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Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty.

Publication ,  Journal Article
Riddle, DL; Wade, JB; Jiranek, WA; Kong, X
Published in: Clin Orthop Relat Res
March 2010

UNLABELLED: Psychologic status is associated with poor outcome after knee arthroplasty yet little is known about which specific psychologic disorders or pain-related beliefs contribute to poor outcome. To enhance the therapeutic effect of a psychologic intervention, the specific disorders or pain-related beliefs that contributed to poor outcome should be identified. We therefore determined whether specific psychologic disorders (ie, depression, generalized anxiety disorder, panic disorder) or health-related beliefs (ie, self-efficacy, pain catastrophizing, fear of movement) are associated with poor outcome after knee arthroplasty. We conducted a cohort study of 140 patients undergoing knee arthroplasty at two hospitals. Patients completed a series of psychologic measures, provided various sociodemographic data, and were followed for 6 months. Patients were dichotomized to groups with either a favorable or a poor outcome using WOMAC pain and function scores and evidence-based approaches. After adjusting for confounding variables, we found pain catastrophizing was the only consistent psychologic predictor of poor WOMAC pain outcome. No psychologic predictors were associated consistently with poor WOMAC function outcome. An intervention focusing on pain catastrophizing seems to have potential for improving pain outcome in patients prone to catastrophizing pain. LEVEL OF EVIDENCE: Level I, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

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Published In

Clin Orthop Relat Res

DOI

EISSN

1528-1132

Publication Date

March 2010

Volume

468

Issue

3

Start / End Page

798 / 806

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Severity of Illness Index
  • Risk Factors
  • Recovery of Function
  • Prospective Studies
  • Prognosis
  • Preoperative Period
  • Panic Disorder
  • Pain, Postoperative
  • Pain Measurement
 

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Riddle, D. L., Wade, J. B., Jiranek, W. A., & Kong, X. (2010). Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty. Clin Orthop Relat Res, 468(3), 798–806. https://doi.org/10.1007/s11999-009-0963-y
Riddle, Daniel L., James B. Wade, William A. Jiranek, and Xiangrong Kong. “Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty.Clin Orthop Relat Res 468, no. 3 (March 2010): 798–806. https://doi.org/10.1007/s11999-009-0963-y.
Riddle DL, Wade JB, Jiranek WA, Kong X. Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty. Clin Orthop Relat Res. 2010 Mar;468(3):798–806.
Riddle, Daniel L., et al. “Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty.Clin Orthop Relat Res, vol. 468, no. 3, Mar. 2010, pp. 798–806. Pubmed, doi:10.1007/s11999-009-0963-y.
Riddle DL, Wade JB, Jiranek WA, Kong X. Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty. Clin Orthop Relat Res. 2010 Mar;468(3):798–806.
Journal cover image

Published In

Clin Orthop Relat Res

DOI

EISSN

1528-1132

Publication Date

March 2010

Volume

468

Issue

3

Start / End Page

798 / 806

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Severity of Illness Index
  • Risk Factors
  • Recovery of Function
  • Prospective Studies
  • Prognosis
  • Preoperative Period
  • Panic Disorder
  • Pain, Postoperative
  • Pain Measurement