Resilience as a Predictor of Patient Satisfaction With Non-Opioid Pain Management and Patient Reported Outcome Measures After Knee Arthroscopy

Abstract

The purpose of this study was to evaluate the Brief Resilience Score (BRS) as a predictor for patient satisfaction with non-opioid pain management and patient reported outcome measures (PROMs) following arthroscopic partial meniscectomy and/or chondroplasty. 175 patients undergoing arthroscopic partial meniscectomy and/or chondroplasty were recruited from a single clinic and were pre-operatively stratified into low/normal resilience or high resilience groups as measured by the BRS. Satisfaction with non-opioid pain control was assessed at a 2-week follow-up visit using the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAPHS) questionnaire, and various PROMs were measured at 3 months and 6 months postoperatively. Statistical analysis was performed to assess for differences in satisfaction with pain control or PROMs between resilience groups. Analysis revealed no statistically significant differences between the low/normal resilience group and the high resilience group with regards to satisfaction with non-opioid pain control or PROMs assessed at 3 or 6 month follow-ups. VAS pain, KOOS pain, KOOS ADL, KOOS QOL, SANE Knee, VR-12 (Physical Component Score), and VR-12 (Mental Component Score) outcome measures all followed expected trajectories after surgery without a statistically significant difference between resilience groups. This study provides evidence that preoperative resilience score, as measured by the BRS, does not correlate with postoperative patient reported functional outcome or satisfaction with a non-opioid pain regimen following knee arthroscopy.