ArticleCureus2025
Preoperative Risk Factors for Persistent Pain After Total Hip Arthroplasty for Hip Osteoarthritis: The Influence of Neuropathic Pain, Central Sensitization, and Pain Catastrophizing.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- [Comparative observation of analgesic efficacy between liposomal bupivacaine and "cocktail" therapy following artificial intelligence-assisted direct anterior approach total hip arthroplasty: A prospective randomized controlled study].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Trial
- Biopsychosocial predictive factors for developing chronic postsurgical pain after hip replacement surgery: A systematic review.Osteoarthritis and cartilage open · 2026Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Approximately 10% of patients experience persistent pain after total hip arthroplasty (THA). Pain mechanisms, such as neuropathic pain, central sensitization, and pain rupture symptoms, have been reported to be associated with persistent postoperative pain. However, no studies have examined these mechanisms simultaneously. Therefore, in this study, we aimed to investigate the preoperative prevalence of neuropathic pain, central sensitization, and pain catastrophizing among patients with hip osteoarthritis (OA) and identify risk factors for persistent pain after THA, focusing on neuropathic pain, central sensitization, and pain catastrophizing. Methods In this retrospective study, 311 patients who underwent THA for hip OA were included. Preoperative neuropathic pain, central sensitization, and pain catastrophizing were evaluated using the pain-DETECT, Central Sensitization Inventory, and Pain Catastrophizing Scale, respectively. Persistent postoperative pain was defined as a Numerical Rating Scale score ≥3 at 12 months postoperatively. Persistent and non-persistent pain groups were compared using univariate and multivariate analyses. Results Preoperatively, neuropathic pain, central sensitization, and pain catastrophizing were present in 84 (27.0%), 74 (23.8%), and 183 (58.8%) of patients, respectively. In this study, 36 (11.6%) patients experienced persistent pain. The persistent pain group had a significantly higher prevalence of central sensitization and pain catastrophizing than the non-persistent pain group (
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