ArticleActa orthopaedica2017
Preoperative psychosocial risk factors for poor outcomes at 1 and 5 years after total knee replacement.
Article in Acta orthopaedica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06180486 (Preoperative Mindfulness Meditation for Total Knee Arthroplasty), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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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.
Preoperative Mindfulness Meditation for Total Knee Arthroplasty: A Pilot Study
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Are preoperative psychological factors associated with chronic postoperative pain after total knee arthroplasty: a systematic review.EFORT open reviews · 2026Pooled it
- Are perioperative interventions effective in preventing chronic pain after primary total knee replacement? A systematic review.BMJ open · 2019Pooled it
- Association between pre-operative mental health and recovery outcomes following total knee arthroplasty.Scientific reports · 2026Article
- Perioperative sleep disturbances in older adults: a scoping review of epidemiology and treatment.European geriatric medicine · 2025Article
- Factors Associated with Decisional Regret After Shared Decision Making for Patients Undergoing Total Knee Arthroplasty.Healthcare (Basel, Switzerland) · 2025Article
- Influence of patients' preoperative expectations on postoperative outcomes after total knee or hip arthroplasty: a systematic review.EFORT open reviews · 2024Article
- Factors associated with pain and functional impairment five years after total knee arthroplasty: a prospective observational study.BMC musculoskeletal disorders · 2024Observational
- Continuous Adductor Canal Block Compared to Epidural Anesthesia for Total Knee Arthroplasty [Letter].Journal of pain research · 2024Article
- Perioperative Anxiety and Depression in Older Adults: Epidemiology and Treatment.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023Review
- Using Presurgical Biopsychosocial Features to Develop an Advanced Clinical Decision-Making Support Tool for Predicting Recovery Trajectories in Patients Undergoing Total Knee Arthroplasty: Protocol for a Prospective Observational Study.JMIR research protocols · 2023Article
- The Efficacy of a Preoperative Occupational Therapy Educational Session for Saudi Patients Undergoing a Lower Extremity Joint Replacement.Journal of multidisciplinary healthcare · 2023Article
- Is inpatient rehabilitation a predictor of a lower incidence of persistent knee pain 3-months following total knee replacement? A retrospective, observational study.BMC musculoskeletal disorders · 2022Observational
- Reduction in anxiety and depression symptoms one year after knee replacement: a register-based cohort study of 403 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Effect of preoperative long-term opioid therapy on patient outcomes after total knee arthroplasty: an analysis of multicentre population-based administrative data.Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
- Preoperative psychological distress no reason to delay total knee arthroplasty: a register-based prospective cohort study of 458 patients.Archives of orthopaedic and trauma surgery · 2020Article
- Psychosocial Determinants of Total Knee Arthroplasty Outcomes Two Years After Surgery.ACR open rheumatology · 2020Article
- Smoking, unemployment, female sex, obesity, and medication use yield worse outcomes in patellofemoral arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Do Knee Pain Phenotypes Have Different Risks of Total Knee Replacement?Journal of clinical medicine · 2020Article
- Improving Patient Outcomes Following Total Knee Arthroplasty: Identifying Rehabilitation Pathways Based on Modifiable Psychological Risk and Resilience Factors.Frontiers in psychology · 2020Article
- Is social support associated with patient-reported outcomes after joint replacement? A systematic review and meta-analysis.The Lancet. Rheumatology · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - Psychosocial factors are important risk factors for poor outcomes in the first year after total knee replacement (TKR), however their impact on long-term outcomes is unclear. We aimed to identify preoperative psychosocial risk factors for poor outcomes at 1 year and 5 years after TKR. Patients and methods - 266 patients were recruited prior to TKR surgery. Knee pain and function were assessed preoperatively and at 1 and 5 years postoperative using the WOMAC Pain score, WOMAC Function score and American Knee Society Score (AKSS) Knee score. Preoperative depression, anxiety, catastrophizing, pain self-efficacy and social support were assessed. Statistical analyses involved multiple linear regression and mixed effect linear regression. Results - Higher anxiety was a risk factor for worse pain at 1 year postoperative. No psychosocial factors were associated with any outcomes at 5 years postoperative. Analysis of change over time found that patients with higher pain self-efficacy had lower preoperative pain and experienced less improvement in pain up to 1 year postoperative. Higher pain self-efficacy was associated with less improvement in the AKSS up to 1 year postoperative but more improvement between 1 and 5 years postoperative. Interpretation - Preoperative anxiety was found to influence pain at 1 year after TKR. However, none of the psychosocial variables were risk factors for a poor outcome at 5 years post-operative, suggesting that the negative effects of anxiety on outcome do not persist in the longer-term.
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