Observational studyThe journal of pain2022
Chronic Pain Prevalence and Factors Associated With High Impact Chronic Pain following Total Joint Arthroplasty: An Observational Study.
Observational study in The journal of pain, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Understanding Chronic Hip Pain Through the ICF Framework: Implications for Assessment, Diagnosis, and Management.Orthopaedic surgery · 2026Review
- Risk factors for long-term analgesic prescription after hip or knee arthroplasty for osteoarthritis: results of a multivariable regression analysis based on health insurance claims data from 137,875 patients with postoperative inpatient rehabilitation.BMC musculoskeletal disorders · 2026Article
- Post-discharge opioid prescribing after surgery in the United States: a population-based analysis of specialty variation and prescribing intensity.Lancet regional health. Americas · 2026Article
- High-impact chronic pain after total joint arthroplasty: a longitudinal cohort study.Pain reports · 2026Article
- Biopsychosocial predictive factors for developing chronic postsurgical pain after hip replacement surgery: A systematic review.Osteoarthritis and cartilage open · 2026Review
- Unspecified pain, chronic pain, and high-impact chronic pain in Lesotho: a population-based cross-sectional study.Pain reports · 2026Article
- Impact of Pain Self-Efficacy on Health Outcomes in High-Impact Chronic Pain: A Longitudinal Study.The Clinical journal of pain · 2025Article
- Comparison of adverse events, prescription medication, and costs after hip, knee, and shoulder total joint arthroplasty: a retrospective cohort study.Arthroplasty (London, England) · 2025Article
- Using deep learning to predict postoperative pain in reverse shoulder arthroplasty patients.JSES international · 2025Article
- Tobacco smoking portends worse functional outcomes after acetabular fracture.Archives of orthopaedic and trauma surgery · 2025Article
- A Systematic Review of Temporary Peripheral Nerve Stimulation for Postoperative Pain Management in Orthopedic Surgery.Anesthesiology research and practice · 2025Review
- Transdermal Fentanyl Patch Effectiveness in Postoperative PainManagement in Orthopedic Patients: Literature Review.Journal of clinical medicine · 2024Review
- Prevalence and Factors Associated With High-Impact Chronic Pain in Knee Osteoarthritis: The Johnston County Health Study.The journal of pain · 2024Article
- Which patient level factors predict persistent pain after reverse total shoulder arthroplasty?Journal of orthopaedic surgery and research · 2024Article
- Can Patient-Reported Outcomes Measurement Information System estimate high-impact chronic pain after total shoulder arthroplasty?JSES international · 2024Article
- Assessing pain management in total joint arthroplasty using the Detroit interventional pain assessment scale-A prospective cohort study.Arthroplasty (London, England) · 2024Article
- Sex differences in the radiographic and symptomatic prevalence of knee and hip osteoarthritis.Frontiers in endocrinology · 2024Review
- Do You PROMIS (Patient Reported Outcomes Measurement Information System)? Physical Function and Pain Interference Scores After Total Knee and Hip Arthroplasty.Arthroplasty today · 2023Article
- Can Patient-Reported Outcome Measurement Information System Measures Estimate High Impact Chronic Pain After Total Joint Arthroplasty?The Journal of arthroplasty · 2023Article
- Chronic post-surgical pain after knee arthroplasty: a role of peripheral nerve blocks.Frontiers in medicine · 2023Article
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5 authors.
Funding
Abstract
Hip, knee, and shoulder arthroplasty are among the most frequently performed orthopaedic procedures in the United States. High impact and bothersome chronic pain rates following total joint arthroplasty (TJA) are unknown; as are factors that predict these chronic pain outcomes. This retrospective observational study included individuals that had a TJA from January 2014 to January 2020 (n = 2,638). Pre-operative and clinical encounter information was extracted from the electronic health record and chronic pain state was determined by email survey. Predictor variables included TJA location, number of surgeries, comorbidities, tobacco use, BMI, and pre-operative pain intensity. Primary outcomes were high impact and bothersome chronic pain. Rates of high impact pain (95% CI) were comparable for knee (9.8-13.3%), hip (8.3-11.8%) and shoulder (7.6-16.3%). Increased risk of high impact pain included non-white race, two or more comorbidities, age less than 65 years, pre-operative pain scores 5/10 or higher, knee arthroplasty, and post-operative survey completion 24 months or less. Rates of bothersome chronic pain (95% CI) were also comparable for knee (24.9-29.9%) and hip (21.3-26.3%) arthroplasty; but higher for shoulder (26.9-39.6%). Increased risk of bothersome chronic pain included non-white race, shoulder arthroplasty, knee arthroplasty, current or past tobacco use, and being female. PERSPECTIVE: In this cohort more than 1/3rd of individuals reported high impact or bothersome chronic pain following TJA. Non-white race and knee arthroplasty were the only two variables associated with both chronic pain outcomes.
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