Background: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.Purpose/Hypothesis: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.Study Design:Cohort study; Level of evidence, 2.Methods: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.Results: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).Conclusion: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.

中文翻译：

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术后消极疼痛想法及其与关节镜下肩袖修复后患者报告结果的相关性：一项观察性队列研究


背景：疼痛和疼痛感知受到患者思想的影响。简短的消极疼痛想法问卷 (NPTQ-SF) 可用于量化对疼痛无益的消极认知偏差，但 NPTQ-SF 评分与骨科手术结果之间的关系尚不清楚。 目的/假设：目的是评估通过 NPTQ-SF 测量的消极疼痛想法与接受关节镜肩袖修复的患者报告的结果之间的关系，以及比较有和没有慢性疼痛和精神病史的患者之间的 NPTQ-SF 评分和结果历史。据推测，具有更严重的消极疼痛想法的患者报告的结果也会更差。 研究设计：队列研究；证据级别，2。方法：总共对 109 名接受关节镜肩袖修复的患者进行了 4 项 NPTQ-SF、12 项简短健康调查 (SF-12)、美国肩肘外科医生 (ASES) 肩部检查2021年7月至2022年8月期间进行术前评估表和视觉模拟量表疼痛调查。74名确认接受关节镜下肩袖修复的患者在术后≥6个月完成了相同的调查。结果：术前NPTQ-SF评分没有显示任何相关性与本研究中测量的术后患者报告的结果。术后 NPTQ-SF 评分与术后 SF-12 身体健康评分、SF-12 心理健康评分、ASES 和满意度评分呈显着负相关 ( P < .05)。术后 NPTQ-SF 评分与术后视觉模拟量表评分呈显着正相关 (P < .001)。 此外，术后 NPTQ-SF 评分与达到患者可接受的症状状态以及术后 ASES 形式的最小临床重要差异呈统计学显着负相关（分别为 P < .001 和 P = .009）。 结论：术后患者思维模式他们对疼痛的感知与肩袖修复术后的结果相关。这种相关性表明咨询和期望管理在术后环境中的作用。相反，通过 NPTQ-SF 测量的术前关于疼痛的思维模式与术后患者报告的结果测量并不相关。因此，NPTQ-SF 不应用作术前工具来帮助预测肩袖修复后的结果。