Background:Pain is multifactorial, and pain intensity has been shown to be influenced by patients’ thoughts. The Negative Pain Thoughts Questionnaire Short Form (NPTQ-SF) can be used to quantify unhelpful negative cognitive biases about pain, but the relationship between negative pain thoughts and orthopaedic surgery outcomes is not known.Purpose:To evaluate the prevalence of negative pain thoughts in patients undergoing arthroscopic meniscectomy using the NPTQ-SF survey and assess the relationship these thoughts have to knee function, general health, pain, and satisfaction before and after surgery.Study Design:Case series; Level of evidence, 4.Methods:In total, 146 patients undergoing arthroscopic meniscectomy were administered the 4-item NPTQ-SF, 12-item Short Form Survey (SF-12), International Knee Documentation Committee (IKDC) questionnaire, and visual analog scale pain survey preoperatively between July 2021 and August 2022. The same surveys were completed at a minimum of 3 months and no later than 1 year postoperatively by 92 patients confirmed to have undergone meniscectomy.Results:NPTQ-SF scores were correlated with IKDC, SF-12, and satisfaction score preoperatively and at least 3 months postoperatively (mean, 108.5 ± 43.7 days). Preoperative NPTQ-SF scores were significantly negatively correlated with postoperative IKDC ( R = −0.284), SF-12 ( R = −0.266 and −0.328), and visual analog scale pain ( R = 0.294) scores, while a relationship with postoperative satisfaction did not reach statistical significance ( P = .067). Patients with a preoperative NPTQ-SF score >8 were less likely to achieve a Patient Acceptable Symptom State on the postoperative IKDC questionnaire (39% vs 63%; P = .03). Patients with a history of a psychiatric or chronic pain diagnoses have worse NPTQ-SF, SF-12, and IKDC scores pre- and postoperatively.Conclusion:The level of negative pain thoughts in patients undergoing meniscectomy is related to knee function, general health, and pain. Patients with a high level of negative pain thoughts are less likely to achieve a favorable outcome from meniscectomy, with a score ≥8 representing a clinically significant threshold for preoperative screening.

中文翻译：

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关节镜半月板切除术后消极疼痛想法问卷简表 (NPTQ-SF) 评分和结果


背景：疼痛是多因素影响的，疼痛强度已被证明受到患者思想的影响。消极疼痛想法问卷简表（NPTQ-SF）可用于量化对疼痛无益的消极认知偏差，但消极疼痛想法与骨科手术结果之间的关系尚不清楚。 目的：评估消极疼痛想法在研究设计：案例系列；证据级别，4。方法：总共对 146 名接受关节镜半月板切除术的患者进行了 4 项 NPTQ-SF、12 项简短调查 (SF-12)、国际膝关节文献委员会 (IKDC) 问卷和视觉模拟2021 年 7 月至 2022 年 8 月期间对术前进行了量表疼痛调查。对 92 名确诊接受半月板切除术的患者在术后至少 3 个月且不迟于 1 年内完成了相同的调查。结果：NPTQ-SF 评分与 IKDC、SF 相关-12，术前和术后至少 3 个月的满意度评分（平均 108.5 ± 43.7 天）。术前NPTQ-SF评分与术后IKDC（R = -0.284）、SF-12（R = -0.266和-0.328）和视觉模拟疼痛量表（R = 0.294）评分显着负相关，而与术后满意度相关未达到统计学显着性（P = .067）。术前 NPTQ-SF 评分为 >8 的患者在术后 IKDC 问卷中不太可能达到患者可接受的症状状态（39% vs 63%；P = .03）。 有精神病史或慢性疼痛诊断史的患者术前和术后 NPTQ-SF、SF-12 和 IKDC 评分较差。结论：半月板切除术患者的消极疼痛想法水平与膝关节功能、总体健康状况、和疼痛。具有高度消极疼痛想法的患者不太可能从半月板切除术中获得良好的结果，评分≥8代表术前筛查的临床显着阈值。