Primary ArthroplastyPreoperative Predictors of Pain Catastrophizing, Anxiety, and Depression in Patients Undergoing Total Joint Arthroplasty
Section snippets
Methods
A prospective cohort study of preoperative patients presenting for elective primary hip or knee arthroplasty was conducted to determine the association of pain CRC and hospital-related anxiety and depression with demographic and preoperative clinical profiles (hip and/or knee pain rating, function, and radiographic grading of OA).
All patients scheduled to undergo primary unilateral TJA for a diagnosis of OA performed among 7 orthopedic surgeons at 1 high-volume academic arthroplasty center over
Results
Of 1299 patients who underwent TJA (hip = 530, knee = 769) during the study period, a sample of 463 patients, including 178 primary unilateral hips (38.4%) and 285 primary unilateral knees (61.6%) met the inclusion criteria, consented to participate and completed the relevant outcome measures.
Table 1 summarizes the distribution characteristics of study participants. The proportion of females was slightly higher than that of males (56.8%, n = 263) with median age of 68 years (IQR 61-74 years).
Discussion
The relationship of CRC and emotional disorders including depression and anxiety in patients with osteoarthritic pain undergoing total hip or knee arthroplasty is an emerging area of study. Each individual experiences their preoperative arthritic joint uniquely with great variability in pain, anxiety, and psychological impact [2]. The purpose of this study was to evaluate the association between preoperative pain CRC, depression, and/or anxiety with preoperative TJA patient characteristics
Acknowledgments
The authors gratefully acknowledge Liz Piccirillo, RN, for her contributions toward project completion.
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One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to http://dx.doi.org/10.1016/j.arth.2016.05.056.