Adrian Wolfensberger|Philippe Vuistiner|Michel Konzelmann|Chantal Plomb-Holmes|Bertrand Léger|François Lüthi
Clinician and Patient-reported Outcomes Are Associated With Psychological Factors in Patients With Chronic Shoulder Pain
University of Lausanne|Clinique Romande de Réadaptation|Clinique Romande de Réadaptation|Clinique Romande de Réadaptation|Clinique Romande de Réadaptation|University of Lausanne
background validated clinician outcome scores considered less associated psychosocial factors patientreported outcome measurements proms belief may lead misconceptions instruments related similar factors questions asked patients chronic shoulder pain biopsychosocial factors associated 1 proms 2 clinicianrated outcome measurements methods new patients ages 18 65 chronic shoulder pain unilateral shoulder injury admitted swiss rehabilitation teaching hospital may 2012 january 2015 screened potential contributing biopsychosocial factors study period 314 patients screened applying prespecified criteria 158 patients evaluated median symptom duration 9 months interquartile range 5515 months 72 patients 114 patients rotator cuff tears work injuries 59 93 patients followed mean 316 days sd 75 days exclusion criteria concomitant injuries another location major minor upper limb neuropathy inability understand validated available versions proms proms dash brief pain inventory patient global impression change treatment physiotherapy cognitive therapy vocational training constantmurley score used clinicianrated outcome measurement statistical models used estimate associations biopsychosocial factors outcomes results greater disability dash associated psychological factors hospital anxiety depression scale pain catastrophizing scale combined coefficient 064 95 ci 025103 p 0002 social factors language professional qualification combined coefficient 615 95 ci 1109 122 p 0015 greater pain brief pain inventory associated psychological factors hospital anxiety depression scale pain catastrophizing scale combined coefficient 0076 95 ci 0021013 p 0006 poorer impression change associated psychological factors hospital anxiety depression scale pain catastrophizing scale tampa scale kinesiophobia coefficient 093 95 ci 087099 p 0026 social factors education language professional qualification coefficient 667 95 ci 2771610 p 0001 worse clinicianrated outcome associated psychological factors hospital anxiety depression scale depression pain catastrophizing scale tampa scale kinesiophobia combined coefficient 035 95 ci 058 012 p 0003 conclusions depressive symptoms catastrophizing appear key factors influencing proms clinicianrated outcomes study suggests revisiting constantmurley score level evidence level iii prognostic study