Mood disorders associated with poor outcomes after arthroscopic rotator cuff repair
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Key takeaways:
- Patients with anxiety and/or depression had worse outcomes after arthroscopic rotator cuff repair compared with patients without a mood disorder.
- Surgery improved postoperative anxiety and depressive symptoms.
Published results showed patients with pre-existing mood disorders had worse postoperative pain and functional outcomes after arthroscopic rotator cuff repair compared with patients without mood disorders.
Researchers performed systematic literature review and meta-analysis of eight studies which reported on 1,166 arthroscopic rotator cuff repairs (ARCRs) with a mean follow-up of 20.8 months. Among the cohort, 262 patients had a pre-existing mood disorder of anxiety and/or depression. The control group consisted of the remaining 904 patients who did not have a pre-existing mood disorder. Outcome measures included the American Shoulder and Elbow Surgeons scores, Simple Shoulder Test (SST) scores and VAS pain scores.
Researchers found patients with a pre-existing mood disorder had significantly lower mean ASES and SST scores and significantly higher VAS pain scores compared with patients without a pre-existing mood disorder.
Mean ASES scores were 51.7 preoperatively and 79.7 at 1-year postoperatively among patients with a pre-existing mood disorder, whereas mean ASES scores were 61.1 preoperatively and 89.6 at 1-year postoperatively among patients without a pre-existing mood disorder. Similarly, mean SST scores were 3.4 preoperatively and 8.4 at 1-year postoperatively among patients with a pre-existing mood disorder, whereas mean SST scores were 5.3 preoperatively and 10.2 at 1-year postoperatively among patients without a pre-existing mood disorder.
However, researchers noted ARCR resulted in significant improvements in anxiety and/or depressive symptoms postoperatively.
“Therefore, the presence of pre-existing anxiety and/or depression warrants consideration in the management paradigm for patients with [rotator cuff tears],” the researchers wrote in the study.
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