Influence of somatization and depressive symptoms on the course of pain within the first year after uncomplicated total knee replacement: a prospective study

Bierke, Sebastian; Häner, Martin; Petersen, Wolf

doi:10.1007/s00264-015-3105-z

Cited by 39 publications

(27 citation statements)

References 26 publications

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“…Ali et al [8] reported that anxiety and depression were present in 41 % of dissatisfied patients, and only in 10 % of satisfied patients after TKA. In a prospective study at 12 months after TKA, Bierke et al [26] found that patients with pre-operative psychopathologic factors, such as depression and somatization dysfunction, had a significantly greater pain at rest and during activities, lower knee function, and higher dissatisfaction. Similarly, other authors found that poor mental health score, depressive symptoms, and anxiety were predictive of long-term pain and knee functional impairment [23,27].…”

Section: Discussionmentioning

confidence: 97%

Negative impact of waiting time for primary total knee arthroplasty on satisfaction and patient-reported outcome

Lizaur-Utrilla

Martinez-Mendez

Miralles‐Muñoz

et al. 2016

International Orthopaedics (SICOT)

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Waiting time longer than six months negatively influenced post-operative satisfaction and patient-related outcome at one year after TKA. These findings may have important clinical implications regarding the prioritization of patients on wait lists or for optimization of treatment while patients wait for surgery related to the management of the mental health and anxiety in order to reduce post-operative dissatisfaction and improve patient-reported outcomes.

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Section: Discussionmentioning

confidence: 97%

Negative impact of waiting time for primary total knee arthroplasty on satisfaction and patient-reported outcome

Lizaur-Utrilla

Martinez-Mendez

Miralles‐Muñoz

et al. 2016

International Orthopaedics (SICOT)

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“…In the past 7 years, more attention has been paid to the negative effects of presurgical psychological distress on patient satisfaction after TKA [ 13 , 14 , 29 – 32 ], leading to the improved presurgical assessment of patients and improved patient selection for surgery. One study revealed preoperative anxiety and/or depression to be an important factor predicting patient satisfaction after TKA [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although patients' expectations are the main factor contributing to patient satisfaction after TKA [6,8,16,[25][26][27][28], the role of psychological factors has been paid more attention in recent years [13,14,24,26,[29][30][31][32][33][34][35]. One study found higher levels of 90-day readmission, dissatisfaction, and burden for healthcare providers among patients with depression [33].…”

Section: Introductionmentioning

confidence: 99%

Preoperative psychological distress no reason to delay total knee arthroplasty: a register-based prospective cohort study of 458 patients

Mahdi

Nyman

Wretenberg

2020

Arch Orthop Trauma Surg

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Introduction Total knee arthroplasty (TKA) is effective in alleviating pain and improving function in patients with knee arthritis. Psychological factors are known to affect patient satisfaction after TKA. It is important to determine the effectiveness of TKA in patients with presurgical anxiety and/or depression to avoid excluding them from surgery. Materials and methods A prospective cohort study was conducted on all patients who underwent TKA during 2016–2018. Patients were divided into four groups: with anxiety, without anxiety, with depression, and without depression. Outcome measures comprised both generic and knee-specific instruments. Each patient group was compared regarding changes in outcome measures one year after surgery. Between-group comparison was also performed. Results Of the 458 patients with complete data, 15.3% and 9.6% had experienced presurgical anxiety and depression, respectively. All patient groups displayed statistical (P < 0.001) and clinical improvement in all outcome measures. Patients with presurgical anxiety and/or depression generally displayed less improvement, though the only significant mean differences concerned the Knee Injury and Osteoarthritis Outcome Score (KOOS)-sport score in the non-anxiety and non-depression groups (P = 0.006 and 0.03, respectively), a higher proportion of clinically improved KOOS pain in the non-anxiety group (P = 0.03), and the general health state in the anxiety and depression groups (P = 0.004 and 0.04, respectively). Conclusions All patients improved in outcome measures 1 year after TKA, regardless of presurgical psychological state. Patients with presurgical anxiety and/or depression benefit greatly from surgery and should not be discriminated against based on presurgical psychological distress, though this fact should not eliminate the preoperative psychological assessment of patients. Level of evidence II.

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“…Osteoartrit hastalarında önce sadece ağrı olurken ilerleyen dönemlerde eklem tutukluğu olması ile günlük yaşam aktiviteleri de kısıtlanmaktadır 29 . Kronik ağrılı ve yaşam aktiviteleri belli alanlarda kısıtlanmış hastaların psikiyatrik eş hastalanma oranları oldukça yüksektir ve en sık depresif bozukluk görülmektedir [30][31][32] . Osteoartrit hastalarının cerrahi girişim öncesi sağlıklı kontrollerle karşılaştırıldığı bir çalışmada; OA hastalarının duygulanımlarının depresif olduğu ve öz kıyım düşüncelerinin fazla olduğu tespit edilmiştir 32 .…”

Section: İstatistiksel Analizunclassified

Levels of anxiety-depression and somatosensory amplification in patients with osteoarthritis

Kulu¹,

Özsoy²,

Korkmaz³

2020

Cukurova Medical Journal

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Öz Purpose: The purpose of the present study was to evaluate the anxiety-depression and somatization levels of patients scheduled to undergo surgery with the diagnosis of osteoarthritis (OA), which is a chronic and painful disease. Materials and Methods: Patients who were scheduled for surgical intervention with the diagnosis of OA were included in the study as the Study Group, and people who could match the patient group in terms of demographic data were included as the Healthy Control Group. Sociodemographic Data Form, Hospital Anxiety Depression Scale (HADS), Penn State Anxiety Scale (PSAS), and Somatosensory Amplification Scale (SSAS) were applied to all participants. Results: A total of 64 people were included in the present study. The mean age of the patients was 64.77±8.14, and the mean age of the healthy control group was 65.22±9.15. OA patients received higher results compared to the control group in anxiety and depression sub-dimension, and in the total score of HADS. The scores of the patient group were much higher than the healthy controls in PSAS and SSAS. Conclusion: According to the results obtained in the present study, it was determined that the preoperative anxiety-depression and somatization scores of patients diagnosed with OA, which is a chronic and painful disease, were high. Based on these results, it is recommended that OA patients are supported well in psychosocial terms during the course of the disease and before surgical intervention to help them more and to facilitate their compliance to surgery.

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Influence of somatization and depressive symptoms on the course of pain within the first year after uncomplicated total knee replacement: a prospective study

Abstract: Psychopathologic factors, particularly somatization dysfunction, have an impact on TKR outcomes. Preoperative screening and concurrent treatment of the diagnosed psychological disorder may improve patient-perceived outcomes.

Cited by 39 publications

References 26 publications

Negative impact of waiting time for primary total knee arthroplasty on satisfaction and patient-reported outcome

Negative impact of waiting time for primary total knee arthroplasty on satisfaction and patient-reported outcome

Preoperative psychological distress no reason to delay total knee arthroplasty: a register-based prospective cohort study of 458 patients

Levels of anxiety-depression and somatosensory amplification in patients with osteoarthritis

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