Chronic Pain and Health Related Quality of Life Assessment One Year After Total Knee Arthroplasty

Ongel, Elif Erdogan; Öksüz, Murat; Çakmak, Yusuf; Coşkun, Nilüfer; Bakan, Nurten

doi:10.29271/jcpsp.2023.02.176

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…In our study, patients in the high-risk group presented higher DN4 scores at all measurement points, while the significance slightly decreased over time (preoperative: 1.8 ± 1.3 vs 3.0 ± 1.1, p = 0.002, first day postoperative: 1.8 ± 1.3 vs. 3.0 ± 1.1, p = 0.005, six weeks postoperative: 2.2 ± 1.9 vs. 3.6 ± 2.3, p = 0.041). Our findings align with a study that grouped TKA patients into two groups according to their PCS (physical component score of the SF-36 survey), revealing that a higher proportion of individuals with PCS ≥ 50 exhibited higher DN4 scores one year after TKA [48].…”

Section: Discussionsupporting

confidence: 90%

Evaluation of Neuropathic Pain after Total Knee Arthroplasty: Do Yellow Flags Matter?

Colovic,

Draschl,

Reinbacher

et al. 2023

JCM

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Up to 20% of total knee arthroplasty (TKA) patients continue to experience chronic postsurgical pain. Various factors have been identified as potential contributors, including so-called “yellow flags”, encompassing symptoms of depression, anxiety, and catastrophizing, which were examined in this study to assess their predictive value concerning functional outcomes after TKA. Methods: Fifty TKA patients were categorized into high-risk and low-risk groups based on clinical assessment, demographic data, medication, and patient-reported outcome measures (DN4, SF-36, WOMAC, NRS, Fibromyalgia Survey Questionnaire, Pain Catastrophizing Scale, and Hospital Anxiety and Depression Scale). Postoperative outcomes within six months after TKA were then compared. Results: Both groups exhibited significant (p < 0.001) improvements in all WOMAC and NRS subscales, as well as in the physical function, role physical, pain, and energy/fatigue subdomains of the SF-36 after six months, while the high-risk group showed lower WOMAC scores regarding stiffness (19.0 ± 18.3 vs. 27.2 ± 20.7, p < 0.001) and pain (13.5 ± 13.3 vs. 15.1 ± 16.3, p = 0.029). The high-risk group showed significantly worse preoperative DN4 scores (1.8 ± 1.3 vs. 3.0 ± 1.1, p = 0.002) than the low-risk group, which persisted for one day (2.3 ± 1.2 vs. 3.5 ± 1.5, p = 0.005) and six weeks (2.2 ± 1.9 vs. 3.6 ± 2.3, p = 0.041) postoperatively. Conclusions: Our results indicate that pre-existing yellow flags contribute to a more challenging early postoperative phase, underscoring the importance of considering individual patient characteristics and psychological factors to optimize TKA outcomes.

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Section: Discussionsupporting

confidence: 90%

Evaluation of Neuropathic Pain after Total Knee Arthroplasty: Do Yellow Flags Matter?

Colovic,

Draschl,

Reinbacher

et al. 2023

JCM

View full text Add to dashboard Cite

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Psychometric Properties of the Brief Pain Inventory Among Patients With Osteoarthritis Undergoing Total Knee Arthroplasty Surgery

Wang,

Yao,

Wei

et al. 2024

The Journal of Arthroplasty

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Chronic Pain and Health Related Quality of Life Assessment One Year After Total Knee Arthroplasty

Abstract: Objective: To assess chronic pain prevalence, health related quality of life (HRQOL), and factors associated with HRQOL in patients at least one year after total knee arthrosplasty (TKA). Study Design: Descriptive study.

Cited by 2 publications

References 2 publications

Evaluation of Neuropathic Pain after Total Knee Arthroplasty: Do Yellow Flags Matter?

Evaluation of Neuropathic Pain after Total Knee Arthroplasty: Do Yellow Flags Matter?

Psychometric Properties of the Brief Pain Inventory Among Patients With Osteoarthritis Undergoing Total Knee Arthroplasty Surgery

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