Abstract：
UNASSIGNED: Pain and pain perception are influenced by patients\' thoughts. The short form Negative Pain Thoughts Questionnaire (NPTQ-SF) can be used to quantify unhelpful negative cognitive biases about pain, but the relationship between NPTQ-SF scores and orthopaedic surgery outcomes is not known.
UNASSIGNED: The purpose was to assess the relationship between negative pain thoughts, as measured by the NPTQ-SF, and patient-reported outcomes in patients undergoing arthroscopic rotator cuff repair, as well as to compare NPTQ-SF scores and outcomes between patients with and without a history of chronic pain and psychiatric history. It was hypothesized that patients with worse negative pain thoughts would have worse patient-reported outcomes.
UNASSIGNED: Cohort study; Level of evidence, 2.
UNASSIGNED: In total, 109 patients undergoing arthroscopic rotator cuff repair were administered the 4-item NPTQ-SF, 12-item Short Form Health Survey (SF-12), American Shoulder and Elbow Surgeons (ASES) Shoulder Evaluation Form, and visual analog scale pain survey preoperatively between July 2021 and August 2022. The same surveys were completed ≥6 months postoperatively by 74 patients confirmed to have undergone arthroscopic rotator cuff repair.
UNASSIGNED: Preoperative NPTQ-SF scores did not show any correlation with the postoperative patient-reported outcomes measured in this study. Postoperative NPTQ-SF scores were statistically significantly negatively correlated with postoperative SF-12 Physical Health Score, SF-12 Mental Health Score, ASES, and satisfaction scores (P < .05). Postoperative NPTQ-SF scores were statistically significantly positively correlated with postoperative visual analog scale scores (P < .001). Moreover, postoperative NPTQ-SF scores were statistically significantly negatively correlated with achieving a Patient Acceptable Symptom State and the minimal clinically important difference on the postoperative ASES form (P < .001 and P = .009, respectively).
UNASSIGNED: Postoperative patient thought patterns and their perception of pain are correlated with postoperative outcomes after rotator cuff repair. This correlation suggests a role for counseling and expectation management in the postoperative setting. Conversely, preoperative thought patterns regarding pain, as measured by the NPTQ-SF, do not correlate with postoperative patient-reported outcome measures. Therefore, the NPTQ-SF should not be used as a preoperative tool to aid the prediction of outcomes after rotator cuff repair.
UNASSIGNED: The purpose was to assess the relationship between negative pain thoughts, as measured by the NPTQ-SF, and patient-reported outcomes in patients undergoing arthroscopic rotator cuff repair, as well as to compare NPTQ-SF scores and outcomes between patients with and without a history of chronic pain and psychiatric history. It was hypothesized that patients with worse negative pain thoughts would have worse patient-reported outcomes.
UNASSIGNED: Cohort study; Level of evidence, 2.
UNASSIGNED: In total, 109 patients undergoing arthroscopic rotator cuff repair were administered the 4-item NPTQ-SF, 12-item Short Form Health Survey (SF-12), American Shoulder and Elbow Surgeons (ASES) Shoulder Evaluation Form, and visual analog scale pain survey preoperatively between July 2021 and August 2022. The same surveys were completed ≥6 months postoperatively by 74 patients confirmed to have undergone arthroscopic rotator cuff repair.
UNASSIGNED: Preoperative NPTQ-SF scores did not show any correlation with the postoperative patient-reported outcomes measured in this study. Postoperative NPTQ-SF scores were statistically significantly negatively correlated with postoperative SF-12 Physical Health Score, SF-12 Mental Health Score, ASES, and satisfaction scores (P < .05). Postoperative NPTQ-SF scores were statistically significantly positively correlated with postoperative visual analog scale scores (P < .001). Moreover, postoperative NPTQ-SF scores were statistically significantly negatively correlated with achieving a Patient Acceptable Symptom State and the minimal clinically important difference on the postoperative ASES form (P < .001 and P = .009, respectively).
