Abstract：
UNASSIGNED: The aim of this study was to evaluate the impact of mental health attributes, such as the presence of psychiatric comorbidities or psychological comorbidities (low resilience), on outcomes after rotator cuff repair (RCR) and total shoulder arthroplasty (TSA).
UNASSIGNED: PubMed, Cochrane, and Google Scholar (results pages 1-20) were searched up to November 2023. Mental health problems of interest included the presence of psychiatric comorbidities (depression, anxiety) or indicators of poor psychological functioning, such as low resilience or the presence of distress. Patients were assigned to poor or good mental health groups in this study based on their grouping in the original study.
UNASSIGNED: Fourteen studies were included in the meta-analysis. Patients with good mental health had greater improvements in postoperative American Shoulder and Elbow Surgeons and Simple Shoulder Test scores in the TSA cohort (P=0.003 and P=0.01), RCR cohort (P<0.001), and the combined TSA and RCR cohort (P<0.001). No difference was found in visual analog scale score, satisfaction, external rotation, or flexion between the two mental health groups. Patients with poor mental health undergoing RCR experienced higher rates of adverse events and transfusions (P<0.001). Patients with poor mental health also had greater rates of revision and emergency department visits in the TSA cohort (P<0.001), RCR cohort (P=0.05 and P=0.03), and combined cohort (P<0.001). Patients with poor mental health undergoing TSA had a higher rate of re-admission (P<0.001).
UNASSIGNED: Patients with poor preoperative mental health showed inferior patient-reported outcome scores and increased rates of adverse events, revisions, and re-admissions.
UNASSIGNED: PubMed, Cochrane, and Google Scholar (results pages 1-20) were searched up to November 2023. Mental health problems of interest included the presence of psychiatric comorbidities (depression, anxiety) or indicators of poor psychological functioning, such as low resilience or the presence of distress. Patients were assigned to poor or good mental health groups in this study based on their grouping in the original study.
UNASSIGNED: Fourteen studies were included in the meta-analysis. Patients with good mental health had greater improvements in postoperative American Shoulder and Elbow Surgeons and Simple Shoulder Test scores in the TSA cohort (P=0.003 and P=0.01), RCR cohort (P<0.001), and the combined TSA and RCR cohort (P<0.001). No difference was found in visual analog scale score, satisfaction, external rotation, or flexion between the two mental health groups. Patients with poor mental health undergoing RCR experienced higher rates of adverse events and transfusions (P<0.001). Patients with poor mental health also had greater rates of revision and emergency department visits in the TSA cohort (P<0.001), RCR cohort (P=0.05 and P=0.03), and combined cohort (P<0.001). Patients with poor mental health undergoing TSA had a higher rate of re-admission (P<0.001).
UNASSIGNED: Patients with poor preoperative mental health showed inferior patient-reported outcome scores and increased rates of adverse events, revisions, and re-admissions.
摘要：
■这项研究的目的是评估心理健康属性的影响，例如存在精神病合并症或心理合并症（低弹性），肩袖修复（RCR）和全肩关节置换术（TSA）后的结局。
■PubMed,科克伦,和谷歌学者(结果第1-20页)被搜索到2023年11月。感兴趣的心理健康问题包括精神病合并症的存在(抑郁症，焦虑)或心理功能不良的指标，例如低弹性或存在痛苦。在这项研究中，根据原始研究中的分组，将患者分为不良或良好的心理健康组。
■14项研究纳入荟萃分析。在TSA队列中，心理健康良好的患者在术后美国肩肘外科医师和单肩测试评分方面有较大改善（P=0.003和P=0.01），RCR队列（P<0.001），以及TSA和RCR组合队列(P<0.001)。视觉模拟量表评分无差异，满意,外部旋转,或两个心理健康群体之间的屈曲。接受RCR的心理健康差的患者出现较高的不良事件和输血率（P<0.001）。在TSA队列中，心理健康差的患者的修订率和急诊就诊率也更高（P<0.001），RCR队列（P=0.05和P=0.03），和组合队列（P<0.001）。精神健康差的患者接受TSA的再入院率较高(P<0.001)。
术前心理健康差的患者显示患者报告的结果评分较差，不良事件发生率增加，修订,和重新录取。
■PubMed,科克伦,和谷歌学者(结果第1-20页)被搜索到2023年11月。感兴趣的心理健康问题包括精神病合并症的存在(抑郁症，焦虑)或心理功能不良的指标，例如低弹性或存在痛苦。在这项研究中，根据原始研究中的分组，将患者分为不良或良好的心理健康组。
■14项研究纳入荟萃分析。在TSA队列中，心理健康良好的患者在术后美国肩肘外科医师和单肩测试评分方面有较大改善（P=0.003和P=0.01），RCR队列（P<0.001），以及TSA和RCR组合队列(P<0.001)。视觉模拟量表评分无差异，满意,外部旋转,或两个心理健康群体之间的屈曲。接受RCR的心理健康差的患者出现较高的不良事件和输血率（P<0.001）。在TSA队列中，心理健康差的患者的修订率和急诊就诊率也更高（P<0.001），RCR队列（P=0.05和P=0.03），和组合队列（P<0.001）。精神健康差的患者接受TSA的再入院率较高(P<0.001)。
术前心理健康差的患者显示患者报告的结果评分较差，不良事件发生率增加，修订,和重新录取。
