Psychological factors affecting the outcome of total hip and knee arthroplasty: a systematic review

Vissers, Maaike M.; Bussmann, Johannes B.; Verhaar, Jan A.N.; Busschbach, Jan J.V.; Bierma-Zeinstra, Sita M.A.; Reijman, Max

doi:10.1016/j.semarthrit.2011.07.003

Cited by 473Total Knee Arthroplasty OutcomesMusculoskeletal pain and rehabilitationAnesthesia and Pain Management

Psychological factors affecting the outcome of total hip and knee arthroplasty: a systematic review

Vissers, Maaike M., Bussmann, Johannes B., Verhaar, Jan A.N., Busschbach, Jan J.V., Bierma-Zeinstra, Sita M.A., Reijman, Max·2012·Seminars in Arthritis and Rheumatism

DOI 10.1016/j.semarthrit.2011.07.003

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Abstract

Objectives Recently, numerous studies have reported that psychological factors can influence the outcome of total knee arthroplasty (TKA) and total hip arthroplasty (THA). However, a systematic overview is missing. The objective of this study was to examine which psychological factors influence the outcome of TKA and THA and to what extent. Methods Data were obtained from the MEDLINE and EMBASE databases from inception to January 2011. Search terms included TKA and THA, outcome measures, and psychological aspects. Two reviewers independently selected the studies. Studies with a prospective before-after design with a minimum follow-up time of 6 weeks were included. One reviewer extracted the results and 2 reviewers independently conducted quality assessment. We distinguished between follow-up shorter and equal or longer than 1 year. Results Thirty-five of 1837 studies met the inclusion criteria and were included in this systematic review. In follow-ups shorter than 1 year, and for knee patients only, strong evidence was found that patients with pain catastrophizing reported more pain postoperatively. Furthermore, strong evidence was found that preoperative depression had no influence on postoperative functioning. In long-term follow-up, 1 year after TKA, strong evidence was found that lower preoperative mental health (measures with the SF-12 or SF-36) was associated with lower scores on function and pain. For THA, only limited, conflicting, or no evidence was found. Conclusion…

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Authors: Vissers, M. M., Bussmann, J. B., Verhaar, J. A. N., Busschbach, J. J. V., Bierma-Zeinstra, S. M. A., & Reijman, M.
Affiliations: Erasmus MC (NL)
Corresponding author: Vissers, Maaike M.
ORCID: Bussmann, Johannes B.
Verhaar, Jan A.N.
Busschbach, Jan J.V.
Reijman, Max
Venue: Seminars in Arthritis and Rheumatism
Publisher: Elsevier BV
Published: 2012-02
Volume: 41
Issue: 4
Pages: 576-588
ISSN: 0049-0172 (ISSN-L)
DOI: 10.1016/j.semarthrit.2011.07.003
OpenAlex: W2092394859
Cited by: 473
References: 44
Citations by year: 2026: 21 · 2025: 27 · 2024: 40 · 2023: 41 · 2022: 31 · 2021: 42 · 2020: 47 · 2019: 31 · 2018: 30 · 2017: 36 · 2016: 29 · 2015: 41 · 2014: 28 · 2013: 23 · 2012: 6
FWCI: 3.30
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Seminars in Arthritis and Rheumatism (publishedVersion)
PubMed (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Topics: Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
Keywords: total hip arthroplasty, total knee arthroplasty, psychological factors, preoperative depression, pain catastrophizing, preoperative mental health, postoperative pain, functional outcome, SF-12, SF-36
MeSH terms: Humans, Mental Health, Postoperative Pain, Quality of Life, Treatment Outcome, Patient Satisfaction, Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Catastrophization

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Psychological factors affecting the outcome of total hip and knee arthroplasty: a systematic review

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