Evidence map›Paper›PMID 38135788›Full record

ArticleArchives of orthopaedic and trauma surgery2024

The influence of mental health on early outcomes following total hip arthroplasty.

Trent Tamate, Scott Nishioka, Lawton Dylan Ry, Rosana Hernandez Weldon, Andrews Samantha N, Cass K Nakasone

Abstract read
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In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 4 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

6 authors at 2 institutions in 1 country.

Trent TamateJohn A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA.
Scott NishiokaJohn A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA.
Lawton Dylan RyJohn A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA.
Rosana Hernandez WeldonOffice of Public Health Studies, University of Hawaii at Manoa, 1960 East-West Road, Honolulu, HI, 96822, USA.
Andrews Samantha NStraub Medical Center, Bone and Joint Center, 888 South King Street, Honolulu, HI, 96813, USA.
Cass K NakasoneJohn A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA. onohunter@icloud.com.ORCID http://orcid.org/0000-0003-0424-8401
University of Hawaiʻi at Mānoa · USUniversity of Hawaii System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor mental health is difficult to recognize and as a result, its association with recovery from total joint arthroplasty is difficult to assess. The purpose of this study was to investigate the relationship between overall mental health scores and outcomes in the early postoperative period following unilateral total hip arthroplasty (THA).

methodsThis is a retrospective review of prospectively collected data involving 142 patients who underwent primary unilateral THA. Independent variables included patient demographics and preoperative Patient-Reported Outcomes Measurement Information System (PROMIS), Global Physical Health (GPH) and Global Mental Health (GMH) and Hip Disability and Osteoarthritis Outcome Score, Joint Replacement (HOOS JR) scores as well as diagnoses of depression or anxiety. Dependent variables included length of stay (LOS), disposition at discharge, narcotic consumption until discharge, 6-week postoperative GPH, GMH and HOOS JR scores and magnitude of change compared to preoperative scores. Preoperative GMH and postoperative outcomes were compared using Pearson correlation coefficient, independent t-tests, Pearson's Chi-Square test, and univariate logistic regression.

resultsPatients with preoperative GMH scores below the 25% quartile were less likely to be discharged home and resulted in lower GPH, GMH and HOOS JR scores at 6-week follow-up compared to patients with preoperative GMH scores in the top 25% quartile. However, patients with low preoperative GMH scores demonstrated a greater magnitude of improvement in both the GPH and GMH scores compared to patients in the top 25% quartile. There was no difference in opioid consumption or LOS between either groups. When comparing patients with and without depression/anxiety, no difference was seen in any of the outcomes measured.

conclusionUnilateral THA offers significant improvements in both physical and mental function to patients with hip osteoarthritis and poor mental health, though overall scores remain lower than in those with better mental health.

Indexed as

Arthroplasty, Replacement, HipOsteoarthritis, HipHumansMental HealthRetrospective StudiesTreatment OutcomeAnxietyDepressionEarly outcomesMental healthPatient reported outcomesTotal hip arthroplasty

Identifiers

PMID38135788
OpenAlexW4390101299

What OpenQuestion holds

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Registered trials

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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.