Evidence map›Paper›PMID 39925589›Full record

ArticleCureus2025

Influence of Psychological Resilience on Postoperative Outcomes Following Rotator Cuff Repair.

Mauro E Gracitelli, João Pedro Teixeira Basmage, Leonardo Zanesco, Thais Vasques, Rodrigo A Beraldo, Jorge Assunção, Arnaldo A Ferreira Neto, Eduardo A Malavolta

Abstract read
In one paragraph

Article in Cureus, 2025. 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
–field-weighted citation impact
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.

  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

8 authors.

Mauro E GracitelliOrthopaedics and Traumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, BRA.
João Pedro Teixeira BasmageOrthopaedics and Traumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, BRA.
Leonardo ZanescoOrthopaedics and Traumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, BRA.
Thais VasquesOrthopaedics and Traumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, BRA.
Rodrigo A BeraldoOrthopaedics and Traumatology, Instituto Jundiaiense de Ortopedia e Traumatologia (IJOT), Jundiaí, BRA.
Jorge AssunçãoOrthopaedics and Traumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, BRA.
Arnaldo A Ferreira NetoOrthopaedics and Traumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, BRA.
Eduardo A MalavoltaOrthopaedics and Traumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, BRA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResilience is emerging as a significant factor in orthopedic outcomes, including rotator cuff repair (RCR). However, its influence on postoperative recovery, particularly in different cultural and socioeconomic contexts, remains underexplored.

methodsThis retrospective cohort study included 105 patients who underwent arthroscopic RCR and completed the Brief Resilience Scale (BRS). Clinical outcomes were assessed using the American Shoulder and Elbow Surgeons (ASES) score at 24 months, with secondary evaluations of University of California at Los Angels (UCLA) and Single Assessment Numeric Evaluation (SANE) scores at multiple time points. Resilience levels were categorized as low, normal, or high. Multivariate analysis was performed to identify independent predictors of outcomes, including tear characteristics and resilience.

resultsPatients with high resilience achieved significantly higher ASES scores (91.1 ± 10.6) compared to those with low resilience (58.7 ± 28.8, p = 0.002). Similarly, normal resilience was associated with better outcomes (72.8 ± 26.6, p = 0.043). BRS demonstrated an independent association with outcomes, with each one-point increase in resilience corresponding to a 1.38-point improvement in ASES scores (p = 0.014). Tear characteristics did not independently affect outcomes. Preoperative ASES score emerged as an additional independent predictor (p < 0.001). Socioeconomic context, as inferred by healthcare type, and type of surgery also appear to be relevant factors. Improvements in clinical scores were observed over time across the cohort, but no significant differences were noted between 12-month and 24-month evaluations.

conclusionAt 24 months postoperatively, resilience significantly influenced clinical outcomes after arthroscopic RCR, with higher BRS scores associated with better ASES outcomes. Patients with low resilience demonstrated worse functional recovery compared to those with normal and high resilience.

Indexed as

arthroscopic surgeryprognostic factorsresiliencerotator cuff tearsthe brief resilience scale

Identifiers

PMID39925589
PMCPMC11806646

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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.