UNASSIGNED: Postoperative patient thought patterns and their perception of pain are correlated with postoperative outcomes after rotator cuff repair. This correlation suggests a role for counseling and expectation management in the postoperative setting. Conversely, preoperative thought patterns regarding pain, as measured by the NPTQ-SF, do not correlate with postoperative patient-reported outcome measures. Therefore, the NPTQ-SF should not be used as a preoperative tool to aid the prediction of outcomes after rotator cuff repair.
摘要：
■疼痛和疼痛感知受到患者思想的影响。简短形式的消极疼痛思想问卷（NPTQ-SF）可用于量化对疼痛无益的消极认知偏见，但NPTQ-SF评分与骨科手术结局之间的关系尚不清楚.
■目的是评估消极的疼痛想法之间的关系，由NPTQ-SF测量，以及接受关节镜肩袖修复的患者报告的结果，以及比较有和没有慢性疼痛史和精神病史的患者的NPTQ-SF评分和结局。据推测，负面疼痛想法较差的患者会有较差的患者报告结果。
■队列研究；证据水平，2.
■总共，109例接受关节镜肩袖修复的患者接受了4项NPTQ-SF，12项简式健康调查(SF-12)，美国肩肘外科医师（ASES）肩关节评估表，2021年7月至2022年8月的术前疼痛视觉模拟量表调查。术后≥6个月完成了相同的调查，有74例患者被证实接受了关节镜肩袖修复。
■术前NPTQ-SF评分与本研究测量的术后患者报告结果无任何相关性。术后NPTQ-SF评分与术后SF-12体质健康评分呈显著负相关,SF-12心理健康评分，ASES,和满意度得分（P<0.05）。术后NPTQ-SF评分与术后视觉模拟量表评分呈显著正相关(P<.001)。此外，术后NPTQ-SF评分与达到患者可接受的症状状态和术后ASES形式的最小临床重要差异呈统计学显著负相关(分别为P<.001和P=.009).
■术后患者的思维模式及其对疼痛的感知与肩袖修复术后的结果相关。这种相关性表明在术后设置中咨询和期望管理的作用。相反，术前关于疼痛的思维模式，由NPTQ-SF测量，与术后患者报告的结局指标无关。因此,NPTQ-SF不应用作为预测肩袖修复后结局的术前工具.
■目的是评估消极的疼痛想法之间的关系，由NPTQ-SF测量，以及接受关节镜肩袖修复的患者报告的结果，以及比较有和没有慢性疼痛史和精神病史的患者的NPTQ-SF评分和结局。据推测，负面疼痛想法较差的患者会有较差的患者报告结果。
■队列研究；证据水平，2.
■总共，109例接受关节镜肩袖修复的患者接受了4项NPTQ-SF，12项简式健康调查(SF-12)，美国肩肘外科医师（ASES）肩关节评估表，2021年7月至2022年8月的术前疼痛视觉模拟量表调查。术后≥6个月完成了相同的调查，有74例患者被证实接受了关节镜肩袖修复。
■术前NPTQ-SF评分与本研究测量的术后患者报告结果无任何相关性。术后NPTQ-SF评分与术后SF-12体质健康评分呈显著负相关,SF-12心理健康评分，ASES,和满意度得分（P<0.05）。术后NPTQ-SF评分与术后视觉模拟量表评分呈显著正相关(P<.001)。此外，术后NPTQ-SF评分与达到患者可接受的症状状态和术后ASES形式的最小临床重要差异呈统计学显著负相关(分别为P<.001和P=.009).
■术后患者的思维模式及其对疼痛的感知与肩袖修复术后的结果相关。这种相关性表明在术后设置中咨询和期望管理的作用。相反，术前关于疼痛的思维模式，由NPTQ-SF测量，与术后患者报告的结局指标无关。因此,NPTQ-SF不应用作为预测肩袖修复后结局的术前工具.
