C. Conley (Lexington, US)

University of Kentucky Orthopaedic Surgery & Sports Medicine
Caitlin Conley is an Assistant Research Professor in the Department of Orthopaedic Surgery and Sports Medicine at the University of Kentucky. She is also a certified athletic trainer who graduated from the University of Kentucky with a PhD in Rehabilitation Sciences. Her research area focuses on patient outcomes after cartilage surgery and post-operative rehabilitation adherence. At the University of Kentucky; she works with Department faculty members on both industry sponsored projects and internal research projects. She also serves as coordinator of the Departments’ internal patient registry. The registry presently has grown to include multiple surgeons' practices and multiple surgical procedures. Additionally; she works in the Center for Cartilage Repair and Restoration documenting the patients’ strength; function; and patient reported outcomes after cartilage surgery.

Presenter Of 1 Presentation

 ICRS 2022 - Online Programme
Poster Rehabilitation and Sport

P268 - Rehabilitation Utilization after Articular Cartilage Knee Surgery in Patients with a Preoperative Mood Disorder

Presentation Topic
Rehabilitation and Sport
Date
13.04.2022
Lecture Time
09:30 - 09:30
Room
Exhibition Foyer
Session Name
7.3 - Poster Viewing / Coffee Break / Exhibition
Session Type
Poster Session
Speaker
Authors
Disclosure
No Significant Commercial Relationship

Abstract

Purpose

Preoperative strength and functional deficits have been observed in patients undergoing articular cartilage procedures, and these deficits have been reported to persist postoperatively. Rehabilitation after articular cartilage procedures is critical for regaining strength and function, and it is critical to investigate barriers that may influence rehabilitation utilization, such as mental health. The purpose of this study was to describe rehabilitation utilization after articular cartilage knee surgery in patients with preoperative mood disorders.

Methods and Materials

Using an insurance claims database and current procedural terminology (CPT) codes, we identified patients that underwent an articular cartilage knee surgery between 2009 and 2016. Matrix-induced-ACI was not approved in the U.S. during the data collection period. Patients with a preoperative mood disorder were identified using International Classification of Diseases, Ninth Revision (ICD-9) codes. Patients with either incomplete insurance coverage or a knee cartilage procedure in the year before or after the index procedure were excluded. Rehabilitation utilization was captured using the physical therapy evaluation and therapeutic exercise treatment CPT codes.

Results

4912 patients met the CPT code criteria for surgery of which, 1183 had ICD-9 codes for a preoperative mood disorder and were included. Regardless of the surgical procedure, approximately two-thirds were female, over 70% attended a physical therapy evaluation in the immediate year postoperative and just over 75% were treated with therapeutic exercise (Table 1).table1.jpg

Conclusion

Preoperative mood disorders have been commonly associated with inferior clinical outcomes following orthopedic procedures. Approximately 1 in 4 cartilage patients with comorbid mood disorders did not attend a single postoperative physical therapy visit. Patients with mood disorders may struggle with motivation, and it is critical to educate patients with preoperative mood disorders on the importance of rehabilitation and assess if there will be barriers to rehabilitation utilization to optimize outcomes for the 25% of patients without documented rehabilitation.

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Presenter Of 1 Presentation

 ICRS 2022 - Poster Presentations
Rehabilitation and Sport

P268 - Rehabilitation Utilization after Articular Cartilage Knee Surgery in Patients with a Preoperative Mood Disorder

Speaker

Abstract

Purpose

Preoperative strength and functional deficits have been observed in patients undergoing articular cartilage procedures, and these deficits have been reported to persist postoperatively. Rehabilitation after articular cartilage procedures is critical for regaining strength and function, and it is critical to investigate barriers that may influence rehabilitation utilization, such as mental health. The purpose of this study was to describe rehabilitation utilization after articular cartilage knee surgery in patients with preoperative mood disorders.

Methods and Materials

Using an insurance claims database and current procedural terminology (CPT) codes, we identified patients that underwent an articular cartilage knee surgery between 2009 and 2016. Matrix-induced-ACI was not approved in the U.S. during the data collection period. Patients with a preoperative mood disorder were identified using International Classification of Diseases, Ninth Revision (ICD-9) codes. Patients with either incomplete insurance coverage or a knee cartilage procedure in the year before or after the index procedure were excluded. Rehabilitation utilization was captured using the physical therapy evaluation and therapeutic exercise treatment CPT codes.

Results

4912 patients met the CPT code criteria for surgery of which, 1183 had ICD-9 codes for a preoperative mood disorder and were included. Regardless of the surgical procedure, approximately two-thirds were female, over 70% attended a physical therapy evaluation in the immediate year postoperative and just over 75% were treated with therapeutic exercise (Table 1).table1.jpg

Conclusion

Preoperative mood disorders have been commonly associated with inferior clinical outcomes following orthopedic procedures. Approximately 1 in 4 cartilage patients with comorbid mood disorders did not attend a single postoperative physical therapy visit. Patients with mood disorders may struggle with motivation, and it is critical to educate patients with preoperative mood disorders on the importance of rehabilitation and assess if there will be barriers to rehabilitation utilization to optimize outcomes for the 25% of patients without documented rehabilitation.

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