative PROMIS PF (p = 0.001), PI (p < 0.001), Fatigue (
p
< 0.001), SS (
p
< 0.001), and NPS score (
p
= 0.004). After controlling for confounders, multivariable analysis confirmed increased PROMIS Depression as an independent predictor of worse preoperative PROMIS PF (
p
= 0.009), MODEMS Expectations (
p
= 0.025), and NPS score (
p
= 0.002). Increased PROMIS Anxiety was predictive of worse baseline PROMIS PI (
p
< 0.001), Fatigue (
p
< 0.001), and Social Satisfaction (
p
< 0.001). A previous clinical diagnosis of depression or anxiety was only an independent predictor of worse baseline PROMIS Fatigue (
p
= 0.002) and was insignificant in all other models.
Conclusion
Increasing severity of depression and anxiety correlated with and predicted worse functional status at baseline in hip arthroscopy patients. As compared to clinical diagnosis of anxiety and depression, PROMIS metrics have superior utility in recognizing potentially modifiable mental health concerns that predict worse preoperative status. Ultimately, the study identifies an at-risk population undergoing hip arthroscopy that requires particular attention and potential mental health intervention in the preoperative setting.
Level of evidence
III.
Details
- Title: Subtitle
- Depression and anxiety are associated with worse baseline function in hip arthroscopy patients
- Creators
- Samir Kaveeshwar - University of Maryland, BaltimoreMichael P. Rocca - University of Maryland, BaltimoreBrittany A. Oster - University of Maryland, BaltimoreMatheus B. Schneider - University of Maryland, BaltimoreAndrew Tran - University of Maryland, BaltimoreMatthew P. Kolevar - University of Maryland, BaltimoreFarshad Adib - University of Maryland, BaltimoreR. Frank Henn - University of Maryland, BaltimoreSean J. Meredith - University of Maryland, Baltimore
- Resource Type
- Journal article
- Publication Details
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, Vol.30(10), pp.3563-3569
- DOI
- 10.1007/s00167-022-06963-y
- PMID
- 35416491
- NLM abbreviation
- Knee Surg Sports Traumatol Arthrosc
- ISSN
- 0942-2056
- eISSN
- 1433-7347
- Publisher
- Springer Berlin Heidelberg
- Number of pages
- 7
- Grant note
- BL1941007WS / James Lawrence Kernan Hospital Endowment Fund, Incorporated
- Language
- English
- Date published
- 10/2022
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9985014846802771
Metrics
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