SynthesisBMC musculoskeletal disorders2018
A systematic review of psychological interventions in total hip and knee arthroplasty.
Synthesis in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06483191 (Acceptability and Feasibility of Acceptance and Commitment Therapy in Total Knee Arthroplasty Patients), which is not on this map. Cited by 30 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Acceptability and Feasibility of Acceptance and Commitment Therapy in Total Knee Arthroplasty Patients
Who cites it
30 citing papers in PubMed, 9 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- What proportion of people have long-term pain after total hip or knee replacement? An update of a systematic review and meta-analysis.BMJ open · 2025Pooled it
- Effect of pain-relief nursing on activities of daily living in patients following hip arthroplasty: a systematic review and meta-analysis.Frontiers in medicine · 2025Pooled it
- Factors correlated with pain after total knee arthroplasty: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Systematic review: preoperative psychological factors and total hip arthroplasty outcomes.Journal of orthopaedic surgery and research · 2022Pooled it
- Factors Correlated With Physical Function 1 Year After Total Knee Arthroplasty in Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis.JAMA network open · 2022Pooled it
- The influence of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty.Rheumatology international · 2020Pooled it
- Pooled it
- Pooled it
- Are perioperative interventions effective in preventing chronic pain after primary total knee replacement? A systematic review.BMJ open · 2019Pooled it
- Effects of a continuous nursing care model on elderly patients with total hip arthroplasty: a randomized controlled trial.Aging clinical and experimental research · 2022Trial
- The impact of preoperative psychological status on postoperative stress responses in patients undergoing dynamic hip screw fixation.Medicine · 2026Article
- 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
- Post-traumatic growth trajectories and influencing factors in patients undergoing hip and knee arthroplasty: a prospective longitudinal study.Frontiers in psychiatry · 2025Article
- A 10-point preoperative checklist: selecting patients for outpatient joint replacement surgery.Arthroplasty (London, England) · 2024Article
- Article
- Factors associated with pain and functional impairment five years after total knee arthroplasty: a prospective observational study.BMC musculoskeletal disorders · 2024Observational
- [Concept for integrative pain treatment of osteoarthritis of the knee based on the evidence for conservative and complementary therapies].Schmerz (Berlin, Germany) · 2023Review
- Current evidence does not support the routine use of cognitive behavioural therapy in total knee arthroplasty: A systematic review.Journal of clinical orthopaedics and trauma · 2023Review
- Preoperative Pain Catastrophizing and Neuropathic Pain Do Not Predict Length of Stay and Early Post-Operative Complications following Total Joint Arthroplasty.Journal of personalized medicine · 2023Article
- The patients' perspective - a qualitative analysis of experiencing a fracture-related infection.Frontiers in psychology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe current practice in elective orthopaedics does not routinely include psychological interventions despite evidence that psychological factors such as personality, anxiety, depression and negative thinking styles can influence outcomes and recovery from surgery. The objective of this paper was to review the effectiveness of psychological interventions used in conjunction with total hip (THA) and knee arthroplasty (TKA), in improving patient reported joint outcomes.
methodsAn extensive literature search was conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Search terms included psychology, interventions, and orthopaedics. Articles were included if they were randomised controlled trials (RCTs) of psychological interventions involving active patient participation measured with patient reported joint outcomes in patients undergoing hip or knee arthroplasty.
resultsA total of 19,489 titles were screened. Seven studies met the inclusion criteria and were included. Five of seven studies did not show improvements in patient reported outcomes after surgery. Specifically, psycho-education alone was not effective at improving patient reported joint outcomes in two out of two studies.
conclusionThe current literature does not support routine psychological interventions for TKA and THA. However, it should be noted that the literature for psychological interventions in conjunction with TKA and THA is still in its infancy. This gap in the literature is surprising, considering the importance of the role of psychological factors in recovery. Further RCTs with long term follow ups, multidisciplinary involvement, and more comprehensive and focused interventions that go beyond educating patients are needed. Future studies should account for the demand effect, include measures of psychological variables to determine whether psychological interventions are more beneficial for some patients compared to others, and compare the different modes of delivery and timing of interventions to determine the optimal nature and duration of psychological interventions for TKA and THA.
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Registered trials
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.