SynthesisRheumatology international2020
The influence of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty.
Synthesis in Rheumatology international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Psychological factors associated with chronic postoperative inguinal pain: a qualitative systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- High-impact chronic pain after total joint arthroplasty: a longitudinal cohort study.Pain reports · 2026Article
- Considering mental function for successful total knee arthroplasty in older people.World journal of methodology · 2026Article
- The psychosomatic self.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Stairway to heaven via the highway to hell: a qualitative study on patients' experience of knee joint replacement surgery.Journal of orthopaedic surgery and research · 2025Article
- The role of sex, age, and BMI in treatment decisions for knee osteoarthritis: conservative management versus total knee replacement.Journal of orthopaedic surgery and research · 2025Article
- Anxiety and depression prior to total knee arthroplasty are associated with worse pain and subjective function: A prospective comparative study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- 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
- The Efficacy of a Preoperative Occupational Therapy Educational Session for Saudi Patients Undergoing a Lower Extremity Joint Replacement.Journal of multidisciplinary healthcare · 2023Article
- Does resilience predict hospital length of stay after total knee arthroplasty? A prospective observational cohort study.Arthroplasty (London, England) · 2022Article
- Acute pain after total hip and knee arthroplasty does not affect chronic pain during the first postoperative year: observational cohort study of 389 patients.Rheumatology international · 2022Observational
- Depression in Osteoarthritis: Current Understanding.Neuropsychiatric disease and treatment · 2022Review
- The Effect of Preoperative Health Education, Delivered as Animation Videos, on Postoperative Anxiety and Pain in Femoral Fractures.Frontiers in psychology · 2022Article
- Short-term functional outcome after fast-track primary total knee arthroplasty: analysis of 623 patients.Acta orthopaedica · 2021Article
- Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Our aim was to assess the effect of perioperative interventions targeting psychological distress on clinical outcome after total knee arthroplasty (TKA). We searched studies on the effect of perioperative interventions focused on psychological distress used in conjunction with TKA on pain, function, and quality of life (QoL) on PubMed, Embase.com, PsycINFO/OVID, CENTRAL, the Cochrane Database of Systematic Reviews, Scopus, and Web of Science. We included 40 studies (22 RCTs, ten cohort studies, and eight quasi-experimental studies) with a total of 3846 patients. We graded the quality of evidence as low for pain and function and as moderate for QoL. Patients receiving music, education, cognitive behavioural therapy, guided imagery, pain coping skills training, Reiki, occupational therapy with self-monitoring, and biofeedback-assisted progressive muscles relaxing training had lower pain scores or declined opioid prescriptions after TKA. Pain coping skills training, audio recording-guided imagery scripts, video promoting self-confidence, psychological therapies by video, Reiki, music, occupational therapy with self-monitoring, education, and psychotherapy improved postoperative functional outcome. Education through an app improved QoL after TKA. The studies in our systematic review show that perioperative interventions targeting psychological distress for patients receiving TKA seem to have a positive effect on postoperative pain, function, and QoL. RCTs with strict methodological safeguards are still needed to determine if perioperative interventions focused on psychological distress should be used in conjunction with TKA. These studies should also assess which type of intervention will be most effective in improving patient-reported outcome measures and declining opioid prescriptions.
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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.