Psychological disorders confer poor functional outcomes after reverse total shoulder arthroplasty

Background: Reverse total shoulder arthroplasty (RTSA) is being used to treat a number of shoulder disorders. The purpose of the present study was to investigate the correlation between psychological disorders, drug and alcohol abuse, and postoperative complications and outcomes after RTSA. Methods:...

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Autores principales:	Ariel Porter, BS, R. Michael Greiwe, MD
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Level IV Retrospective Review Surgery RD1-811
Acceso en línea:	https://doaj.org/article/8631f1f6fe804ed3bea865dee0f6dc22
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spelling	oai:doaj.org-article:8631f1f6fe804ed3bea865dee0f6dc222021-11-22T04:31:55ZPsychological disorders confer poor functional outcomes after reverse total shoulder arthroplasty2666-639110.1016/j.xrrt.2021.06.008https://doaj.org/article/8631f1f6fe804ed3bea865dee0f6dc222021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666639121000651https://doaj.org/toc/2666-6391Background: Reverse total shoulder arthroplasty (RTSA) is being used to treat a number of shoulder disorders. The purpose of the present study was to investigate the correlation between psychological disorders, drug and alcohol abuse, and postoperative complications and outcomes after RTSA. Methods: A total of 128 patients who underwent an RTSA between January 2010 and February 2017 were identified. American Shoulder and Elbow Surgeons, SST, ROM, complications, radiographic outcomes and patient satisfaction were collected. Follow-up occurred at a minimum of 2 years postoperatively (average of 3.68 years). Statistical analysis evaluated the effects of multiple risk factors: psychological disorders, substance abuse, and preoperative diagnoses. Results: Psychological disorder diagnosis correlated with statistically significant lower American Shoulder and Elbow Surgeons function (P = .027) and Simple Shoulder Test (P = .029) scores compared with those without a psychological disorder. It also conferred poor functional outcomes based on external rotation (P = .012). Complications, especially major complications, were more prevalent in patients with psychological diagnoses than without. A history of substance abuse correlated with a lower external rotation (P = .025). Conclusion: Both a preoperative psychological diagnosis and a history of substance abuse conferred worse objective and functional outcomes scores after RTSA.Ariel Porter, BSR. Michael Greiwe, MDElsevierarticleLevel IVRetrospective ReviewSurgeryRD1-811ENJSES Reviews, Reports, and Techniques, Vol 1, Iss 4, Pp 357-360 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Level IV Retrospective Review Surgery RD1-811
spellingShingle	Level IV Retrospective Review Surgery RD1-811 Ariel Porter, BS R. Michael Greiwe, MD Psychological disorders confer poor functional outcomes after reverse total shoulder arthroplasty
description	Background: Reverse total shoulder arthroplasty (RTSA) is being used to treat a number of shoulder disorders. The purpose of the present study was to investigate the correlation between psychological disorders, drug and alcohol abuse, and postoperative complications and outcomes after RTSA. Methods: A total of 128 patients who underwent an RTSA between January 2010 and February 2017 were identified. American Shoulder and Elbow Surgeons, SST, ROM, complications, radiographic outcomes and patient satisfaction were collected. Follow-up occurred at a minimum of 2 years postoperatively (average of 3.68 years). Statistical analysis evaluated the effects of multiple risk factors: psychological disorders, substance abuse, and preoperative diagnoses. Results: Psychological disorder diagnosis correlated with statistically significant lower American Shoulder and Elbow Surgeons function (P = .027) and Simple Shoulder Test (P = .029) scores compared with those without a psychological disorder. It also conferred poor functional outcomes based on external rotation (P = .012). Complications, especially major complications, were more prevalent in patients with psychological diagnoses than without. A history of substance abuse correlated with a lower external rotation (P = .025). Conclusion: Both a preoperative psychological diagnosis and a history of substance abuse conferred worse objective and functional outcomes scores after RTSA.
format	article
author	Ariel Porter, BS R. Michael Greiwe, MD
author_facet	Ariel Porter, BS R. Michael Greiwe, MD
author_sort	Ariel Porter, BS
title	Psychological disorders confer poor functional outcomes after reverse total shoulder arthroplasty
title_short	Psychological disorders confer poor functional outcomes after reverse total shoulder arthroplasty
title_full	Psychological disorders confer poor functional outcomes after reverse total shoulder arthroplasty
title_fullStr	Psychological disorders confer poor functional outcomes after reverse total shoulder arthroplasty
title_full_unstemmed	Psychological disorders confer poor functional outcomes after reverse total shoulder arthroplasty
title_sort	psychological disorders confer poor functional outcomes after reverse total shoulder arthroplasty
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/8631f1f6fe804ed3bea865dee0f6dc22
work_keys_str_mv	AT arielporterbs psychologicaldisordersconferpoorfunctionaloutcomesafterreversetotalshoulderarthroplasty AT rmichaelgreiwemd psychologicaldisordersconferpoorfunctionaloutcomesafterreversetotalshoulderarthroplasty
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Psychological disorders confer poor functional outcomes after reverse total shoulder arthroplasty

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