Evidence map›Paper›PMID 41737261›Full record

ArticleJSES international2026

Grit is not associated with opioid consumption patterns in patients that undergo arthroscopic rotator cuff repair.

Rebekah M Kleinsmith, Fernando A Huyke-Hernandez, Megan Reams, Michael Obermeier, Bradley J Nelson, Jonathan P Braman, Michael R Walsh

Abstract read
In one paragraph

Article in JSES international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Rebekah M KleinsmithDepartment of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN, USA.
Fernando A Huyke-HernandezDepartment of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN, USA.
Megan ReamsDepartment of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN, USA.
Michael ObermeierDepartment of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN, USA.
Bradley J NelsonDepartment of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN, USA.
Jonathan P BramanDepartment of Orthopaedic Surgery, Henry Ford Health System, Detroit, MN, USA.
Michael R WalshDepartment of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The aim of this study was to determine whether patient grit is associated with postoperative opioid consumption and pain/functional outcomes following primary arthroscopic rotator cuff repair (ARCR). Methods: This is a prospective longitudinal study set in a single ambulatory surgical center in a large metropolitan area. Patients aged 18 or older undergoing primary ARCR were enrolled starting December 2019 with a target sample size of N = 120. Patients were excluded on the basis of chronic opioid use, worker's compensation, and concomitant operation including any of the following procedures: Bankart repair, superior labrum anterior to posterior repair, posterior-inferior labral repair, and open reduction internal fixation. All patients received the same postoperative pain protocol: 1-2 pills of oxycodone 5 mg every 4 hours, 3 pills of ibuprofen 200 mg every 8 hours, and 2 pills of acetaminophen 500 mg every 8 hours (all as needed).The primary outcome was morphine milligram equivalents (MMEs) consumed within the first 2 weeks after surgery. Secondary outcomes included preoperative and postoperative 12-item Grit score (Grit-12), Brief Resilience Score (BRS), Pain Catastrophizing Scale (PCS), pain scale, and visual analog scale (VAS) pain score. Bivariate Pearson and Spearman correlations were conducted between Grit-12 score and (1) MMEs, (2) BRS, (3) PCS, and (4) VAS pain score for the affected shoulder. Results: Of the 142 enrolled patients, a total of 120 patients (84.5%) completed the study protocol. Grit-12 score was not associated with MMEs at 2 weeks postoperative (r = 0.06), and there was no statistical difference ( Conclusion: Although perseverance and resiliency have been associated with better ability to handle adversity, there seems to be no association between patient grit or resiliency scores and opioid consumption during the first 2 weeks following ARCR.

Indexed as

GritMorphine milligram equivalents (MME)OpioidPain managementResilienceRotator cuff repair

Identifiers

PMID41737261
PMCPMC12925857

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