Key result
Mental health comorbidities such as anxiety and depression are associated with increased opioid use, higher healthcare costs, and inferior surgical outcomes following rotator cuff repair.
This editorial highlights the critical role of recognizing mental health comorbidities to improve preoperative counseling and optimize perioperative management for patients undergoing rotator cuff repair.
In patients undergoing rotator cuff repair (RCR), patient comorbidities including mental health diagnoses of anxiety and depression are very common and are known to adversely affect surgical outcomes. This study highlights the complex interplay of mental health with other important considerations in outcomes following RCR, namely opioid use and health care costs. The extent to which we can mitigate opioid use and health care costs in patients with comorbid mental health disorders undergoing RCR remains unclear but worthy of concerted efforts to improve patient outcomes. Improving recognition of the role of mental health comorbidities in outcomes of RCR will be critical in future efforts to improve preoperative counseling and optimize perioperative management of patients electing RCR.
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DiBartola et al. (2020) conducted an editorial in Rotator cuff repair with mental health comorbidities. Mental health comorbidities (anxiety and depression) was evaluated on Surgical outcomes, opioid use, and health care costs. Mental health comorbidities such as anxiety and depression are associated with increased opioid use, higher healthcare costs, and inferior surgical outcomes following rotator cuff repair.
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