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Establishing and comparing reference preoperative PROMIS scores in patients undergoing shoulder surgery

Journal of Shoulder and Elbow Surgery Oct 04, 2020

Guo EW, Elhage K, Cross AG, et al. - This study was sought to evaluate and compare baseline preoperative PROMIS scores for three common types of shoulder surgery: rotator cuff repair (RCR), total shoulder arthroplasty (TSA), and labrum repair (LR) and to stratify these operative groups by diagnosis and compare those preoperative PROMIS scores. Researchers conducted a cross-sectional study including adult and pediatric patients who had undergone surgery for either RCR, TSA, or LR. They examined PROMIS-Upper extremity (UE), Pain Interference (PI), and Depression (D) scores that were obtained at each patient’s preoperative visit. Multivariable general linear models were used to identify significant independent predictors of PROMIS scores when controlling for age, sex, and BMI. A total of 413 patients were included in the study. The results of this study exhibited that individuals undergoing shoulder labrum repair had higher preoperative function scores and lower pain interference and depression scores than those undergoing TSA and RCR. When tracking a patient’s outcomes, these baseline PROMIS scores should be taken into consideration after surgery, as a certain score could mean drastically different functional and pain outcomes depending on the underlying pathology.

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