ArticleInternational orthopaedics2019
Social determinants associated to chronic pain after total knee arthroplasty.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 35 citations in OpenAlex.
- Relations of Social Determinants of Health to Pain and Function in Individuals with Knee Osteoarthritis in a Hispanic-dominant Community.Journal of racial and ethnic health disparities · 2025Article
- Article
- Comparing outcomes in revision total hip arthroplasty in inpatient versus outpatient setting: a matched cohort analysis.Archives of orthopaedic and trauma surgery · 2024Article
- Cementless medial pivot design demonstrates equal or better outcomes compared to cementless cruciate-retaining design following total knee arthroplasty.Journal of orthopaedics · 2024Article
- Time-Dependent Prediction Models for Individual Prognosis of Chronic Postsurgical Pain following Knee Replacement Based on an Extensive Multivariable Data Set.Journal of clinical medicine · 2024Article
- Perioperative Pain Management and Opioid Stewardship: A Practical Guide.Healthcare (Basel, Switzerland) · 2021Review
- Invariance of the PAINAD Scale Between the Black and White Residents Living With Dementia.Frontiers in pain research (Lausanne, Switzerland) · 2021Article
- Personality traits predict residual pain after total hip and knee arthroplasty.International orthopaedics · 2020Article
- CORR Insights®: Widespread Pain Is Associated with Increased Risk of No Clinical Improvement After TKA in Women.Clinical orthopaedics and related research · 2020Article
- Does the medial pivot knee improve the clinical and radiographic outcome of total knee arthroplasty? A single centre study on two hundred and ninety seven patients.International orthopaedics · 2020Article
- Comparative clinical and cost analysis between surgical and non-surgical intervention for knee osteoarthritis.International orthopaedics · 2020Article
- Mid-term survivorship and clinical outcomes of the medial stabilized systems in primary total knee arthroplasty: A systematic review.Journal of orthopaedicsReview
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aim of the studyAnalyze the association between social health determinants (SHD) and chronic post-surgical pain (CPSP) after total knee arthroplasty (TKA).
methodA cross-sectional study was performed in 58 TKA patients. The subjects were classified in two groups: with (n = 22) or without (n = 36) CPSP. SHD considered were gender, age, educational level, economic income, and labour conditions.
resultsSignificant differences were found concerning educational level when comparing subjects with or without CPSP, with a low educational level of 22.4% and 19%, respectively. 15.5% of patients with persistent pain had a high educational level compared with 43.1% of the patients without persistent pain (p = 0.032). No significant differences were found for the other categories (p > 0.05). The odds ratio (95% confidence interval) was 3.28 (1.09-9.93) for lower educational level compared with high educational level. DISCUSSION: CPSP must be considered a severe health problem. In addition to SDH, there are multiple factors associated with chronic pain after TKA that must be considered for an effective treatment.
conclusionsPatients with lower educational level showed a three-time higher association to develop CPSP. Considering SHD could be of relevance when elaborating new interventions or health strategies and more specialized counseling for patients with persistent pain after TKA.
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