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

医学 焦虑 萧条(经济学) 骨关节炎 医院焦虑抑郁量表 全膝关节置换术 前瞻性队列研究 患者满意度 物理疗法 关节置换术 可视模拟标度 队列 队列研究 外科 内科学 精神科 病理 经济 替代医学 宏观经济学
作者
Abdulemir Ali,Anders Lindstrand,Martin Sundberg,Gunnar Flivik
出处
期刊:Journal of Arthroplasty [Elsevier BV]
卷期号:32 (3): 767-770 被引量:120
标识
DOI:10.1016/j.arth.2016.08.033
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.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
1秒前
西西完成签到,获得积分10
2秒前
8564523完成签到,获得积分10
2秒前
2秒前
周周发布了新的文献求助10
2秒前
今后应助cyw采纳,获得10
3秒前
4秒前
4秒前
cc完成签到,获得积分10
5秒前
苏灿应助jiajia采纳,获得10
5秒前
SciGPT应助阔达的萤采纳,获得10
7秒前
黄晓发布了新的文献求助10
8秒前
musejie应助臭学医的采纳,获得10
8秒前
菲菲发布了新的文献求助10
8秒前
8秒前
贪玩凝荷发布了新的文献求助10
8秒前
XXXX发布了新的文献求助10
8秒前
GG发布了新的文献求助30
8秒前
8秒前
平淡的天宇完成签到,获得积分10
9秒前
chenalong完成签到,获得积分10
9秒前
WeiBao发布了新的文献求助30
9秒前
勤奋的热狗完成签到 ,获得积分10
10秒前
11秒前
12秒前
12秒前
FashionBoy应助爱啃大虾采纳,获得10
13秒前
muzi完成签到,获得积分10
13秒前
593完成签到,获得积分10
14秒前
14秒前
Wanghongwei发布了新的文献求助30
15秒前
贪玩凝荷完成签到,获得积分10
15秒前
cindy完成签到,获得积分10
15秒前
疚祠发布了新的文献求助10
15秒前
15秒前
Masetti1完成签到 ,获得积分10
16秒前
lagom发布了新的文献求助10
16秒前
小树叶发布了新的文献求助10
17秒前
JamesPei应助周周采纳,获得30
17秒前
成功应助今天做实验了吗采纳,获得10
17秒前
高分求助中
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
Effective Learning and Mental Wellbeing 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3974856
求助须知:如何正确求助?哪些是违规求助? 3519400
关于积分的说明 11198085
捐赠科研通 3255563
什么是DOI,文献DOI怎么找? 1797860
邀请新用户注册赠送积分活动 877208
科研通“疑难数据库(出版商)”最低求助积分说明 806219