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International Orthopaedics

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01-07-2016 | Original Paper

Influence of somatization and depressive symptoms on the course of pain within the first year after uncomplicated total knee replacement: a prospective study

Authors: Sebastian Bierke, Martin Häner, Wolf Petersen

Published in: International Orthopaedics | Issue 7/2016

Abstract

Purpose

Approximately 10–25 % of patients are reportedly dissatisfied with the results of bicondylar knee prosthesis implantation. The purpose of this study was to evaluate the effect of depressive symptoms and particularly somatization dysfunction on outcomes after total knee replacement (TKR).

Methods

One hundred fifty patients were enrolled in this prospective study. Pre-operatively, depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) and somatization was assessed using the PHQ-15. The primary outcome measure was self-assessed knee function evaluated with the Knee Osteoarthritis Outcome Score (KOOS). Pain was measured on a numerical rating scale (NRS). The secondary outcome measures were the KOOS subscales and patient satisfaction. Intergroup differences were tested using an independent t-test. The odds ratio was used to determine the probability of an unsatisfactory outcome.

Results

At 12 months post-operatively, patients with depressive symptoms and particularly patients with somatization dysfunction usually had a significantly higher NRS score at rest and during activities, a lower knee function before and after surgery, and higher dissatisfaction.

Conclusions

Psychopathologic factors, particularly somatization dysfunction, have an impact on TKR outcomes. Preoperative screening and concurrent treatment of the diagnosed psychological disorder may improve patient-perceived outcomes.

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Title: Influence of somatization and depressive symptoms on the course of pain within the first year after uncomplicated total knee replacement: a prospective study
Authors: Sebastian Bierke
Martin Häner
Wolf Petersen
Publication date: 01-07-2016
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 7/2016
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-015-3105-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Influence of somatization and depressive symptoms on the course of pain within the first year after uncomplicated total knee replacement: a prospective study

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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