Tom J. Crijns|David N. Bernstein|David Ring|Ronald M. Gonzalez|Danielle Wilbur|Warren C. Hammert
Depression and Pain Interference Correlate With Physical Function in Patients Recovering From Hand Surgery
The University of Texas at Austin|University of Rochester|The University of Texas at Austin|University of Rochester|University of Rochester|University of Rochester
background patientreported outcome measures vary expected based underlying pathology part due substantial influence mood coping strategies methods study addressed primary null hypothesis patientreported outcomes measurement information system promis physical function score 1 month range 38 weeks hand surgery associated promis depression promis pain interference scores prior surgery accounting factors using institutionwide database routinely collected patientreported outcomes identified adult patients underwent wrist ganglion excision trapeziometacarpal arthroplasty hand ganglion excision trigger digit de quervain carpal tunnel release measures collected included promis physical function computerized adaptive test cat promis pain interference cat promis depression cat sought factors associated postsurgical promis physical function scores change preoperative postoperative score using multivariable linear regression accounting age sex surgery type provider time surgery postsurgical measurement results higher postoperative promis physical function score independently associated lower promis pain interference scores lower promis depression scores younger age treatment provider team 3 greater change promis physical function score independently associated greater promis pain interference scores greater time surgery treatment provider team 3 conclusions mood effective coping strategies affect level symptoms limitations recovery hand surgery represent important treatment opportunities enhancing recovery