ArticleThe archives of bone and joint surgery2017
How do Orthopaedic Surgeons Address Psychological Aspects of Illness?
Article in The archives of bone and joint surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 41 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effectiveness of a Smartphone Wellness App to Improve Mental Well-being: A Pilot Study
Optimizing Implementation of Mental Health Intervention Within Orthopedic Care
Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Biopsychosocial needs and complementary treatments for patients undergoing management for periprosthetic joint infection following hip or knee arthroplasty: a systematic review.EFORT open reviews · 2026Pooled it
- A Brief Mind-body Intervention Is Feasible and May Prevent Persistent Pain After Acute Orthopaedic Traumas: A Randomized Controlled Trial.Clinical orthopaedics and related research · 2024Trial
- An observational cohort study of factors associated with patients' reports of being offered lumbar spine surgery during orthopaedic spine consultations for chronic low back pain.British journal of pain · 2026Article
- Analysis of mental health outcomes in major versus minor upper extremity amputations: a retrospective national database study.Archives of orthopaedic and trauma surgery · 2026Article
- Virtual Reality-Based Pain Modulation in Subacute Musculoskeletal Injury: Functional Near-Infrared Spectroscopy Study of Neural and Behavioral Correlates.JMIR serious games · 2026Article
- Fascia's role in the mind-body continuum: a novel target for integrative treatments in psychiatry.Frontiers in psychiatry · 2026Review
- Prevalence and Acceptability of Dedicated Social Work Support in the Fracture Clinic: A Survey of Orthopaedic Trauma Surgeons.Scandinavian journal of caring sciences · 2025Article
- Mental health resources for orthopaedic trauma patient care: a survey of orthopaedic trauma association members.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Evaluating musculoskeletal imaging communication interventions using behavioural science: a scoping review using the COM-B model.BMJ open · 2025Article
- Screening for depression, anxiety, and psychological distress associated with low back pain by musculoskeletal and spinal clinicians. A scoping review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Surgeon interpretation of patient-reported outcome measures in upper extremity osteoarthritis.PloS one · 2025Article
- Same patient but different worlds: A state-of-the-art review translating best practice psychosocial care from musculoskeletal care to the orthopaedic context.BMC musculoskeletal disorders · 2024Review
- Self-reported preoperative anxiety and depression associated with worse patient-reported outcomes for periacetabular osteotomy and hip arthroscopy surgery.Journal of hip preservation surgery · 2024Article
- Prevalence of posttraumatic stress disorder in orthopedic trauma patients and a call to implement the Injured Trauma Survivor Screen as a prospective screening protocol in the United States.Journal of trauma and injury · 2024Article
- The association of pre-existing mental health conditions and patient outcomes after lower extremity orthopaedic trauma: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Clinical Presentation of Adults with Traumatic Orthopedic Injuries Enrolled in a Multisite Psychosocial Trial.The archives of bone and joint surgery · 2024Article
- Factors Associated With Psychiatry Consultation for Musculoskeletal Trauma Patients.Journal of patient experience · 2024Article
- Improvements in Physical Function and Pain Interference and Changes in Mental Health Among Patients Seeking Musculoskeletal Care.JAMA network open · 2023Article
- Multi-stakeholder perspectives regarding preferred modalities for mental health intervention delivered in the orthopedic clinic: a qualitative analysis.BMC psychiatry · 2023Article
- Psychology in orthopedics and traumatology: an instructional review.EFORT open reviews · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOrthopaedic surgeons have a pivotal role in transitioning the care of orthopedic patients from a biomedical to a biopsychosocial model. In an effort to foster this transition, we designed a study aimed to determine surgeons' attitudes and practice of noticing, screening, discussing psychological illness with patients, as well as making referrals to address psychosocial issues in patients in need. Additionally, we asked surgeons to rank order potential barriers to and reasons for referrals to psychosocial treatment.
methodsOrthopaedic surgeons members of the Science and Variation Group and Ankle Platform (N =350) completed demographics, and a 4-part survey assessing the degree to which surgeons notice, assess, screen and refer for psychological treatments, as well ranked ordered barriers to engaging in these processes.
resultsAs a group surgeons were neutral to referral for psychological treatment and formal screening of psychological factors, and somewhat likely to notice and discuss psychological factors. Surgeons were more likely to refer for psychological treatment if they engaged in research, or if they reside in South America as opposed to North America. The highest ranked barriers to screening, noticing, discussing and referring for psychological treatment were lack of time, stigma and feeling uncomfortable.
conclusionOverall surgeons are likely to notice and discuss psychological factors, but less likely to formally screen or refer for psychological treatment. Transition to biopsychosocial models should focus on problem solving these barriers by teaching surgeons communication skills to increase comfort with discussing psychoemotional factors associated with orthopedic problems. The use of empathic communication can be very helpful in normalizing the difficulty of coping with an orthopedic condition, and may facilitate referral.
Indexed as
Identifiers
28271080PMC5339350What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.