AOSSM 2022 Annual Meeting Recordings - no CME-Psychopathology and Volitional Instability: Who should we be operating on?

Psychopathology and Volitional Instability: Who should we be operating on?

Video Transcription

Video Summary

The video discusses the impact of psychosocial problems and volitional instability on the outcomes of surgery. The study aimed to determine the prevalence of these issues and their effects on patient-reported outcomes after two years. The baseline characteristics of the cohort, which had over 85% follow-up, included a median age of 21, a volitional instability prevalence of 30%, and a maladaptive psychological traits prevalence of 20%. The study found improvements in all collected patient-reported outcomes at two years, but less so in the group with a PASS score of 19 or more. Regression models showed that a higher PASS score and volitional instability were significant predictors of lower WOSI and SANE scores, as well as an increased risk of failure. However, demonstrating instability alone was not an independent predictor of failure; the effect depended on the PASS score. The study concludes by suggesting that the PASS could be used to identify individuals with both volitional instability and a higher risk of failure after surgery.

Asset Caption

Warren Dunn, MD

Keywords

psychosocial problems

volitional instability

surgery outcomes

patient-reported outcomes

prevalence