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. 2024 Oct;17(5):501-509.
doi: 10.1177/19386400221093865. Epub 2022 May 23.

High Pain Catastrophizing Scale Predicts Lower Patient-Reported Outcome Measures in the Foot and Ankle Patient

Andrea Veljkovic  1 , Oliver Gagne  1 , Monther Abuhantash  2 , Alastair S E Younger  1 , Michael Symes  1 , Murray J Penner  1 , Kevin J Wing  1 , Khalid A Syed  3 , Johnny Lau  3
Affiliations

High Pain Catastrophizing Scale Predicts Lower Patient-Reported Outcome Measures in the Foot and Ankle Patient

Andrea Veljkovic et al. Foot Ankle Spec. 2024 Oct.

Abstract

Background: Postoperative outcomes may be affected by the patient's preoperative morbidity. It is hypothesized that patient's pain catastrophization prior to foot and ankle surgery may affect their patient-reported outcomes. Methods: This study prospectively assessed a consecutive cohort of 46 patients undergoing foot and ankle reconstruction to describe the relationship between Pain Catastrophizing Scale (PCS) and patient-reported outcomes measured by 12-item Short Form Health Survey and Foot and Ankle Outcome Score (FAOS).

Results: The 1-year postoperative FAOS pain, activities of daily living, and quality of life scores correlated significantly with all baseline PCS subcategories. We found that the mental domain of the SF-12 had a statistically significant correlation with the rumination and helplessness PCS subcategories.

Conclusion: This study showed a significant association between a high preoperative PCS and a worse 1-year FAOS. As such, catastrophization could be screened for and potentially treated preoperatively to improve patient-reported outcomes in elective foot and ankle surgery.

Level of evidence: Therapeutic, Level III Evidence.

Keywords: ankle; catastrophization; disability; foot; function; pain.

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Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Questions of the Pain Catastrophizing Scale. A 13-item questionnaire addressing thoughts and feelings experienced by patients in pain. Reference to Sullivan et al.
See this image and copyright information in PMC

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