ArticleHealth and quality of life outcomes2013
Association of psychological status and patient-reported physical outcome measures in joint arthroplasty: a lack of divergent validity.
Article in Health and quality of life outcomes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.
- The influence of central pain modulation on postoperative outcomes after shoulder surgery: A systematic review.Acta orthopaedica et traumatologica turcica · 2021Pooled it
- A systematic review of psychological interventions in total hip and knee arthroplasty.BMC musculoskeletal disorders · 2018Pooled it
- Trial
- Rest Pain and Movement-Evoked Pain as Unique Constructs in Hip and Knee Replacements.Arthritis care & research · 2016Trial
- Association between widespread pain and psychosocial factors in people with knee osteoarthritis: a cross-sectional study of patients from primary care in Denmark.Physiotherapy theory and practice · 2025Article
- The Hidden Toll of Psychological Distress in Australian Adults and Its Impact on Health-Related Quality of Life Measured as Health State Utilities.Applied health economics and health policy · 2024Article
- Prevalence of Depressive Symptoms in Aseptic Revision Total Knee Arthroplasty Based on the Mode of Failure.Arthroplasty today · 2024Article
- Article
- The impact of psychological distress on quality of care and access to mental health services in cancer survivors.Frontiers in health services · 2023Article
- Factors Associated With Pain and Function Before Medial Patellofemoral Ligament Reconstruction.Orthopaedic journal of sports medicine · 2022Article
- Presence of back pain prior total knee arthroplasty and its effects on short-term patient-reported outcome measures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- The influence of obesity on achievement of a 'forgotten joint' following total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2022Article
- Increased Prevalence of Depressive Symptoms in Patients Undergoing Revision for Periprosthetic Joint Infection.Arthroplasty today · 2022Article
- Preoperative Factors Affecting Patient-reported Outcome Measures for Total Knee Arthroplasty.Progress in rehabilitation medicine · 2022Article
- Can short PROMs support valid factor-based sub-scores? Example of COMQ-12 in chronic otitis media.PloS one · 2022Article
- Evaluation of the Oxford Hip Score: Does it still have content validity? Interviews of total hip arthroplasty patients.Health and quality of life outcomes · 2021Article
- Telephone consultation for myasthenia gravis care during the COVID-19 pandemic: Assessment of a novel virtual myasthenia gravis index.Muscle & nerve · 2021Article
- Noise after total knee arthroplasty has limited effect on joint awareness and patient-reported clinical outcomes: retrospective study.BMC musculoskeletal disorders · 2020Article
- Correlation of Single Assessment Numeric Evaluation (SANE) with other Patient Reported Outcome Measures (PROMs).The archives of bone and joint surgery · 2019Review
- Predictors of Pain and Function Before Knee Arthroscopy.Orthopaedic journal of sports medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient-reported outcome measures have become a well-recognised part of outcome assessment in orthopaedic surgery. These questionnaires claim to measure joint-specific dimensions like pain, function in activities of daily living, joint awareness or stiffness. Interference of the patient's psychological status with these orthopaedic questionnaires however may make accurate interpretation difficult.
methodsWe recruited 356 patients after unilateral, primary THA or TKA and performed a postal survey including the Brief Symptom Inventory (psychological distress measure), the Catastrophising Scale (from the Coping Strategies Questionnaire), the WOMAC score (Western Ontario and McMaster Universities Osteoarthritis Index) and the Forgotten Joint Score--12 (FJS-12). Associations between the different questionnaires were determined calculating Pearson correlation coefficients. Two multiple linear regression models were used to investigate the impact of socio-demographic variables, clinical variables and of the psychological scales (BSI and Catastrophising Scale) separately for the WOMAC score and the FJS-12.
resultsWOMAC-Total score showed strong correlation to Catastrophising (r = 0.79), BSI-Somatisation (r = 0.63) and BSI-GSI (r = 0.54). The FJS-12 demonstrated modest to strong correlation with Catastrophising (r = -0.60), BSI-Somatisation (r = -0.49) and the BSI-GSI (Global Severity Index) (r = -0.44). BSI-GSI and Catastrophising explained 54.3% of variance in a multivariate regression model for the WOMAC score. The same two scales explained 30.0% of variance for the FJS-12.
conclusionsThere is a strong relationship between psychological status and orthopaedic outcome. The scale names of orthopaedic outcome measures suggest to measure specific dimensions like pain, stiffness, function or joint awareness. In fact they largely include patient's psychological status indicating poor divergent validity.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.