Preoperative psychosocial factors predicting patient’s functional recovery after total knee or total hip arthroplasty: a systematic review

Bletterman, A.N.; Geest-Vrolijk, Marcella E. de; Vriezekolk, Johanna E; Sanden, Maria Wg Nijhuis-van der; Meeteren, N.L.U. van; Hoogeboom, Thomas J.

doi:10.1177/0269215517730669

Cited by 30 publications

(35 citation statements)

References 58 publications

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“…One such study showed that patients' participation in their hospital care facilitated pain management and consequently their satisfaction [36]. Another study of expectations and experiences regarding sports activities among elderly TKA patients concluded that in order for counseling on sports activities after joint replacement to be perceived as supportive, it was important to consider individual motives, barriers, and previous sports experience [4]. Similarly, other qualitative studies showed the importance of patient participation, education, and information for satisfaction after TKA surgery [23,[32][33][34][35].…”

Section: Introductionmentioning

confidence: 99%

Patients’ experiences of discontentment one year after total knee arthroplasty- A qualitative study

Mahdi

Svantesson

Wretenberg

et al. 2020

Preprint

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Background Total knee arthroplasty is a common procedure with generally good results. However, there are still patients who are discontented without known explanation. Contentment and discontentment have previously been captured by quantitative designs, but there is a lack of qualitative studies regarding these patients’ experiences. Qualitative knowledge might be useful in creating strategies to decrease the discontentment rate. Methods Of the 348 patients who responded to a letter asking if they were contented or discontented with their surgery, 61 (18%) reported discontentment. After excluding patients with documented complications and those who declined to participate, semi-structured interviews were conducted with 44 patients. The interviews were analyzed according to qualitative content analysis. The purpose was to describe patients’ experiences of discontentment one year after total knee arthroplasty. Results The patients experienced unfulfilled expectations and needs regarding unresolved and new problems, limited independence, and need for buttresses. They were bothered by pain and stiffness, and worried that changes were complications as a result of surgery. They described inability to perform daily activities and valued activities. They also felt a need for buttresses, and a lack of respect and continuity, support from health care, and information adapted to their needs. Conclusion Patient expectation seems to be the major contributing factor in patient discontentment after knee replacement surgery. This qualitative study sheds light on the meaning of unfulfilled expectations, in contrast to previous quantitative studies. The elements of unfulfilled expectations need to be dealt with both on the individual staff level and on the organizational level. For instance, increased continuity of healthcare staff and facilities may help to improve patient contentment after surgery.

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Section: Introductionmentioning

confidence: 99%

Patients’ experiences of discontentment one year after total knee arthroplasty- A qualitative study

Mahdi

Svantesson

Wretenberg

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Although the surgery is successful for many patients, 10-30% of patients experience long-term pain and functional limitations after surgery 4,5 . To optimise outcomes, there has been increasing interest in identifying prognostic factors for a poor outcome after joint replacement [6][7][8][9][10] . Identification of prognostic factors could facilitate the provision of stratified care and optimise outcomes.…”

Section: Introductionmentioning

confidence: 99%

Association of social support with patient-reported outcomes after joint replacement: a systematic review and meta-analysis

Wylde

Kunutsor

Lenguerrand

et al. 2019

The Lancet Rheumatology

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“…There have been no studies directly investigating the impact of psychological factors on TKR, but prior studies primarily focused on influence of psychological factors on pain and function after TKR. Preoperative psychological factors have been identified as important risk factors for poor outcome in patients undergoing TKR [30,31]. A recent systematic review including 17 cohort studies concluded that psychological factors are predictive of poor clinical outcomes including patients' satisfaction, pain or function after TKR [32].…”

Section: Discussionmentioning

confidence: 99%

Do Knee Pain Phenotypes Have Different Risks of Total Knee Replacement?

Pan

Tian

Munugoda

et al. 2020

JCM

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Pain is the main impetus for osteoarthritis (OA) patients to seek healthcare including joint replacement. The pain experience in OA is heterogeneous and affected by factors across multiple domains—peripheral, psychological, and neurological. This indicates the existence of homogenous subgroups/phenotypes within OA patients with pain. We recently identified three pain phenotypes using a wide spectrum of pain-related factors, including structural damage on magnetic resonance imaging (MRI), emotional problems, number of painful sites, sex, body mass index, education level and comorbidities (i.e., Class 1: high prevalence of emotional problems and low prevalence of structural damage (25%); Class 2: low prevalence of emotional problems and high prevalence of structural damage (20%); Class 3: low prevalence of emotional problems and low prevalence of structural damage (55%)). This study was to examine whether the total knee replacement (TKR) risk over 12 years was different among these three pain phenotypes. Data on 963 participants (mean age 62.8 ± 7.4 years) from a population-based cohort study were utilised. Data on socio-demographic, psychological and comorbidities were collected. MRI of the right knee structural pathology was performed. TKR history was ascertained by linking to the Australian Orthopedic Association National Joint Replacement Registry. Latent class analysis and the Cox proportional hazards model were applied for the analysis. During the follow-up period, 41 right and 44 left TKRs in 67 participants were identified. In multivariable analyses, participants in Class 1 and 2 had a higher risk of having a TKR (Class 1 vs. Class 3, HR (hazard ratio) 4.81, 95%CI (confidence interval) 2.33–9.93; Class 2 vs. Class 3, HR 9.23, 95%CI 4.66–18.30). These associations were stronger in the imaged right knee but were also significant in the left knee. Participants within distinct pain phenotypes have different risks of TKR, suggesting that the identified phenotypes reflect distinct clinical subgroups with different prognoses. The risk for TKR was higher in Class 1 than that in Class 3, suggesting that pain/emotional status is a stronger driver for TKR than structural damage, and that selecting patients for TKR needs to be optimized in clinical practice.

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Preoperative psychosocial factors predicting patient’s functional recovery after total knee or total hip arthroplasty: a systematic review

Cited by 30 publications

References 58 publications

Patients’ experiences of discontentment one year after total knee arthroplasty- A qualitative study

Patients’ experiences of discontentment one year after total knee arthroplasty- A qualitative study

Association of social support with patient-reported outcomes after joint replacement: a systematic review and meta-analysis

Do Knee Pain Phenotypes Have Different Risks of Total Knee Replacement?

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