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Psychological Factors Affecting the Outcome of Total Hip and Knee Arthroplasty: A Systematic Review
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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“Progress in structural and functional neuroimaging has been exponential in recent years producing evidence of alterations in both brain structure and function among patients with chronic pain 377, 378.”
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Metadata
- 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.
- Venue
- Seminars in Arthritis and Rheumatism
- Publisher
- Elsevier BV
- Published
- 2012-02
- Volume
- 41
- Issue
- 4
- Pages
- 576-588
- ISSN
- 0049-0172 (ISSN-L)
- 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
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › 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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