ArticleThe Journal of hand surgery2024
The Influence of Psychosocial Factors on Disability and Expected Improvement Before Surgery for Adult Traumatic Brachial Plexus Injury.
Article in The Journal of hand surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Use of Wearable Sensors to Measure Improvements in Real World Upper Extremity Activity After Brachial Plexus Reconstruction.The Journal of hand surgery · 2026Article
- Risk factors for poor physical and psychological outcomes after traumatic brachial plexus injury: a multicenter retrospective cohort study.Frontiers in neurology · 2026Article
- Neuropathic Pain and Quality of Life: A Cross-Sectional Study in Brachial Plexus Injury.Journal of pain research · 2026Article
- Development of a Core Outcomes Set for Peripheral Nerve Injury.Journal of hand surgery global online · 2025Article
- Pain Interference Prior to and 1 Year After Surgery for Adult Traumatic Brachial Plexus Injury.The Journal of hand surgery · 2024Article
- Epidemiology of peripheral nerve and brachial plexus injuries in a trauma population.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
Abstract
purposePsychosocial factors influence pain and recovery after extremity trauma and may be targets for early intervention. This may be of particular interest for patients with adult traumatic brachial plexus injury (BPI), given the broad and devastating impact of the injury. We hypothesized that there would be an association between depressive symptoms, anxiety, and pain interference with preoperative disability and expectations for improvement after BPI surgery.
methodsWe enrolled 34 patients into a prospective multicenter cohort study for those undergoing surgery for adult traumatic BPI. Before surgery, participants completed Patient-Reported Outcome Measurement Information System scales for pain interference, anxiety, and depressive symptoms, and a validated BPI-specific measure of disability and expected improvement. We performed Pearson correlation analysis between pain interference, anxiety symptoms, and depressive symptoms with (A) disability and (B) expected improvement. We created separate linear regression models for (A) disability and (B) expected improvement including adjustment for severity of plexus injury, age, sex, and race.
resultsAmong 34 patients, there was a moderate, statistically significant, correlation between preoperative depressive symptoms and higher disability. This remained significant in a linear regression model adjusted for severity of plexus injury, age, sex, and race. There was no association between severity of plexus injury and disability. Depressive symptoms also were moderately, but significantly, correlated with higher expected improvement. This remained significant in a linear regression model adjusted for severity of plexus injury, age, sex, and race.
conclusionsDepressive symptoms are associated with greater disability and higher expected improvement before BPI surgery. Screening for depressive symptoms can help BPI teams identify patients who would benefit from early referral to mental health specialists and tailor appropriate expectations counseling for functional recovery. We did not find an association between severity of BPI and patient-reported disability, suggesting either that the scale may lack validity or that the sample is biased. TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic II.
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