ArticleBMC musculoskeletal disorders2015
Association between socioeconomic status and pain, function and pain catastrophizing at presentation for total knee arthroplasty.
Article in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
59 citing papers in PubMed.
- Changes in educational inequalities in knee and hip osteoarthritis surgery and non-surgery specialist care visits over time in Sweden.Osteoarthritis and cartilage open · 2024Trial
- Effects of Buprenorphine/Naloxone and Methadone on Depressive Symptoms in People with Prescription Opioid Use Disorder: A Pragmatic Randomised Controlled Trial.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Trial
- A single-center, open-label, randomized, parallel-group trial to pilot the effectiveness of a peer coach behavioral intervention versus an active control in reducing anxiety and depression in patients scheduled for total knee replacement.BMC musculoskeletal disorders · 2023Trial
- A longitudinal assessment of posttraumatic stress symptoms and pain catastrophizing after injury.Rehabilitation psychology · 2023Trial
- Is Use of a Psychological Workbook Associated With Improved Disabilities of the Arm, Shoulder and Hand Scores in Patients With Distal Radius Fracture?Clinical orthopaedics and related research · 2018Trial
- Outcomes of a structured exercise and education program for hip and knee osteoarthritis across different clinical and geographic settings in Australia: A cohort study of 9,938 participants.Osteoarthritis and cartilage open · 2026Article
- Incidence, Risk Factors, and Reasons for Emergency Department Utilization 90 Days After Achilles Tendon Repair.Orthopaedic journal of sports medicine · 2026Article
- Socioeconomic Disparities in Geographic Access to Physical and Occupational Therapy Services in the United States: A Correlation With Area Deprivation and Social Vulnerability Indices.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Association Between Pain Catastrophising and Functional Limitation in Patients With Knee Osteoarthritis:Sultan Qaboos University medical journal · 2026Article
- Perspectives on Pain: A Narrative Review of Pain Beliefs, Coping, and Clinical Implications.Journal of pain research · 2026Review
- Are physical activity, sleep, and joint pain associated with physical function and quality of life in individuals with multimorbidity? A cross-sectional analysis of the MOBILIZE trial.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Grit and Chronic Pain: Associations with Distress, Catastrophizing, Interference, and Control.Journal of clinical psychology in medical settings · 2025Article
- Socioeconomic Position and Chronic Opioid Use After Hip Fracture Surgery: A Danish Population-Based Cohort Study.European journal of pain (London, England) · 2025Article
- Ethnic differences in pain, function, and catastrophizing in South Florida adults with knee osteoarthritis.PloS one · 2025Article
- Training of Peer Coaches to Assist Individuals with Knee Osteoarthritis Prepare and Recover From Total Knee Replacement.ACR open rheumatology · 2024Article
- Amateur Athletic Union (AAU) Accessibility: An Area Deprivation Index (ADI) Analysis of National Basketball Association (NBA) Players' Profiles.Current reviews in musculoskeletal medicine · 2024Review
- How Does the Physician Patient Fare After Primary Total Hip and Knee Arthroplasty?Arthroplasty today · 2024Article
- CORR Insights®: High Area Deprivation Index is Associated With Not Achieving the Patient-acceptable Symptom State After TKA.Clinical orthopaedics and related research · 2024Article
- Do sex, age, and comorbidities modify the association of socioeconomic status and opioid use after total hip arthroplasty?: a population-based study from the Danish Hip Arthroplasty Register.Acta orthopaedica · 2024Article
- The relation between socioeconomic status and patient symptoms before and one year after lower extremity arthroplasty.Journal of orthopaedics · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundPatients with higher socioeconomic status (SES) are shown to have better total knee arthroplasty (TKA) outcomes compared to those with lower SES. The relationship between SES and factors that influence TKA use is understudied. We examined the association between SES and pain, function and pain catastrophizing at presentation for TKA.
methodsIn patients undergoing TKA at an academic center, we obtained preoperative pain and functional status (WOMAC Index 0-100, 100 worst), pain catastrophizing (PCS, ≥ 16 high), and mental health (MHI-5, <68 poor). We described individual-level SES using education as a proxy, and area-level SES using a validated composite index linking geocoded addresses to U.S. Census data. We measured associations between these indicators and pain, function and pain catastrophizing, adjusting for age, sex and BMI.
resultsAmong 316 patients, mean age was 65.9 (SD 8.7), 59% were female, and 88% were Caucasian; 17% achieved less than college education and 62% were college graduates. The median area SES index score was 59 (U.S. median 51). Bivariable analyses demonstrated associations between higher individual- and area-level SES and lower pain, higher function and less pain catastrophizing (all p<0.05). Adjusted analyses demonstrated statistically significant associations between higher individual- and area-level SES and better function and less pain.
conclusionIn this cohort, patients with higher individual- and area-level SES had lower pain and higher function at the time of TKA than lower SES patients. Further research is needed to assess what constitutes appropriate levels of pain and function to undergo TKA in these higher SES groups.
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