ArticleArthroplasty today2021
The Effects of Depression and Anxiety on 90-day Readmission Rates After Total Hip and Knee Arthroplasty.
Article in Arthroplasty today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Non-pharmacological interventions to reduce postoperative anxiety in total hip arthroplasty: a systematic review.BMC musculoskeletal disorders · 2026Pooled it
- Stakeholders' Perspectives on the Development of the Early Pain Intervention After Knee Replacement Model of Care: A Qualitative Study.ACR open rheumatology · 2026Article
- Anxiety and depression status in geriatric patients undergoing total hip arthroplasty: Correlation with postoperative pain and risk factors.World journal of psychiatry · 2025Article
- The impact of mental and psychological state on metatarsophalangeal joint replacement outcomes in patients with freiberg's infraction.Journal of orthopaedic surgery and research · 2025Article
- Depression screening within 3 months of primary shoulder arthroplasty decreases medical complications, implant complications, and costs of care in patients with diagnosed depressive disorder.Shoulder & elbow · 2025Article
- The Influence of Multiple Modifiable Risk Factors on 30-day Readmissions and 90-day Major Complications After a Total Hip and Knee Arthroplasty: An Analysis of a Large Claims Database.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Article
- Factors influencing the decision to receive total knee replacement among patients with severe knee osteoarthritis under universal health insurance coverage.Scientific reports · 2024Article
- Improvements in Physical Function and Pain Interference and Changes in Mental Health Among Patients Seeking Musculoskeletal Care.JAMA network open · 2023Article
- Multi-stakeholder perspectives regarding preferred modalities for mental health intervention delivered in the orthopedic clinic: a qualitative analysis.BMC psychiatry · 2023Article
- Impact of post-discharge phone calls on non-urgent hospital returns < 90 days following primary bariatric surgery.Surgical endoscopy · 2023Article
- Multi-stakeholder perspectives regarding preferred modalities for mental health intervention delivered in the orthopedic clinic: A qualitative analysis.Research square · 2023Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients undergoing total joint arthroplasty have higher rates of anxiety, depression or anxiety and depression than the general population and higher costs of care, which lead to higher levels of postoperative dissatisfaction and readmission rates. We evaluated the readmission rates of patients undergoing total hip or knee arthroplasty with diagnoses of anxiety, depression, or both.
methodsOur hospital's prospectively collected data from Michigan's statewide total joint database were reviewed from 2013 to 2018. Rates of anxiety, depression or anxiety and depression were determined based on preoperative anxiolytic or antidepressant medications using National Drug Codes.
resultsA total of 4107 cases were included. Of which 4.28% had a readmission within the 90-day global period, and 12% had a history of depression or anxiety or both. For the entire cohort, those on anxiolytic medication were 153% more likely to be readmitted than those not on medication (
conclusionsPatients with depression, anxiety, or both undergoing TKA were at a statistically significant risk of readmission within 90 days compared with patients without these diagnoses. Anxiety and depression were both risk factors for readmission, but anxiety appeared to have a more significant impact. Patients undergoing THA on the other hand did not appear to share this risk profile.
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