Impact of Psychological Distress on Pain and Function Following Knee Arthroplasty

Lingard, Elizabeth A.; Riddle, Daniel L.

doi:10.2106/jbjs.f.00914

Cited by 132 publications

(152 citation statements)

References 30 publications

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“…Pain scores in the patient population with anxiety, depression, or lower mental health scores were elevated at baseline and at all assessment points [13,27,28,34,37,47,50] for up to 2 years in one study [34 ]. Lingard and Riddle [34] estimated the effect to be 3 to 5 points lower on the 20-point pain component of the WOMAC, indicating worse pain in the group of patients with lower mental health scores. Two studies [39,47] that examined the correlation between patient pain after TKA and the Pain Catastrophizing Scale found a statistically significant relationship.…”

Section: Resultsmentioning

confidence: 97%

“…The remaining six studies did not examine these states specifically but showed that lower preoperative mental health scores had similar postoperative associations [8,9,13,27,46,47,50]. Pain scores in the patient population with anxiety, depression, or lower mental health scores were elevated at baseline and at all assessment points [13,27,28,34,37,47,50] for up to 2 years in one study [34 ]. Lingard and Riddle [34] estimated the effect to be 3 to 5 points lower on the 20-point pain component of the WOMAC, indicating worse pain in the group of patients with lower mental health scores.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 19 studies, there were 17 cohort studies [3, 5, 8, 9, 13, 14, 24, 26-28, 34, 37, 39, 44, 46, 47, 50] and two cross-sectional surveys [15,18], including five level 1 prognostic studies [3,8,13,34,39]. The studies were conducted in seven countries: 10 in the USA [3,5,8,9,13,14,24,34,39,46]; four in the UK [27,34,44,50]; four in Canada; [18,26,34,47]; and one each in Australia [34], Spain [15], Greece [37], and Korea [28].…”

Section: Methodsmentioning

confidence: 99%

“…The studies were conducted in seven countries: 10 in the USA [3,5,8,9,13,14,24,34,39,46]; four in the UK [27,34,44,50]; four in Canada; [18,26,34,47]; and one each in Australia [34], Spain [15], Greece [37], and Korea [28]. Most studies (17) were conducted in metropolitan populations; one study was a multinational cohort study conducted in 13 centers in four countries (UK, USA, Australia, and Canada) [34]. One study included a rural and metropolitan population [37] and one included only patients from indigent backgrounds [13].…”

Section: Methodsmentioning

confidence: 99%

“…There was considerable heterogeneity in the self-reported psychological questionnaires used to measure [3,14,15,18,24,26,28,34,44]. Two other studies [8,9] used the State Trait Anxiety Index and the Beck Depression Index.…”

Section: Methodsmentioning

confidence: 99%

See 4 more Smart Citations

Do Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review

Khatib

Madan

Naylor

et al. 2015

Clinical Orthopaedics &Amp; Related Research

152

114

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Background A subgroup of patients undergoing TKA is unhappy with the outcome of surgery and preoperative psychological factors may play a role in their dissatisfaction. Questions/purposes We asked whether (1) psychological factors, as measured by preoperative self-reported questionnaires, predicted poor outcome after TKA, and (2) whether certain psychological factors examined predicted poor outcome better than others. Methods We performed a systematic review and metaanalysis of prospective observational studies published in MEDLINE, CINAHL 1 , EMBASE TM , and PsycINFO 1 databases from their date of inception to October 2013, augmented with a manual search of bibliographies. Study eligibility was performed according to an a priori protocol. Included studies were assessed for quality according to the Newcastle-Ottawa scale. Two reviewers independently performed the search, identified eligible studies, assessed their methodologic quality, and extracted data. Outcomes of interest included postoperative dissatisfaction, pain, or limited function of the patients.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Do Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review

Khatib

Madan

Naylor

et al. 2015

Clinical Orthopaedics &Amp; Related Research

152

114

View full text Add to dashboard Cite

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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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Importance of self-rated health and mental well-being in predicting health outcomes following total joint replacement surgery for osteoarthritis

Perruccio¹,

Davis²,

Hogg‐Johnson³

et al. 2011

Arthritis Care Res

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Objective. The determinants of outcomes and the scope of outcomes examined in total joint replacement (TJR) typically have been limited to aspects of physical health. We investigated mental well-being, physical and social health, and self-rated health (SRH) as predictors of future health status within a cohort undergoing a TJR for hip or knee osteoarthritis. We also investigated the interrelationships among these health dimensions as they relate to SRH. Methods. Participants (n ‫؍‬ 215 hip, n ‫؍‬ 234 knee) completed measures presurgery and 3 and 6 months postsurgery, including pain, physical function, fatigue, anxiety, depression, social participation limitations, passive/active recreation, community mobility, and SRH. Structural equation modeling was used to investigate the interrelationship between 3 latent health dimensions (physical, mental, social) and the predictive significance of SRH for future health status. Results. The mean age was 63.5 years (range 31-88 years) and 60% were women. Prior dimension status strongly predicted future status. Adjusted for prior dimension scores, comorbidity, and sociodemographic characteristics, SRH predicted future scores for all 3 health dimensions. Worse prior SRH predicted less improvement at all time points. The effects of physical and social health on SRH were fully mediated through mental well-being. Only mental well-being significantly predicted SRH, within and across time. Conclusion. Mental well-being is critical for understanding the relationship between physical health and SRH. In addition, SRH significantly predicts TJR outcomes, above and beyond prior physical health. The exclusive focus on any one health dimension may lead to missed opportunities for predicting and improving outcomes following surgery, and likely improving overall health generally.

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Impact of Psychological Distress on Pain and Function Following Knee Arthroplasty

Abstract: Prognostic Level I.

Cited by 132 publications

References 30 publications

Do Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review

Do Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review

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

Importance of self-rated health and mental well-being in predicting health outcomes following total joint replacement surgery for osteoarthritis

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