Preoperative Mental Health, Sociodemographic, and Clinical Correlates of Baseline Pain and Function in Hallux Valgus Surgery Candidates.

Better preoperative mental health was associated with higher function and lower pain across all three outcome measures in hallux valgus surgery candidates.

• Each 1-point higher VR-12 MCS corresponded to +0.62 FAAM-ADL points (95% CI 0.27–0.98; P = .001)
• Each 1-point higher VR-12 MCS corresponded to +0.52 FAAM-SANE points (95% CI 0.11–0.93; P = .013)
• Each 1-point higher VR-12 MCS corresponded to -0.06 VAS points (95% CI -0.09 to -0.02; P = .004)
• Study enrolled 221 hallux valgus surgeries prospectively (January 2021 to November 2023), with 181 (82%) meeting inclusion criteria

Higher education level was associated with better preoperative function and lower pain in hallux valgus surgery candidates.

• Per additional year of education: +1.85 FAAM-ADL points (95% CI 0.68–3.03; P = .002)
• Per additional year of education: +1.74 FAAM-SANE points (95% CI 0.39–3.09; P = .012)
• Per additional year of education: -0.16 VAS points (95% CI -0.28 to -0.03; P = .013)

Male sex was associated with better preoperative function on FAAM-SANE and lower VAS pain, but not with FAAM-ADL function.

• Male sex was linked to better FAAM-SANE function (+13.64; 95% CI 1.93–25.34; P = .023)
• Male sex was linked to lower VAS pain (-1.14; 95% CI -2.22 to -0.06; P = .038)
• The FAAM-ADL difference by sex was not statistically significant (P = .513)

Higher BMI was associated with worse preoperative function on FAAM-SANE but not on FAAM-ADL or VAS pain.

• Higher BMI was associated with worse FAAM-SANE function (-0.89 per BMI unit; 95% CI -1.56 to -0.22; P = .010)
• BMI was not significantly associated with FAAM-ADL (P = .510) or VAS pain (P = .916)

Greater socioeconomic deprivation as measured by the Area Deprivation Index was associated with higher preoperative pain.

• Greater ADI was associated with higher VAS pain (+0.02 VAS per ADI point; 95% CI 0.00–0.04; P = .041)
• ADI was used as a measure of socioeconomic deprivation in the adjusted regression model

Diabetes and prior surgery were associated with lower preoperative VAS pain in adjusted analyses.

• Diabetes was associated with lower VAS pain (-1.87; 95% CI -3.66 to -0.08; P = .041)
• Prior surgery was associated with lower VAS pain (-2.37; 95% CI -4.29 to -0.44; P = .017)
• The abstract notes this finding 'differs from the narrative' and flags it should be reconciled

The study prospectively enrolled a cohort of hallux valgus surgery patients who completed multiple preoperative patient-reported outcome measures.

• 221 hallux valgus surgeries were enrolled between January 2021 and November 2023; 181 (82%) met inclusion criteria
• PROMs included VR-12 Mental Component Summary (MCS) for mental health, VAS for pain, and FAAM-ADL and FAAM-SANE for function
• Study was classified as Level IV, Prognostic study