Effect of Preoperative Modifiable Psychological and Behavioural Factors on Early Outcome Following Total Knee Arthroplasty in an Indian Population

Sharma, Saurabh; Kumar, Vijay; Sood, Mamta; Malhotra, Rajesh

doi:10.1007/s43465-020-00325-x

Cited by 7 publications

(5 citation statements)

References 39 publications

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“…Sample sizes ranged from 26 [43] to 5309 [50]. We excluded eight studies from analysis because attempts to obtain missing data from authors were unsuccessful or insufficient [62][63][64][65][66][67][68][69]. The search strategy, subject headings and keywords customized for all databases is presented in S8 Appendix and reasons for study exclusion are in S9 Appendix.…”

Section: Resultsmentioning

confidence: 99%

Factors correlated with pain after total knee arthroplasty: A systematic review and meta-analysis

et al. 2023

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Main objective Systematically review and synthesize preoperative and intraoperative factors associated with pain after total knee arthroplasty (TKA) in patients with osteoarthritis. Methods Based on a peer-reviewed protocol, we searched Medline, Embase, CINAHL, Cochrane Library, and PEDro for prospective observational studies (January 2000 to February 2023) investigating factors associated with pain after TKA. The primary outcome was pain twelve months after TKA. Pain at three and six months were secondary outcomes. Multivariate random-effects meta-analyses were used to estimate mean correlation (95% CIs) between factors and pain. Sensitivity analysis was performed for each risk of bias domain and certainty of evidence was assessed. Results Of 13,640 studies, 29 reports of 10,360 patients and 61 factors were analysed. The mean correlation between preoperative factors and more severe pain at twelve months was estimated to be 0.36 (95% CI, 0.24, 0.47; P < .000; moderate-certainty evidence) for more catastrophizing, 0.15 (95% CI; 0.08, 0.23; P < .001; moderate-certainty evidence) for more symptomatic joints, 0.13 (95% CI, 0.06, 0.19; P < .001; very low-certainty evidence) for more preoperative pain. Mean correlation between more severe radiographic osteoarthritis and less pain was -0.15 (95% CI; -0.23, -0.08; P < .001; low-certainty evidence). In sensitivity analysis, the estimated correlation coefficient for pain catastrophizing factor increased to 0.38 (95% CI 0.04, 0.64). At six and three months, more severe preoperative pain was associated with more pain. Better preoperative mental health was associated with less pain at six months. Conclusion and relevance More pain catastrophizing, more symptomatic joints and more pain preoperatively were correlated with more pain, while more severe osteoarthritis was correlated with less pain one year after TKA. More preoperative pain was correlated with more pain, and better mental health with less pain at six and three months. These findings should be further tested in predictive models to gain knowledge which may improve TKA outcomes.

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Section: Resultsmentioning

confidence: 99%

Factors correlated with pain after total knee arthroplasty: A systematic review and meta-analysis

et al. 2023

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“…We excluded 6 studies from analysis. 42 , 43 , 44 , 45 , 46 , 47 owing to unsuccessful attempts to obtain missing data. Sedentary behavior, 40 lack of energy, 38 drowsiness, 38 sleeping difficulties, 38 bloating, 38 worrying, 38 and problems with sexuality were reported once 38 and were not included in the meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

“…We excluded 6 studies from analysis. [42][43][44][45][46][47] owing to unsuccessful attempts to obtain missing data. Sedentary behavior, 40 lack of energy, 38 drowsiness, 38 sleeping difficulties, 38 [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] 17 Studies included for quantitative synthesis meta-analysis [22][23][24][25][26][27][28][29][30][31][32][33][35][36][37][38]41…”

Section: Resultsmentioning

confidence: 99%

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Factors Correlated With Physical Function 1 Year After Total Knee Arthroplasty in Patients With Knee Osteoarthritis

et al. 2022

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“…These factors may increase psychological stress in surgical patients during the pandemic period ( 22 – 24 ). Moreover, psychological stress may affect PROMs after orthopedic surgery ( 25 – 27 ). These findings may explain why patients showed less improvement in VAS and EQ-5D after spinal surgery during the pandemic ( Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 Surges in 2019–2021 on Patient-Reported Outcome Measures After Spine Surgery at an Academic Tertiary Referral Center in Taiwan: A Retrospective Observational Cohort Study

Lin

Wang

et al. 2022

Front. Surg.

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AimLimited data are available on the impact of the coronavirus disease 2019 (COVID-19) pandemic on patient-reported outcome measures (PROMs) in patients who underwent spine surgery. In this study, we aimed to investigate the associations between the COVID-19 outbreak in Taiwan (May 2021) and PROMs in patients who underwent spine surgery.MethodWe retrospectively identified patients who underwent spine surgery during identical defined 6-week time-intervals (May 16 to June 30) in 2019, 2020, and 2021. PROMs, including visual analog scale (VAS) score for pain, Oswestry disability index (ODI), and EuroQol-5D (EQ-5D), were investigated before surgical intervention and at a 1-month follow-up. Relevant clinical information was collected from the electronic medical records of patients. Linear regression analysis was used to examine the association between the pandemic in 2021 (vs. 2019/2020) and the PROMs after adjusting for age, sex, and relevant clinical variables.ResultsThe number of patients who underwent spine surgery at our hospital during the identical defined 6-week time-intervals in 2019, 2020, and 2021 was 77, 70, and 48, respectively. The surgical intervention significantly improved VAS, ODI, and EQ-5D of the patients (1 month after surgery vs. before surgery, all p < 0.001) in all three study periods. However, there was a significant between-group difference in change from baseline in VAS (p = 0.002) and EQ-5D (p = 0.010). The decrease in VAS and increase in EQ-5D after surgery in 2021 were not as much as those in 2019 and 2020. The associations between the pandemic in 2021 (vs. 2019/2020) and changes in VAS (β coefficient 1.239; 95% confidence interval [CI] 0.355 to 2.124; p = 0.006) and EQ-5D (β coefficient, −0.095; 95% CI, −0.155 to −0.035; p = 0.002) after spine surgery were independent of relevant clinical factors.ConclusionThere was less improvement in short-term PROMs (VAS and EQ-5D) after spine surgery during the COVID-19 pandemic. Assessment of PROMs in surgical patients during a pandemic may be clinically relevant, and psychological support in this condition might help improve patients' outcomes.

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Effect of Preoperative Modifiable Psychological and Behavioural Factors on Early Outcome Following Total Knee Arthroplasty in an Indian Population

Cited by 7 publications

References 39 publications

Factors correlated with pain after total knee arthroplasty: A systematic review and meta-analysis

Factors correlated with pain after total knee arthroplasty: A systematic review and meta-analysis

Factors Correlated With Physical Function 1 Year After Total Knee Arthroplasty in Patients With Knee Osteoarthritis

The Impact of COVID-19 Surges in 2019–2021 on Patient-Reported Outcome Measures After Spine Surgery at an Academic Tertiary Referral Center in Taiwan: A Retrospective Observational Cohort Study

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