Postoperative Outcomes Following Total Hip and Knee Arthroplasty in Patients with Pain Catastrophizing, Anxiety, or Depression

被引:41
|
作者
Wood, Thomas J. [1 ,2 ]
Gazendam, Aaron M. [1 ]
Kabali, Conrad B. [3 ]
机构
[1] McMaster Univ, Div Orthopaed Surg, Hamilton, ON, Canada
[2] Hamilton Hlth Sci Juravinski Hosp, Complex Care & Othopaed Program, Hamilton, ON, Canada
[3] Univ Toronto, Dalla Lana Sch Publ Hlth, Div Epidemiol, Toronto, ON, Canada
来源
JOURNAL OF ARTHROPLASTY | 2021年 / 36卷 / 06期
关键词
total joint replacement; pain catastrophizing; anxiety; depression; preoperative; outcomes; HOSPITAL ANXIETY; PREDICTORS; ARTHRITIS; OSTEOARTHRITIS; QUESTIONNAIRE; PERCEPTIONS; IMPACT; SCALE;
D O I
10.1016/j.arth.2021.02.018
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: The relationship among pain catastrophizing, emotional disorders, and total joint arthroplasty (TJA) outcomes is an emerging area of study. The purpose of this study is to examine the association of these factors with 1-year postoperative pain and functional outcomes. Methods: A prospective cohort study of preoperative TJA patients using the Pain Catastrophizing Scale and Hospital Anxiety and Depression Scale (HADS-A/HADS-D) was conducted. Postoperative outcomes included Visual Analog Scale (VAS) pain, Oxford, Harris Hip (HHS) and Knee Society (KSS) scores. Median regression was used to assess the pattern of relationship among preoperative clinically relevant catastrophizing (CRC) pain, abnormal HADS, and 1-year postoperative outcomes. Results: We recruited 463 TJA patients, all of which completed 1-year follow-up. At 1 year, CRC-rumination (adjusted median difference 1; 95% confidence interval [CI] 0.31-1.69, P=.005) and abnormal HADS-A (adjusted median difference 1; 95% CI 0.36-1.64, P=.002) were predictors of VAS pain, CRC magnification a predictor of HHS/KSS (adjusted median difference 1.3; 95% CI 5.23-0.11, P=.041), and abnormal HADS-A a predictor of Oxford (adjusted median difference 3.68; 95% CI 1.38-5.99, P=.002). CRC patients demonstrated inferior VAS pain (P=.001), Oxford (P<.0001), and HHS/KSS (P=.025). Abnormal HADS patients demonstrated inferior postoperative VAS (HADS-A, P=.025; HADS-D, P=.030) and Oxford (HADS-A, P=.001; HADS-D, P=.030). However, patients with CRC experienced significant improvement in VAS, Oxford, and HHS/KSS (P<.05) from preoperative to 1 year. Similarly, patients with abnormal HADS showed significant improvement in VAS pain and HHS/KSS (P<.05). Conclusion: TJA patients who are anxious, depressed, or pain catastrophizing have inferior preoperative and postoperative pain and function. However, as compared to their preoperative status, clinically significant improvement can be expected following hip/knee arthroplasty. (C) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码:1908 / 1914
页数:7
相关论文
共 50 条
  • [1] Effects of Depression, Anxiety, and Pain Catastrophizing on Total Hip Arthroplasty Patient Activity Level
    Reine, Seth
    Xi, Yin
    Archer, Holden
    Chhabra, Avnessh
    Huo, Michael
    Wells, Joel
    [J]. JOURNAL OF ARTHROPLASTY, 2023, 38 (06): : 1110 - 1114
  • [2] Predicting pain catastrophizing following total knee arthroplasty
    Trost, Z.
    Niederstrasser, N.
    Harrison, J.
    Scott, W.
    Sullivan, M.
    [J]. JOURNAL OF PAIN, 2013, 14 (04): : S93 - S93
  • [3] Association between pre-operative anxiety and/or depression and outcomes following total hip or knee arthroplasty
    Seagrave, Kurt G.
    Lewin, Adriane M.
    Harris, Ian A.
    Badge, Helen
    Naylor, Justine
    [J]. JOURNAL OF ORTHOPAEDIC SURGERY, 2021, 29 (01)
  • [4] Differences in the relationship between pain and anxiety in total knee and hip arthroplasty: a longitudinal cross-lagged analysis mediated by depression and pain catastrophizing
    Paredes, Ana Cristina
    Costa, Patricio
    Costa, Marcia
    Oliveira, Patricia
    Varanda, Pedro
    Almeida, Armando
    Pinto, Patricia R.
    [J]. BRITISH JOURNAL OF PAIN, 2024,
  • [5] Impact of multimodal analgesia on postoperative anxiety and depression following total knee arthroplasty
    Changjian Zheng
    Zijun Hou
    Tingting Wang
    Lingmei Yi
    Yongquan Chen
    [J]. Journal of Orthopaedic Surgery and Research, 18
  • [6] Impact of multimodal analgesia on postoperative anxiety and depression following total knee arthroplasty
    Zheng, Changjian
    Hou, Zijun
    Wang, Tingting
    Yi, Lingmei
    Chen, Yongquan
    [J]. JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2023, 18 (01)
  • [7] Preoperative Predictors of Pain Catastrophizing, Anxiety, and Depression in Patients Undergoing Total Joint Arthroplasty
    Wood, Thomas J.
    Thornley, Patrick
    Petruccelli, Danielle
    Kabali, Conrad
    Winemaker, Mitch
    de Beer, Justin
    [J]. JOURNAL OF ARTHROPLASTY, 2016, 31 (12): : 2750 - 2756
  • [8] Pain catastrophizing, anxiety, and depression in hip pathology
    Hampton, S. N.
    Nakonezny, P. A.
    Richard, H. M.
    Wells, J. E.
    [J]. BONE & JOINT JOURNAL, 2019, 101B (07): : 800 - 807
  • [9] Predictors of Acute Postsurgical Pain and Anxiety Following Primary Total Hip and Knee Arthroplasty
    Pinto, Patricia R.
    McIntyre, Teresa
    Ferrero, Ramon
    Almeida, Armando
    Araujo-Soares, Vera
    [J]. JOURNAL OF PAIN, 2013, 14 (05): : 502 - 515
  • [10] THE EFFECTS OF MUSIC INTERVENTION ON PAIN AND ANXIETY IN THE IMMEDIATE POSTOPERATIVE PERIOD IN ADULTS UNDERGOING TOTAL KNEE ARTHROPLASTY AND TOTAL HIP ARTHROPLASTY
    Olsen, Peggy
    Waldo, Mary
    [J]. JOURNAL OF PERIANESTHESIA NURSING, 2021, 36 (04) : E30 - E30