Evidence map›Paper›PMID 37821871›Full record

Observational studyBMC musculoskeletal disorders2023

Comparison of short-term outcomes between people with and without a pre-morbid mental health diagnosis following surgery for traumatic hand injury: a prospective longitudinal study of a multicultural cohort.

Justine M Naylor, Pratibha Bhandari, Joseph Descallar, Owen Ou Yang, Mark Rider, Elizabeth C Mayland, Clarice Tang, Bernadette Brady, David Lim, Yvonne Santalucia and 3 more

Open access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 27% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
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

13 authors at 6 institutions in 1 country.

Justine M NaylorOrthopaedic Department, Liverpool Hospital, Locked Bag 7103, Liverpool BC, NSW, 1871, Australia. Justine.Naylor@health.nsw.gov.au.
Pratibha BhandariSouth Western Sydney Hand Centre at Fairfield Hospital, Cnr Polding St. & Prairievale Road, Prairiewood, NSW, 2176, Australia.
Joseph DescallarIngham Institute of Applied Medical Research, 1 Campbell St, Liverpool, NSW, 2170, Australia.
Owen Ou YangSouth Western Sydney Hand Centre at Fairfield Hospital, Cnr Polding St. & Prairievale Road, Prairiewood, NSW, 2176, Australia.
Mark RiderSouth Western Sydney Hand Centre at Fairfield Hospital, Cnr Polding St. & Prairievale Road, Prairiewood, NSW, 2176, Australia.
Elizabeth C MaylandSchool of Health Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
Clarice TangSchool of Health Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
Bernadette BradyDepartment of Pain Medicine, Liverpool Hospital, Locked Bag 7103, Liverpool BC, NSW, 1871, Australia.
David LimSchool of Health Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.
Yvonne SantaluciaMulticultural Health Service, South West Sydney Local Health District, Locked Bag 7103, Liverpool BC, NSW, 1871, Australia.
Belinda J GabbeSchool of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne, Victoria, 3004, Australia.
Geraldine HassettRheumatology, Liverpool Hospital, Locked Bag 7103, Liverpool BC, NSW, 1871, Australia.
Elise BakerIngham Institute of Applied Medical Research, 1 Campbell St, Liverpool, NSW, 2170, Australia.
Fairfield Hospital · AULiverpool Hospital · AUWestern Sydney University · AUIngham Institute · AUMonash University · AUSydney Local Health District · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFollowing traumatic hand injury, few studies have compared outcomes between people with and without a pre-morbid mental health diagnosis. This study aimed to compare sub-acute outcomes in a multicultural patient cohort with surgically managed traumatic hand injury with and without a pre-morbid mental health diagnosis.

methodsA prospective, observational cohort study of people with traumatic hand injury presenting pre- surgically to a high-volume hand injury centre in a region of cultural and language diversity was conducted. Participants were assessed face-to-face (baseline) then via telephone (3-months post-surgery) and categorized according to a pre-morbid medically diagnosed mental health diagnosis. Baseline and follow-up assessments included global mental health, and the EuroQol (EQ) 'Health Today' analogue scale (0-100) and health domains. Return-to-work status, complications/symptomatic complaints, and hand function (QuickDASH) were also collected at follow-up. Adjusted analyses-accounting for covariates including cultural identity-were conducted to determine whether 3-month outcomes were associated with a pre-morbid mental health diagnosis.

resultsFrom 405 eligible patients, 386 were enrolled (76% male, mean age 38.9 (standard deviation 15.6)); 57% self-identified as Australian and 22% had a pre-morbid mental health diagnosis. Common injuries regardless of pre-morbid mental health diagnosis were skin (40%), tendon (17%) and bone (17%) injuries. None were complex mutilating injuries. Seventy-eight per cent of the cohort was followed-up. In adjusted analyses, a pre-morbid mental health diagnosis was associated with lower odds for reporting 'good or better' global mental health (Odds Ratio (OR) 0.23 (95% Confidence Interval (CI) 0.18, 0.47), p < 0.001), 'no' anxiety or depression (OR 0.21 (0.11, 0.40), p < 0.001) and no pain (OR 0.56 (0.31, 0.98), p = 0.04)(EQ domains), and worse EQ 'Health Today' (10 points on average (95%CI -14.9, -5.1, p < 0.001). QuickDASH scores, rates of complications/symptomatic complaints and return-to-work profiles were similar.

conclusionsDespite reporting worse mental and health-related quality-of-life outcomes post-surgery, people with a pre-morbid mental health diagnosis regardless of cultural identity experienced similar clinical and return-to-work outcomes. Future research assessing the value of screening for pre-morbid mental health conditions on post-surgical outcomes is required and should include people with more complex hand injuries.

Indexed as

Hand InjuriesMental HealthAdultAustraliaFemaleHumansLongitudinal StudiesMaleProspective StudiesQuality of LifeCulturally and linguistically diverse populationsMental healthQuickDASHTrauma surgeryTraumatic hand injury

Identifiers

PMID37821871
PMCPMC10568865
OpenAlexW4387529189

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.