Evaluation of Psychosocial Factors Influencing Recovery From Orthopaedic Trauma
Publication Date: October 20, 2021
Last Updated: March 14, 2022
Recommendations
It is recommended that clinicians evaluate the following factors because they are associated with increased biopsychosocial limitations after adult orthopaedic trauma:
- Anxiety
- Posttraumatic stress disorder
- Depression
- Premorbid psychiatric conditions
- Smoking
- Lower education level
- Less social support
- Resilience issues (ie, limited self-efficacy and less effective coping strategies)
Strength of recommendation: Moderate.
Implication: Practitioners should generally follow a moderate recommendation but remain alert to new information and be sensitive to patient preferences.
Recommendation Grading Table
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Strength of Recommendation
|
Overall Strength of Evidence | Description of Evidence quality |
Strong | Strong | Evidence from two or more “high”-quality studies with consistent findings for recommending for or against the intervention. In addition, it requires no reasons to downgrade from the EtD framework. |
Moderate | Moderate or strong | Evidence from two or more “moderate”-quality studies with consistent findings or evidence from a single “high”-quality study for recommending for or against the intervention. In addition, it requires no or only minor concerns addressed in the EtD framework. |
Limited | Limited, moderate, or strong | Evidence from one or more “low”-quality studies with consistent findings or evidence from a single “moderate”-quality study recommending for or against the intervention. In addition, higher strength evidence can be downgraded to limited because of major concerns addressed in the EtD framework. |
Consensus | No reliable evidence | No supporting evidence exists, or higher quality evidence was downgraded because of major concerns addressed in the EtD framework. In the absence of reliable evidence, the guideline work group is making a recommendation based on their clinical opinion. |
Overview
Title
Evaluation of Psychosocial Factors Influencing Recovery From Orthopaedic Trauma
Authoring Organization
American Academy of Orthopaedic Surgeons