A Systematic Review of the Impact of Patient Pain Catastrophizing and Resiliency on Patient-Reported Outcomes in Hip Arthroscopy for Femoroacetabular Impingement.
Rebecca M Haley, Yuta Umeda, Martina Hale et al.
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In 30 seconds
This systematic review examined whether pain catastrophizing and resilience were associated with patient-reported outcomes after hip arthroscopy for femoroacetabular impingement. Seven studies met the inclusion criteria, including 231 patients in studies of pain catastrophizing and 196 in studies of resilience. Postoperative patient-reported outcomes improved in all studies assessing either factor. Higher pain catastrophizing was associated with worse outcomes in all relevant studies, while 2 of 3 resilience studies found lower resilience correlated with worse outcomes. The review identifies consistent associations, but does not establish that either psychological factor causes postoperative outcomes.
Key findings
- Across all pain-catastrophizing studies, postoperative patient-reported outcomes improved, but higher catastrophizing was associated with worse outcomes.
- All resilience studies reported significant preoperative-to-postoperative improvement in patient-reported outcomes.
- In 2 of 3 resilience studies, lower resilience correlated with worse outcomes.
- The review included 231 patients in pain-catastrophizing studies and 196 in resilience studies.
Why it matters
The findings suggest that psychological characteristics may be relevant when interpreting patient-reported recovery after hip arthroscopy for femoroacetabular impingement. Recognising these associations can inform a broader understanding of variation in reported outcomes, while the evidence does not show that changing catastrophizing or resilience would improve surgical results.
What to keep in mind
The review included only seven studies, and findings for resilience were not consistent across all three studies.