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Natalie Lowenstein
Pronouns
She/Her/Hers
Job Title
Research Assistant II
Academic Rank
Department
Orthopedics
Authors
Jillian Mazzocca, Natalie Lowenstein, Connor Crutchfield, Elizabeth Matzkin
Principal Investigator
Elizabeth G. Matzkin
Research Category: Musculoskeletal/Orthopedics/Sports Medicine
Tags
Purpose: To determine what patient characteristics correlate with patients’ resilience and to investigate the relationship between resilience and commonly used preoperative patient-reported outcome measures (PROMs) in knee and shoulder arthroscopy patients.
Methods: A total of 809 patients (59.3% female) who underwent knee or shoulder arthroscopy with the senior author were prospectively recruited for participation and preoperatively categorized into low, normal, and high resilience groups using the Brief Resilience Score (BRS). All PROMs and patient demographics were collected preoperatively utilizing various questionnaires. Regression analyses and Pearson correlations were used to evaluate differences in PROMs between resilience groups.
Results: There were statistically significant differences between low, normal, and high resiliency groups regarding patient demographics including sex (P <0.001), age group (P <0.001), preoperative opioid use (P <0.05), Workers’ compensation status (P <0.001), and smoking status (P <0.001). Younger female patients (<25yo), current smokers, those involved in Workers’ Compensation cases, and patients using pre-operative opioids had the lowest resiliency scores.
Conclusion: Preoperative resilience is associated with age, sex, preoperative opioid use, Worker’s compensation status, and smoking status in patients undergoing knee and shoulder arthroscopy. Considering these factors could help surgeons with patient selection by determining how certain patients will respond to surgery.
Purpose: To determine what patient characteristics correlate with patients’ resilience and to investigate the relationship between resiliency and commonly used preoperative patient-reported outcome measures (PROMs) in knee and shoulder arthroscopy patients in a sports medicine practice.
Methods: A total of 809 patients who underwent knee or shoulder arthroscopy at a sports medicine clinic were recruited to participate in this study and categorized into low, normal, and high resilience groups prior to surgery using the Brief Resilience Score (BRS). All PROMs and patient demographics were collected preoperatively utilizing various questionnaires. Statistical analyses were performed to evaluate differences in PROMs between resilience groups.
Results: There were statistically significant differences between low, normal, and high resiliency groups regarding patient demographics including sex, age group, preoperative opioid use, Workers’ compensation status, and smoking status. Younger female patients (<25yo), current smokers, those involved in Workers’ Compensation cases, and patients using pre-operative opioids had the lowest resiliency scores.
Conclusion: Preoperative resilience is associated with age, sex, preoperative opioid use, Workers’ compensation status, and smoking status in patients undergoing knee and shoulder arthroscopy. Considering these factors could help surgeons with patient selection by determining how certain patients will respond to surgery.
