Evidence map›Paper›PMID 38576001›Full record

ReviewArthroplasty (London, England)2024

Resilience as a psychiatric factor affecting outcomes after total joint arthroplasty: a systematic review.

Andrew G Kim, Parshva Sanghvi, Adam A Rizk, Aaron Ahn, Thomas J Pumo, Atul F Kamath

Abstract readReview
In one paragraph

Review in Arthroplasty (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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.

Andrew G KimDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Parshva SanghviDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Adam A RizkDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Aaron AhnDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Thomas J PumoDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA.
Atul F KamathDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, Cleveland, OH, 44195, USA. kamatha@ccf.org.ORCID http://orcid.org/0000-0002-9214-2756

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMental and psychiatric status continue to be underscreened prior to total joint arthroplasty (TJA). Research on the role of resilience as a psychiatric factor affecting TJA outcomes remains limited. Therefore, our systematic review sought to evaluate the impact of patient resilience in TJA.

methodsA systematic review of the literature from the Pubmed, MEDLINE, EBSCOhost, and Google Scholar online databases was performed in abidance with Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. Studies reporting on outcomes following primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) segregated by patient resilience were included. Case reports, reviews, meta-analyses, and conference abstracts were excluded. Primary outcomes of interest included patient-reported outcomes (PROs), surgical outcomes, and postoperative opioid consumption.

resultsTwelve articles were included reporting on a total of 1,577 TJAs. There was a strong agreement that the Patient Reported Outcomes Measurement Information System (PROMIS)-Physical Health and Mental Health components were strongly predicted by patient resilience. However, there was inconclusive evidence regarding the impact of resilience on UCLA Activity Scales (UCLA) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) outcomes as well as postoperative hip and knee function. Similarly, conflicting evidence was presented regarding the effect of resilience on length of stay (LOS). Greater resilience was associated with reduced opioid usage in the immediate inpatient postoperative period. However, resilience had no significant effect on opioid requirements in the postoperative outpatient follow-up time frame.

conclusionThe present analysis demonstrated mixed, inconclusive evidence regarding the impact of resilience on postoperative outcomes. The paucity of research evaluating this relationship warrants further investigation, examining both short and long-term outcomes. Due to the limited literature evaluating resilience as a predictor of outcomes following TJA, we cannot definitively rule out resilience as a valuable metric and must further examine its utility as a preoperative screening tool. LEVEL OF EVIDENCE: III.

Indexed as

ArthroplastyPsychological resilienceResilienceTHATKA

Identifiers

PMID38576001
PMCPMC10996138

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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.