OsteoarthritisPsychological Factors Affecting the Outcome of Total Hip and Knee Arthroplasty: A Systematic Review
Section snippets
Data Sources and Searches
A search for relevant studies was performed in MEDLINE and EMBASE since their inception up to January 2011. Search terms included total hip and knee arthroplasty, different outcome measures (pain, functioning, patient satisfaction, quality of life, mortality, and revision), and different psychological symptoms (patient expectations, depression, anxiety, mental health, physiological stress, self-efficacy, coping, vitality, and emotion). The full electronic search strategy for the MEDLINE
Identification and Selection of the Literature
The search resulted in 1837 articles, whose abstracts were reviewed. Through screening of the abstracts, 82 were identified as possibly relevant for which full articles were retrieved. After review of the full articles, 35 articles met all the inclusion criteria (Fig. 1). The reasons for excluding articles were as follows: not a prospective study with a before–after design and a minimum follow-up of 6 weeks (n = 13); evaluated none of the predefined outcome measures or determinants (n = 15); no
Discussion
In this systematic review we summarized the available evidence about the influence of psychological factors on the outcome after TKA and THA. We found that low preoperative mental health and pain catastrophizing have an influence on outcome. Different results were found for TKA and THA combined and separately. Therefore, the question arises whether we can combine the results of TKA and THA. From the results of this study it is not clear whether the differences are actually different between
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The authors have no conflicts of interest to disclose.