Preoperative Pain Catastrophizing Predicts Pain Outcome after Knee Arthroplasty

Riddle, Daniel L.; Wade, James B.; Jiranek, William A.; Kong, Xiangrong

doi:10.1007/s11999-009-0963-y

Cited by 343 publications

(330 citation statements)

References 50 publications

(121 reference statements)

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“…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. Riddle et al [39] found that a Pain Catastrophizing Scale score of 16 or greater predicted less than 50% improvement in WOMAC pain score (odds ratio [OR], 2.67; 95% CI, 1.2 À 6.1; p = 0.02).…”

Section: Resultsmentioning

confidence: 99%

“…There was 89% agreement in the quality rating between the two investigators. Only two studies justified their sample size and provided a power analysis [39,44]. All studies had a minimum 6-month followup period.…”

Section: Methodsmentioning

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].…”

Section: Methodsmentioning

confidence: 99%

“…Two other studies [8,9] used the State Trait Anxiety Index and the Beck Depression Index. Two studies used the Pain Catastrophizing Scale [39,47]. Other psychological assessment tools included the Self-Efficacy Scale [50], Purpose In Life [46], Patient Health Questionnaire [13], Hospital Anxiety and Depression scale [5], and the Centre for Epidemiological Studies Depression scale [37].…”

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

157

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: 99%

Section: Methodsmentioning

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

157

114

View full text Add to dashboard Cite

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Determination of Pain Phenotypes in Knee Osteoarthritis: A Latent Class Analysis Using Data From the Osteoarthritis Initiative

Kittelson

Stevens-Lapsley

Schmiege

2016

Arthritis Care & Research

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Objective Knee osteoarthritis (OA) is a broadly applied diagnosis that may encompass multiple subtypes of pain. The purpose of this study was to identify phenotypes of knee OA, using measures from the following pain-related domains: 1) knee OA pathology, 2) psychological distress, and 3) altered pain neurophysiology. Methods Data were selected from a total of 3494 participants at Visit #6 of the Osteoarthritis Initiative (OAI) study. Latent Class Analysis was applied to the following variables: radiographic OA severity, quadriceps strength, Body Mass Index (BMI), Charlson Comorbidity Index (CCI), Center for Epidemiologic Studies Depression subscale (CES-D), Coping Strategies Questionnaire-Catastrophizing subscale (CSQ-Cat), number of bodily pain sites, and knee joint tenderness at 4 sites. Resulting classes were compared on the following demographic and clinical factors: age, sex, pain severity, disability, walking speed, and use of arthritis-related healthcare. Results A four-class model was identified. Class 1 (4% of the study population) had higher CCI scores. Class 2 (24%) had higher knee joint sensitivity. Class 3 (10%) had greater psychological distress. Class 4 (62%) had lesser radiographic OA, little psychological involvement, greater strength, and less pain sensitivity. Additionally, Class 1 was the oldest, on average. Class 4 was the youngest, had the lowest disability, and least pain. Class 3 had the worst disability and most pain. Conclusions Four distinct pain phenotypes of knee OA were identified. Psychological factors, comorbidity status, and joint sensitivity appear to be important in defining phenotypes of knee OA-related pain.

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Postoperative Care Navigation for Total Knee Arthroplasty Patients: A Randomized Controlled Trial

Losina

Collins

Wright

et al. 2016

Arthritis Care & Research

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Objective To establish the efficacy of motivational-interviewing (MI)-based postoperative care navigation in improving functional status post-total knee arthroplasty (TKA) and to identify subgroups likely to benefit from the intervention. Methods We conducted a parallel randomized controlled trial in TKA recipients with two arms: postoperative care with frequent follow-up by a care navigator or usual care. The primary outcome was the difference between the arms in WOMAC function score change, over six months post-surgery. We performed a pre-planned subgroup analysis of differential efficacy by obesity and exploratory subgroup analyses on sex and pain catastrophizing. Results We enrolled 308 subjects undergoing TKA for osteoarthritis. Mean preoperative function score was 41 (SD 17) (0–100 scale, 100 worst). At six months, subjects in the navigation arm improved by 30 (SD 16) points on average compared to 27 (SD 18) points in the usual care arm (p=0.148). Participants with moderate to high levels of pain catastrophizing were unlikely to benefit from navigation compared to those with lower levels of pain catastrophizing (p-value for interaction 0.013). Conclusion Subjects assigned to the navigation intervention did not demonstrate greater functional improvement compared to those in the control group. The negative overall result could be explained by the large effect on functional improvement of TKA itself compared to the smaller, additional benefit from care navigation, as well as potential differential effects for subjects with moderate to high degrees of pain catastrophizing. Greater focus on developing programs for reducing pain catastrophizing could lead to better functional outcomes following TKA.

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Preoperative Pain Catastrophizing Predicts Pain Outcome after Knee Arthroplasty

Cited by 343 publications

References 50 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

Determination of Pain Phenotypes in Knee Osteoarthritis: A Latent Class Analysis Using Data From the Osteoarthritis Initiative

Postoperative Care Navigation for Total Knee Arthroplasty Patients: A Randomized Controlled Trial

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