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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

How Resilient Are Patients Undergoing Knee and Shoulder Arthroscopy Procedures?

Scientific Abstract

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.

Lay Abstract

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.

Clinical Implications

This study identified factors associated with patient resilience. Our findings highlight important variables for clinicians to consider when determining if surgery is an appropriate intervention for a patient and in providing better tailored preoperative surgical education.