Evidence map›Paper›PMID 32874357›Full record

ArticleJournal of children's orthopaedics2020

Preoperative mental health status is a significant predictor of postoperative outcomes in adolescents treated with hip preservation surgery.

Heather M Richard, Shelby P Cerza, Adriana De La Rocha, David A Podeszwa

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05774002 (Psychological Assessment of Scoliosis Patients Undergoing Surgical Management), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05774002 narecruitingnot on this mapstarted 2023, after this paper: background citation

Psychological Assessment of Scoliosis Patients Undergoing Surgical Management (PASS)

TypeinterventionalSponsorMontefiore Medical CenterRan2023 to 2028Enrolled120ConditionsAdolescent Idiopathic Scoliosis (AIS), Mental HealthArmsAims to Decrease Anxiety and Pain Treatment (ADAPT)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Mental Health and Mental Illness in Pediatric Orthopaedic Surgery: A Systematic Review.Journal of the Pediatric Orthopaedic Society of North America · 2025
    Review
  9. Article
  10. Article
  11. Commentary onJournal of the Pediatric Orthopaedic Society of North America · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Hipology 2023: Science, Philosophy, and Craft.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2023
    Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Heather M RichardTexas Scottish Rite Hospital for Children, Dallas, Texas, USA.
Shelby P CerzaTexas Scottish Rite Hospital for Children, Dallas, Texas, USA.
Adriana De La RochaTexas Scottish Rite Hospital for Children, Dallas, Texas, USA.
David A PodeszwaTexas Scottish Rite Hospital for Children, Dallas, Texas, USA.
Texas Scottish Rite Hospital for Children · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was designed to evaluate predictive factors that influence pain, mental health symptoms and postoperative outcomes at six-months post-hip preservation surgery (HPS) in adolescent surgical candidates.

methodsIn total, 58 HPS candidates (39 female, 19 male; mean age 15.53 years (10 to 19)) were evaluated. Diagnoses included: acetabular dysplasia (34); idiopathic femoroacetabular impingement (15); Perthes disease (six); avascular necrosis (six); and slipped capital femoral epiphysis (six). All patients underwent periacetabular osteotomy (36), surgical hip dislocation (17) or arthroscopy (five). Patients completed the following: Numerical Pain Rating Scale (NPRS); Child Health Questionnaire-87 (CHQ-87); Pediatric Symptom Checklist-Youth (PSC-Y), preoperatively and six months postoperatively. A single psychologist assessed patients in clinics and one to two additional appointments.

resultsIn all, 78% of patients reported one to three years of pain prior to HPS (modified Harris hip score). All pain scores (NPRS) significantly decreased at six months postoperatively. Preoperative mental health scores (CHQ-87) significantly predicted postoperative pain scores (F(1, 57) = 4.07; p < 0.048; R2 = 0.068). Mental health symptoms (PSC-Y) decreased significantly (p < 0.001). Patients who were seen by a psychologist two or more times reported better six-month postoperative outcomes than those seen once: usual pain (NPRS; p = 0.012); patient-reported physical function (CHQ-87; p = 0.029); and mental health (PSC-Y; p = 0.019). HPS patients seen ≥ 60 days prior to surgery showed marked improvements at six months compared with patients seen < 60 days prior to surgery.

conclusionHPS candidates evaluated preoperatively by psychology, as part of an integrated treatment approach, demonstrated statistically significant improvements in pain, health-related quality of life and mental health symptoms. Two+ visits, more than 60 days prior to surgery appears to be impactful. Preoperative pain and mental health symptoms were predictive of postoperative pain.Level of Evidence: II.

Indexed as

adolescenthip preservation surgerymental healthpaediatric orthopaedicssurgical outcomes

Identifiers

PMID32874357
PMCPMC7453166
OpenAlexW3042917298

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.