Goetz, Julia Sabrina and Benditz, Achim and Reinhard, Jan and Schindler, Melanie and Zeman, Florian and Grifka, Joachim and Greimel, Felix and Leiss, Franziska (2021) Influence of Anxiety/Depression, Age, Gender and ASA on 1-Year Follow-Up Outcomes Following Total Hip and Knee Arthroplasty in 5447 Patients. JOURNAL OF CLINICAL MEDICINE, 10 (14): 3095. ISSN , 2077-0383
Full text not available from this repository. (Request a copy)Abstract
Introduction: There are many factors influencing the outcome after total joint arthroplasty (TJA). In particular, patient-related factors such as age, gender, ASA (American Society of Anesthesiologists), or preoperative anxiety/depression have become increasingly important. The aim of this study was to examine the association of these parameters with 1-year postoperative outcomes after total knee and total hip arthroplasty (TKA, THA). Methods: A retrospective cohort of 5447 TJA patients was evaluated by pre- and postoperative analysis of EQ-5D, EQ-VAS and WOMAC Score. Furthermore, major focus was put on the association between age, gender, ASA, preoperative anxiety/depression and outcome parameters. Results: 53.3% (2903/5447) of all patients were identified with anxiety/depression at time of surgery. In the analysis, patients without anxiety/depression showed statistically significantly (p < 0.05) better EQ-5D, EQ-VAS and WOMAC scores. In addition, patients with ASA 2 or 3 and age over 70 years showed statistically significantly (p < 0.01) worse EQ-5D and WOMAC scores. Gender did not influence the postoperative EQ-5D and WOMAC results, but men had significantly better EQ-VAS scores than women in this study. Conclusion: Preoperative anxiety/depression symptoms show worse clinical outcomes 1 year postoperatively after TJA. Other outcome-influencing factors are higher age and ASA 2 or 3. In the future, such patients should be identified, and as far as applicable, a treatment of anxiety/depression or comorbidities should be implemented preoperatively of the surgical procedure to improve clinical outcomes.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TOTAL JOINT ARTHROPLASTY; PREOPERATIVE ANXIETY; DEPRESSIVE SYMPTOMS; PAIN; PREDICT; EPIDEMIOLOGY; COMORBIDITY; SEVERITY; BENEFITS; DISEASE; anxiety; depression; knee arthroplasty (TKA); hip arthroplasty (THA); total joint arthroplasty (TJA); postoperative outcomes |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 07 Sep 2022 11:44 |
| Last Modified: | 07 Sep 2022 11:44 |
| URI: | https://pred.uni-regensburg.de/id/eprint/46813 |
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