The Influence of Major Depressive Disorder at Both the Preoperative and Postoperative Evaluations for Total Knee Arthroplasty Outcomes

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Marieke A VisserHenry B Ellis

Abstract

The purpose of this paper is to analyze the impact of major depressive disorder, both preoperatively and one year postoperatively, on the functional and psychosocial outcomes of total knee arthroplasty (TKA). Two hundred sixty patients undergoing a total knee arthroplasty completed both the baseline and 12-month follow-up assessments. Short-Form Health Inventory (SF36), Western Ontario and McMaster University Arthritis Index (WOMAC), and Knee Society Score (KSS) were measured both preoperatively and postoperatively. The Patient Health Questionnaire (PHQ) was used to diagnose major depressive disorder (MDD) at baseline and follow-up; patients were then classified into one of four groups: No MDD, Lost MDD, Gained MDD, and Continuous MDD. Univariate analysis compared the four groups at baseline, one-year follow-up, and change scores using a Kruskal-Wallis test for continuous data or a chi-square test of independence for categorical data. Two hundred seven (79.60%) patients were in the No MDD group, 22 (8.50%) patients were in the Lost MDD group, 19 (7.30%) patients were in the Gained MDD group, and 12 (4.60%) patients were in the Continuous MDD group. There were significant between-group differences present in baseline measures of...Continue Reading

References

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Citations

Mar 27, 2019·Rheumatology International·Tsvetoslav Georgiev, Alexander Krasimirov Angelov
Aug 18, 2020·Rheumatology International·Tsvetoslav Georgiev
Apr 10, 2020·The Journal of Bone and Joint Surgery. American Volume·Albert T Anastasio
Oct 8, 2020·The Journal of Bone and Joint Surgery. American Volume·Albert T Anastasio
Sep 19, 2020·The Journal of Bone and Joint Surgery. American Volume·Travis L ClelandNitin B Jain
May 25, 2021·Journal of Clinical Orthopaedics and Trauma·Sravya P VajapeyAndrew I Spitzer
May 31, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Luke T HessburgEric C Makhni
Jul 13, 2021·The Journal of Bone and Joint Surgery. American Volume·Gregory S KazarianRobert L Barrack
Aug 5, 2021·Southern Medical Journal·Lauren A BeaupreC Allyson Jones
Jan 13, 2022·Journal of Clinical Pharmacy and Therapeutics·Juan LiZhaoyang Wang

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