CME OnDemand: 2022 AOFAS Annual Meeting-Impact of Pre-Operative PROMIS Depression Scores on Total Ankle Replacement Outcomes

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The study aimed to evaluate the impact of pre-operative PROMIS depression scores on total ankle replacement (TAR) outcomes. The Patient-Reported Outcomes Measurement Information System (PROMIS) was used to assess TAR outcomes. Previous studies have shown that pre-operative factors like stress and depression may influence the success of TAR, but there is limited literature on this topic. <br /><br />The research included a retrospective analysis of patients enrolled in the Orthopaedic Foot and Ankle Outcomes Research (OFAR) network. Patients were grouped as "no/low depression" if they scored below 60 on the PROMIS depression scale, and "high depression" if they scored 60 or higher. Mann-Whitney U tests were used to assess significance. <br /><br />Both groups showed significant improvement in PROMIS physical function and PROMIS pain interference at 12 months. The high depression group had a significantly higher baseline PROMIS pain interference compared to the no/low depression group, but there was no significant difference between the two groups at 12 months. There was a significant difference in PROMIS depression scores between the high depression and no/low depression groups pre-operatively, but no significant difference at 12 months. <br /><br />The findings suggest that patients with high pre-operative PROMIS depression scores may have worse baseline physical function and pain interference compared to other patients, but they see greater overall improvement after total ankle arthroplasty. <br /><br />The study included 36 patients who received a total ankle replacement, with 28 categorized as no/low depression and 8 categorized as high depression. The data was made available by the Orthopaedic Foot and Ankle Outcomes Research network, funded by the American Orthopaedic Foot and Ankle Society.

Asset Subtitle

Daniel K. Moon, MD, MS, MBA, Michael A. Hewitt, BA, Sara E. Buckley, DO, Stephanie Albin, Kenneth J. Hunt, MD, OFAR Network

Keywords

pre-operative PROMIS depression scores

total ankle replacement outcomes

PROMIS

stress and depression

Orthopaedic Foot and Ankle Outcomes Research

Mann-Whitney U tests

PROMIS physical function

PROMIS pain interference

total ankle arthroplasty

American Orthopaedic Foot and Ankle Society