ArticleOrthopaedic journal of sports medicine2026
Association of Mental Health Disorders with Outcomes after Achilles Tendon Repair: A Propensity-Matched Cohort Study.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Mental health disorders are increasingly acknowledged as significant factors influencing surgical outcomes. However, their effect on recovery after Achilles tendon repair (ATR) remains inadequately defined. Psychosocial elements may modify pain perception, opioid consumption, adherence to rehabilitation protocols, and overall utilization of health care services. Purpose: To evaluate the postoperative complications among patients with preexisting mental health diagnoses in the context of ATR. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective analysis was performed using the TriNetX Research Network on August 14, 2025. Patients with a mental health disorder diagnosis within 1 year before ATR were identified using the International Classification of Diseases, Tenth Revision, and Current Procedural Terminology codes. These patients were compared with controls without a documented diagnosis of mental health disorders. Propensity score matching (1:1) was performed for age, sex, body mass index, and other important comorbidities. The initial search identified 11,787 patients who underwent ATR. Outcomes at 3, 6, 12, and 24 months included ankle pain, stiffness, complex regional pain syndrome (CRPS), wound complications, opioid use, and revision repair. Odds ratios (OR) with 95% CIs were calculated. Results: After matching, 1767 patients were included in each group. At 3 months, the mental health cohort had 1.59 times higher odds of wound complications (7.2% vs 4.6% [95% CI, 1.19-2.1]; Conclusion: Our study showed that mental health disorders are associated with an increase in postoperative complications after ATR. The persistence of pain and opioid dependence over 2 years underscores the significant long-term impact of psychosocial factors on the recovery process. These findings support the incorporation of routine psychosocial screening and perioperative mental health support into comprehensive care strategies to reduce complications and enhance functional outcomes.
Indexed as
Identifiers
What OpenQuestion holds
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.