Evidence map›Paper›PMID 31992939›Full record

ArticleJournal of clinical orthopaedics and trauma2020

Clinical characteristics associated with depression or anxiety among patients presenting for knee surgery.

Ashley La, Vidushan Nadarajah, Julio J Jauregui, William P Shield, Shaun H Medina, Andrew G Dubina, Sean J Meredith, Jonathan D Packer, R Frank Henn

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical orthopaedics and trauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Ashley LaDepartment of Orthopaedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Vidushan NadarajahDepartment of Orthopaedic Surgery, SUNY Downstate Medical Center, Brooklyn, NY, USA.
Julio J JaureguiDepartment of Orthopaedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
William P ShieldDepartment of Orthopaedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Shaun H MedinaThe Ohio State University College of Medicine, USA.
Andrew G DubinaDepartment of Orthopaedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
Sean J MeredithDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Jonathan D PackerDepartment of Orthopaedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
R Frank HennDepartment of Orthopaedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
University of Maryland, Baltimore · USSUNY Downstate Health Sciences University · USThe Ohio State University · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreoperative depression and anxiety in patients undergoing surgery have been shown to be associated with increased postoperative complications, decreased functional improvement, and long-term dissatisfaction. The purpose of this prospective study was to measure the relationship between a diagnosis of depression or anxiety and Patient-Reported Outcomes Measurement Information System (PROMIS) domains, as well as determine which preoperative factors are associated with depression or anxiety in patients undergoing knee surgery. We hypothesized that preoperative depression and/or anxiety would be associated with worse preoperative pain, function, and general health status.

methodsThree-hundred and eighty-six patients undergoing knee surgery between 2015 and 2017 were administered health-related quality of life measures preoperatively, and their medical records were reviewed for relevant medical history. A propensity matched analysis was performed to determine clinical factors independently associated with preoperative depression and/or anxiety.

resultsThe overall study population consisted of 216 males and 170 females, with a mean age of 39.4 ± 16.2 years. From this overall cohort, 43 (11.1%) patients had a positive preoperative diagnosis of depression and/or anxiety. After controlling for covariate imbalances, preoperative depression/anxiety was independently associated with PROMIS Anxiety (p = 0.018), PROMIS Depression (p < 0.019), and Tegner pre-injury (p = 0.013) scores. Regression analysis also determined that preoperative depression/anxiety was independently associated with arthroscopic anterior cruciate ligament reconstruction (ACLR) (p = 0.004), total knee arthroplasty (TKA) (p = 0.019), and uni-compartmental knee arthroplasty (p < 0.05).

conclusionThe results support our hypothesis that preoperative depression/anxiety is associated with worse preoperative pain, function, and general health status. Furthermore, PROMIS Anxiety and Depression tools offer a reliable means of measuring psychological distress in the orthopaedic knee population. Similar to other studies, we also noted psychological comorbidity to be independently associated with ACLR and TKA.

Indexed as

AnxietyDepressionKneePatient-reported outcomesPROMIS

Identifiers

PMID31992939
PMCPMC6977163
OpenAlexW2968805961

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.