Resilience correlates with patient-reported outcome measures at a minimum of 2 years after arthroscopic rotator cuff repair.

Abstract

We aimed to evaluate the correlation between preoperative and postoperative resilience scores and postoperative outcomes at minimum 2-year follow-up after arthroscopic rotator cuff repair. We prospectively enrolled 98 patients who underwent rotator cuff repair. We assessed resilience using the Brief Resilience Scale. Postoperatively, we obtained patient-reported outcomes measures including American Society of Shoulder and Elbow Surgeons scores, Single Assessment Numeric Evaluation, and Patient-Reported Outcome Measurement Information System Global Health-10 at minimum 2-year follow-up. We used Spearman correlation coefficients (<i>r</i>) to assess the relationship between variables. Ninety-one of 98 patients (93%) provided follow-up at an average of 32 months. Preoperative Brief Resilience Scale did not show a statistically significant correlation with American Society of Shoulder and Elbow Surgeons (<i>r</i> = 0.156; <i>p</i> = 0.142). However, preoperative Brief Resilience Scale showed statistically significant correlations with Patient-Reported Outcome Measurement Information System Global Health-10 (<i>r</i> = 0.290; <i>p</i> = 0.005) and Single Assessment Numeric Evaluation (<i>r</i> = 0.259; <i>p</i> = 0.014). Postoperative Brief Resilience Scale showed statistically significant correlations with American Society of Shoulder and Elbow Surgeons (<i>r</i> = 0.291; <i>p</i> = 0.005), Single Assessment Numeric Evaluation (<i>r</i> = 0.384; <i>p</i> < 0.001) and Patient-Reported Outcome Measurement Information System Global Health-10 (<i>r</i> = 0.515; <i>p</i> < 0.001). Resilience may be a valuable predictor of patients at risk of having suboptimal outcomes after rotator cuff repair and a target to improve surgical outcomes through non-surgical means.