Preoperative Anxiety and Depression Correlate With Dissatisfaction After Total Knee Arthroplasty: A Prospective Longitudinal Cohort Study of 186 Patients, With 4-Year Follow-Up

被引:121
作者
Ali, Abdulemir [1 ]
Lindstrand, Anders [1 ]
Sundberg, Martin [1 ]
Flivik, Gunnar [1 ]
机构
[1] Lund Univ, Skane Univ Hosp, Dept Orthoped, Clin Sci, S-22241 Lund, Sweden
关键词
TKA; dissatisfaction; HAD; KOOS; VAS pain; QUALITY-OF-LIFE; TOTAL HIP; REPLACEMENT SURGERY; JOINT ARTHROPLASTY; PAIN; SATISFACTION; TKA; OUTCOMES; HEALTH; OSTEOARTHRITIS;
D O I
10.1016/j.arth.2016.08.033
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: After more than 4 decades experience of total knee arthroplasty (TKA), there is still a group of patients who are not satisfied with the outcome. In spite of the improvement of many aspects around the procedure, for unexplainable reasons, patient dissatisfaction is still approximately the same. We conducted this study to analyze correlations between preoperative psychological aspects and dissatisfaction after TKA. Methods: A total of 186 patients were operated with a primary TKA. Patients filled out the Hospital Anxiety and Depression Scale, Visual Analog Pain Scale (0-100), and Knee injury and Osteoarthritis Outcome Score preoperatively and 4 years postoperatively. Four years postoperatively, the patients also scored their satisfaction degree with the outcome of the surgery. Results: Of 186 patients, 27 (15%) reported that they were dissatisfied or uncertain with the result of their TKA 4 years postoperatively. Sixteen of those 27 patients had reported anxiety/depression preoperatively compared with 11 of 159 (7%) in the satisfied or very satisfied groups. Patients with preoperative anxiety or depression had more than 6 times higher risk to be dissatisfied compared with patients with no anxiety or depression (P < .001). Patients with deep prosthetic infection had 3 times higher risk to be dissatisfied with the operation outcome (P = .03). Dissatisfied patients had 1-day longer hospital stay compared with the satisfied group (P < .001). Conclusion: Preoperative anxiety and/or depression is an import predictor for dissatisfaction after TKA. Psychological assessment and treatment preoperatively might improve degree of satisfaction. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:767 / 770
页数:4
相关论文
共 40 条
[1]   Doubtful effect of continuous intraarticular analgesia after total knee arthroplasty A randomized, double-blind study of 200 patients [J].
Ali, Abdulemir ;
Sundberg, Martin ;
Hansson, Ulrik ;
Malmvik, Johan ;
Flivik, Gunnar .
ACTA ORTHOPAEDICA, 2015, 86 (03) :373-377
[2]   Dissatisfied patients after total knee arthroplasty [J].
Ali, Abdulemir ;
Sundberg, Martin ;
Robertsson, Otto ;
Dahlberg, Leif E. ;
Thorstensson, Carina A. ;
Redlund-Johnell, Inga ;
Kristiansson, Ingvar ;
Lindstrand, Anders .
ACTA ORTHOPAEDICA, 2014, 85 (03) :229-233
[3]   Functional outcome and patient satisfaction in total knee patients over the age of 75 [J].
Anderson, JG ;
Wixson, RL ;
Tsai, D ;
Stulberg, SD ;
Chang, RW .
JOURNAL OF ARTHROPLASTY, 1996, 11 (07) :831-840
[4]   Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio [J].
Aluísio JD Barros ;
Vânia N Hirakata .
BMC Medical Research Methodology, 3 (1) :1-13
[5]  
Bergman S, 2002, J RHEUMATOL, V29, P818
[6]  
Bistolfi A, 2015, KNEE SURG SPORTS TRA
[7]   Does preoperative anxiety and depression predict satisfaction after total knee replacement? [J].
Blackburn, Julia ;
Qureshi, Adnan ;
Amirfeyz, Rouin ;
Bannister, Gordon .
KNEE, 2012, 19 (05) :522-524
[8]   What are the factors of residual pain after uncomplicated TKA? [J].
Bonnin, Michel P. ;
Basiglini, Luca ;
Archbold, H. A. Pooler .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2011, 19 (09) :1411-1417
[9]   Patient Satisfaction after Total Knee Arthroplasty Who is Satisfied and Who is Not? [J].
Bourne, Robert B. ;
Chesworth, Bert M. ;
Davis, Aileen M. ;
Mahomed, Nizar N. ;
Charron, Kory D. J. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2010, 468 (01) :57-63
[10]   Predicting total knee replacement pain [J].
Brander, VA ;
Stulberg, SD ;
Adams, AD ;
Harden, RN ;
Bruehl, S ;
Stanos, SP ;
Houle, T .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2003, (416) :27-36