Correlation between the optimal screening for prediction of referral and outcome yellow flag tool and patient-reported legacy outcome measures in patients undergoing shoulder surgery

© 2024 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 8(2024), 5 vom: 28. Sept., Seite 1115-1121
1. Verfasser: Kim, Billy I (VerfasserIn)
Weitere Verfasser: Wu, Kevin A, Luo, Emily J, Morriss, Nicholas J, Cabell, Grant H, Lentz, Trevor A, Lau, Brian C
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2024
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Pain Patient-reported outcomes Psychological distress Rehabilitation Shoulder Surgery
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520 |a Background: The Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) Tool is a 10-item multidimensional screening tool utilized to evaluate pain-related psychological traits in individuals with musculoskeletal pain conditions. The validity of postoperatively collected OSPRO-YF is unclear. This study sought to assess validity of the OSPRO-YF by comparing it to patient-reported outcome scores in both preoperative and postoperative settings 
520 |a Hypothesis: The authors hypothesized that OSPRO-YF overall score would correlate with shoulder and global function PROs at preoperative and postoperative timepoints 
520 |a Methods: A review of 101 patients undergoing shoulder surgery by one sports medicine orthopedic surgeon at a large academic institution was conducted. 90 and 54 patients had complete preoperative and postoperative patient-reported outcome responses. OSPRO-YF, American Shoulder and Elbow Surgeons (ASES) Evaluation Form, and Patient-Reported Outcomes Measurement Information System Computer Adaptive Test (PROMIS-CAT) were routinely administered before and after surgery at the senior author's clinic visits. Concurrent validity of OSPRO-YF at either timepoint was assessed by comparing scores with PROs cross-sectionally using Pearson correlations and multiple comparison corrections 
520 |a Results: Preoperatively, higher OSPRO-YF total score was associated with greater concurrent PROMIS-CAT Pain Interference (r = 0.43; P < .01) and Depression (r = 0.36; P = .05) and lower ASES (r = -0.34; P < .01). Higher postoperative OSPRO-YF was also associated with greater concurrent PROMIS-CAT Pain Interference (r = 0.43; P < .01) and Depression (r = 0.36; P < .01) and lower ASES (r = -0.34; P = .01). ASES had strong correlation with Single Assessment Numeric Evaluation and Pain scores at both preoperative and postoperative timepoints. Single Assessment Numeric Evaluation was not significantly associated with OSPRO-YF total score or number of yellow flags at either timepoints 
520 |a Conclusion: The study findings support the clinical validity of the 10-item OSPRO-YF tool when administered before or after shoulder surgery. For patients exhibiting suboptimal recovery or those identified as high risk at initial screening, assessment of pain-related psychological distress postoperatively may be particularly beneficial in guiding rehabilitation 
650 4 |a Journal Article 
650 4 |a Pain 
650 4 |a Patient-reported outcomes 
650 4 |a Psychological distress 
650 4 |a Rehabilitation 
650 4 |a Shoulder 
650 4 |a Surgery 
700 1 |a Wu, Kevin A  |e verfasserin  |4 aut 
700 1 |a Luo, Emily J  |e verfasserin  |4 aut 
700 1 |a Morriss, Nicholas J  |e verfasserin  |4 aut 
700 1 |a Cabell, Grant H  |e verfasserin  |4 aut 
700 1 |a Lentz, Trevor A  |e verfasserin  |4 aut 
700 1 |a Lau, Brian C  |e verfasserin  |4 aut 
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