Post-operative patient-related risk factors for chronic pain after total knee replacement: a systematic review

BMJ Open
Vikki WyldeRachael Gooberman-Hill

Abstract

To identify postoperative patient-related risk factors for chronic pain after total knee replacement (TKR). The systematic review protocol was registered on the International Prospective Register of Systematic Reviews (CRD42016041374). MEDLINE, Embase and PsycINFO were searched from inception to October 2016 with no language restrictions. Key articles were also tracked in the Institute for Scientific Information (ISI) Web of Science. Cohort studies evaluating the association between patient-related factors in the first 3 months postoperatively and pain at 6 months or longer after primary TKR surgery were included. Screening, data extraction and assessment of methodological quality were undertaken by two reviewers. The primary outcome was pain severity in the replaced knee measured with a patient-reported outcome measure at 6 months or longer after TKR. Secondary outcomes included adverse events and other aspects of pain recommended by the core outcome set for chronic pain after TKR. After removal of duplicates, 16 430 articles were screened, of which 805 were considered potentially relevant. After detailed evaluation of full-text articles, 14 studies with data from 1168 participants were included. Postoperative patient-related ...Continue Reading

Citations

Sep 22, 2018·EFORT Open Reviews·Vikki WyldeRachael Gooberman-Hill
Feb 23, 2021·The Bone & Joint Journal·Eleanor G BurdenJonathan P Evans
Mar 9, 2021·The Bone & Joint Journal·Imran AhmedPeter D H Wall
Dec 18, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Xingwang ChengXia Zhang
May 4, 2021·The Bone & Joint Journal·Muhamed M Farhan-AlanieMatt L Costa
May 13, 2021·Evidence-based Complementary and Alternative Medicine : ECAM·Hai HuangYuelai Chen
Feb 5, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Marc Terradas-MonllorMirari Ochandorena-Acha

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