The influence of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty

Sorel, Juliette Caroline; Overvliet, Geke M.; Gademan, M. G. J.; Haan, Chantal den; Honig, Adriaan; Poolman, Rudolf W.

doi:10.1007/s00296-020-04644-y

Cited by 14 publications

(15 citation statements)

References 72 publications

(168 reference statements)

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“…Other studies are less distinct and did not find a relationship between anxiety and suboptimal outcomes (Wood et al 2021). Nevertheless, previous studies showed that psychological support might lead to lower incidence of pain, anxiety/depression, and improve faster recovery (Tristaino et al 2016, Sorel et al 2020. Preoperative analysis of the presence of these factors and concomitant treatment might be an effective way to improve the satisfaction rate of TKA.…”

Section: Discussionmentioning

confidence: 99%

“…This might be feasible with the Pain Catastrophizing Scale (PCS) or Hospital Anxiety and Depression Scale (HADS) (Mercurio et al 2020). The recently published systematic review by Sorel et al is promising and described various interventions with good effect on postoperative pain, quality of life, and function for psychological distress in TKA patients (Sorel et al 2020). Therefore further studies are needed to identify these patients preoperatively and to examine in which way adequate therapy can be provided in this setting.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Short-term functional outcome after fast-track primary total knee arthroplasty: analysis of 623 patients

Egmond¹,

Hesseling²,

Verburg³

et al. 2021

Acta Orthopaedica

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The authors would like to thank all patients for completing the questionnaires.JE designed the study, performed data collection, data analysis, and wrote and revised the manuscript. BH supported data analysis and critically reviewed the manuscript. HV operated on several of the included patients, and critically reviewed the manuscript. NM designed the study, supported data analysis, and critically reviewed the manuscript.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Short-term functional outcome after fast-track primary total knee arthroplasty: analysis of 623 patients

Egmond¹,

Hesseling²,

Verburg³

et al. 2021

Acta Orthopaedica

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“…Several modifiable risk factors have been reported that could reduce pain before surgery: losing weight, healthier dietary choices, levels of physical activity, use of assistive devices (i.e. insoles), decrease the number of medical comorbidities, pain catastrophizing and coping, and psychological factors, such as anxiety, distress and depression might also affect postoperative pain [ 5 , 32 , 41 , 42 ]. Sorel et al [ 42 ] showed that perioperative interventions targeting psychological distress resulted in improved pain scores or decreased opioid or other types of pain medication prescriptions after TKA.…”

Section: Discussionmentioning

confidence: 99%

Acute pain after total hip and knee arthroplasty does not affect chronic pain during the first postoperative year: observational cohort study of 389 patients

et al. 2022

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Chronic pain is frequently reported after total hip and knee arthroplasties (THA/TKA) in osteoarthritis (OA) patients. We investigated if severity of acute postoperative pain following THA/TKA in OA patients was associated with pain during the first postoperative year. From an observational study, OA patients scheduled for primary THA/TKA (June 2012–December 2017) were included from two hospitals in the Netherlands. Acute postoperative pain scores were collected within 72 h postoperatively and categorized as no/mild (NRS ≤ 4) or moderate/severe (NRS > 4). Pain was assessed preoperatively, 3, 6 and 12 months postoperatively using the HOOS/KOOS subscale pain. With Multilevel Mixed-effects-analyses, we estimated associations between acute and chronic pain until one year postoperative, adjusted for confounders and including an interaction term (Time*Acute pain). 193 THA and 196 TKA patients were included, 29% of THA and 51% of TKA patients reported moderate/severe pain acutely after surgery. In the THA group, the difference in pain at 3 months between the no/mild and moderate/severe groups, was approximately six points, in favor of the no/mild group (95% CI [−12.4 to 0.9]) this difference became smaller over time. In the TKA group we found similar differences, with approximately four points (95% CI [−9.6 to 1.3]) difference between the no/mild and moderate/severe group at 6 months, this difference attenuated at 12 months. No association between severity of acute postoperative pain and pain during the first postoperative year was found. These findings suggest that measures to limit acute postoperative pain will likely not impact development of chronic pain.

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“… 92 Although not all of the evidence included in the meta-analysis was for psychotherapy, the results suggest that interventions targeting psychological distress in patients with TKA are very attractive directions for treatment. 92 …”

Section: Management Of Depression In Oamentioning

confidence: 96%

“… 91 A more recent meta-analysis included 40 studies. 92 It concluded that perioperative interventions targeting psychological distress had a positive effect on postoperative pain, function, and QoL for patients who underwent TKA. 92 Although not all of the evidence included in the meta-analysis was for psychotherapy, the results suggest that interventions targeting psychological distress in patients with TKA are very attractive directions for treatment.…”

Section: Management Of Depression In Oamentioning

confidence: 99%

Depression in Osteoarthritis: Current Understanding

Wang¹,

Ni²

2022

NDT

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Depression, one of the most common comorbidities with osteoarthritis (OA), affects patient prognosis and quality of life. It also increases the overall burden of disease. This subgroup of patients has not been effectively managed in clinical settings. The study aimed to direct physicians’ attention to the co-occurrence of depression and OA. Therefore, this review summarizes the relevant literature published over the past 10 years. The focus is on the prevalence of and risk factors for depression in OA, the effects of depression on OA development and treatment response, comorbidity mechanisms, screening, and non-pharmacological treatment. The research on the etiology of depression has been driven largely by epidemiological studies. Recent studies have shown that high levels of pain, poor levels of function, high numbers of OA sites, and slow gait might be associated with depression. However, the pathophysiology of OA and depression comorbidities remains unclear. In addition to immune inflammation and structural changes in the brain, which have been documented in brain imaging studies, psychosocial factors may also play a role. The evidence indicates that depression can be treated with early intervention; however, adjustments may need to be made for individuals with comorbid depression in OA. It is recommended that health care providers pay more attention to depressive symptoms in patients with OA. Clinicians should develop and implement an individualized and comprehensive treatment plan for patients based on a mental health assessment and in teams with other professionals to optimize treatment outcomes.

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The influence of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty

Cited by 14 publications

References 72 publications

Short-term functional outcome after fast-track primary total knee arthroplasty: analysis of 623 patients

Short-term functional outcome after fast-track primary total knee arthroplasty: analysis of 623 patients

Acute pain after total hip and knee arthroplasty does not affect chronic pain during the first postoperative year: observational cohort study of 389 patients

Depression in Osteoarthritis: Current Understanding

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