Walter, Nike and Mohokum, Melvin and Loew, Thomas and Rupp, Markus and Alt, Volker (2024) Healing beyond the joint: Addressing mental health in periprosthetic joint infection in a prospective longitudinal study. JOURNAL OF PSYCHOSOMATIC RESEARCH, 177: 111559. ISSN 0022-3999, 1879-1360
Full text not available from this repository. (Request a copy)Abstract
Objective: Periprosthetic joint infection (PJI) is a devastating complication following joint replacement surgeries. While the somatic impacts of PJI have been extensively explored, the influence on mental health remains understudied. This study aimed to longitudinally assess the psychological burden, quality of life, and expectations in individuals undergoing treatment for PJI. Methods: A prospective study was conducted at a German trauma center between January 2020 and December 2022. Patients diagnosed with PJI (n = 29, mean age 71.4 +/- 8.8 years) were assessed at five timepoints, within one week before revision surgery, one month, three, six, and twelve months postoperatively. Outcomes included the ICD-10 symptom-rating (ISR), German Short-Form 36 (SF-36), European Quality of Life 5 Dimensions (EQ5D), and an expectation questionnaire. Results: Psychological scores exhibited significant upward trends over time. The ISR score increased from 0.55 preoperatively to 0.87 at the 12-month follow-up (p = 0.002), surpassing the clinically relevant threshold. Depression and anxiety scores peaked at 6 months (1.6, p = 0.005) and 12 months (1.12, p = 0.001), respectively. Quality of life, measured by SF-36, showed stable physical component summary scores but declining mental component summary scores. Patients' expectations of returning to normal health consistently decreased (p = 0.009). Conclusion: Patients undergoing treatment for PJI experience significant psychological burden, with implications for quality of life and expectations of recovery. The findings underscore the importance of addressing psychological well-being in the management of PJI and emphasize the need for comprehensive care strategies that encompass both somatic and psychological dimensions.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ICD-10-SYMPTOM-RATING ISR; TOTAL HIP; ANXIETY; ARTHROPLASTY; EXPECTATIONS; DEPRESSION; REVISION; EUROQOL; Periprosthetic joint infection; Quality of life; Mental health; Psychological outcome; Patient -reported outcome measures |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Unfallchirurgie Medicine > Abteilung für Psychosomatische Medizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 07 May 2024 09:40 |
| Last Modified: | 11 Mar 2025 10:05 |
| URI: | https://pred.uni-regensburg.de/id/eprint/61658 |
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