Treated Versus Untreated Depression in Total Joint Arthroplasty Impacts Outcomes

Kohring, Jessica M.; Erickson, Jill; Anderson, Mike B.; Gililland, Jeremy M.; Peters, Christopher L.; Pelt, Christopher E.

doi:10.1016/j.arth.2018.01.065

Cited by 51 publications

(29 citation statements)

References 33 publications

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“…To our knowledge, only one previous study has explored the effect of depression treatment on PROs. Kohring et al [11] retrospectively reviewed 280 primary TJA patients with a minimum of 1-year follow-up. Diagnosis and treatment of depression were extracted from their institution's electronic medical record system.…”

Section: Discussionmentioning

confidence: 99%

“…A review of literature identified a single report on this topic. Kohring et al [11] retrospectively reviewed 280 primary TJA cases with a minimum 1-year follow-up. The study found that despite experiencing a lower magnitude of change in their physical function (PF), patients with untreated depression had similar final postoperative PF scores compared to treated patients.…”

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confidence: 99%

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Depression Treatment Is Not Associated With Improved Patient-Reported Outcomes Following Total Joint Arthroplasty

Halawi

Gronbeck

Savoy

et al. 2020

The Journal of Arthroplasty

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Depression Treatment Is Not Associated With Improved Patient-Reported Outcomes Following Total Joint Arthroplasty

Halawi

Gronbeck

Savoy

et al. 2020

The Journal of Arthroplasty

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“…Pre-operative mental health and psychosocial interventions may be useful in improving patient outcomes and satisfaction e.g. treating patients with known psychological disease, enhancing patient activation, increasing patient self-efficacy [17][18][19][20][21] . Similarly, providers should emphasize patient-centered communication and realistic expectations: in a study of patient satisfaction in 1,703 primary TKAs, the strongest predictor of patient dissatisfaction was unmet expectations (10fold risk) [1] .…”

Section: Discussionmentioning

confidence: 99%

Mental Health Status Does Not Affect Patient Satisfaction After Knee Replacement

Clinics²,

Horst

et al. 2020

International Journal of Orthopaedics

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“…With preoperative GAD, there was an association with higher levels of knee disability, significant functional limitations using Western Ontario and McMaster University Osteoarthritis Index (WOMAC) scores, and decreased overall quality of life [ 5 , 9 ]. Although depression and anxiety are conceptually modifiable risk factors for complications, there are no current recommendations on the effects of preoperative treatment of these conditions, and recent investigations have led to authors urging more research into the possible benefit of preoperative therapy on patient outcomes [ [10] , [11] , [12] ].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Depression and Anxiety on 90-day Readmission Rates After Total Hip and Knee Arthroplasty

et al. 2021

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Background Patients undergoing total joint arthroplasty have higher rates of anxiety, depression or anxiety and depression than the general population and higher costs of care, which lead to higher levels of postoperative dissatisfaction and readmission rates. We evaluated the readmission rates of patients undergoing total hip or knee arthroplasty with diagnoses of anxiety, depression, or both. Methods Our hospital’s prospectively collected data from Michigan’s statewide total joint database were reviewed from 2013 to 2018. Rates of anxiety, depression or anxiety and depression were determined based on preoperative anxiolytic or antidepressant medications using National Drug Codes. Results A total of 4107 cases were included. Of which 4.28% had a readmission within the 90-day global period, and 12% had a history of depression or anxiety or both. For the entire cohort, those on anxiolytic medication were 153% more likely to be readmitted than those not on medication ( P = .017). When comparing total hip arthroplasty (THA) or total knee arthroplasty (TKA), patients taking anxiolytic medication and undergoing TKA were 120% more likely to undergo readmission within 90 days ( P = .021). Patients on depression medication alone were not at increased risk of readmission in the TKA cohort ( P = .991). For THA, neither diagnosis appeared a risk factor for readmission ( P = .852). Conclusions Patients with depression, anxiety, or both undergoing TKA were at a statistically significant risk of readmission within 90 days compared with patients without these diagnoses. Anxiety and depression were both risk factors for readmission, but anxiety appeared to have a more significant impact. Patients undergoing THA on the other hand did not appear to share this risk profile.

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Treated Versus Untreated Depression in Total Joint Arthroplasty Impacts Outcomes

Cited by 51 publications

References 33 publications

Depression Treatment Is Not Associated With Improved Patient-Reported Outcomes Following Total Joint Arthroplasty

Depression Treatment Is Not Associated With Improved Patient-Reported Outcomes Following Total Joint Arthroplasty

Mental Health Status Does Not Affect Patient Satisfaction After Knee Replacement

The Effects of Depression and Anxiety on 90-day Readmission Rates After Total Hip and Knee Arthroplasty

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