PMID- 36345326
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240102
IS  - 0972-978X (Print)
IS  - 0972-978X (Electronic)
IS  - 0972-978X (Linking)
VI  - 35
DP  - 2023 Jan
TI  - Preoperative mental distress is associated with poorer physical improvements 
      after revision total hip arthroplasty.
PG  - 18-23
LID - 10.1016/j.jor.2022.10.007 [doi]
AB  - AIMS: Despite the increasing prevalence of mental health disorders in revision 
      arthroplasty patients, the impact of preoperative mental distress on functional 
      outcomes after revision total hip arthroplasty (rTHA) remains unclear. Our study 
      aims to investigate the impact of preoperative mental distress on functional 
      outcomes after rTHA. METHODS: Prospectively collected data of 84 rTHAs was 
      extracted from a single institution's joint replacement registry. Preoperative 
      Short Form-36 (SF-36) mental component summary (MCS) was used to dichotomize 
      patients to those who were distressed (MCS <50) and non-distressed (MCS >/=50). 
      Multivariable analysis was used to analyze the impact of preoperative mental 
      distress on various outcomes such as the SF-36 physical component summary (PCS), 
      Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Oxford 
      Hip Score (OHS), patient satisfaction and expectation fulfilment at 6 months and 
      2 years postoperatively. RESULTS: Compared to non-distressed patients, patients 
      with preoperative mental distress had poorer improvements in PCS (+11.4 
      vs + 16.9, p = 0.007) and lower rates of minimal clinically important difference 
      (MCID) attainment (55.2% vs 73.0%, p = 0.026) at 2 years postoperatively. 
      However, there were no significant differences in improvements for WOMAC and OHS 
      (p > 0.05). Despite experiencing greater absolute improvements in MCS (+12.1 vs 
      -2.1, p < 0.001) and higher MCID attainment rates (65.5% vs 24.3%, p = 0.005) at 
      2 years, preoperatively distressed patients had lower MCS levels compared to 
      their non-distressed counterparts at all time points (p-value<0.05). There were 
      no significant differences in patient satisfaction (p = 0.509) or expectation 
      fulfilment (p-value = 0.342) at 2 years postoperatively. CONCLUSION: Revision THA 
      led to substantial mental health improvements in patients with preoperative 
      mental distress. Despite this, preoperative mental distress was associated with 
      poorer physical improvements after surgery.
CI  - (c) 2022 Professor P K Surendran Memorial Education Foundation. Published by 
      Elsevier B.V. All rights reserved.
FAU - Zhang, Siyuan
AU  - Zhang S
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, 
      Academia, Level 4, 169865, Singapore.
FAU - Tay, Darren Keng Jin
AU  - Tay DKJ
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, 
      Academia, Level 4, 169865, Singapore.
FAU - Pang, Hee Nee
AU  - Pang HN
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, 
      Academia, Level 4, 169865, Singapore.
FAU - Lo, Ngai Nung
AU  - Lo NN
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, 
      Academia, Level 4, 169865, Singapore.
FAU - Yeo, Seng Jin
AU  - Yeo SJ
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, 
      Academia, Level 4, 169865, Singapore.
FAU - Liow, Ming Han Lincoln
AU  - Liow MHL
AD  - Department of Orthopaedic Surgery, Singapore General Hospital, 20 College Road, 
      Academia, Level 4, 169865, Singapore.
LA  - eng
PT  - Journal Article
DEP - 20221021
PL  - India
TA  - J Orthop
JT  - Journal of orthopaedics
JID - 101233220
PMC - PMC9636491
OTO - NOTNLM
OT  - Distress
OT  - Mental health
OT  - Psychological
OT  - Revision
OT  - Satisfaction
OT  - Total hip arthroplasty
COIS- The authors have no relevant financial or non-financial interests to disclose.
EDAT- 2022/11/09 06:00
MHDA- 2022/11/09 06:01
PMCR- 2024/01/01
CRDT- 2022/11/08 01:56
PHST- 2022/05/24 00:00 [received]
PHST- 2022/09/17 00:00 [revised]
PHST- 2022/10/17 00:00 [accepted]
PHST- 2022/11/08 01:56 [entrez]
PHST- 2022/11/09 06:00 [pubmed]
PHST- 2022/11/09 06:01 [medline]
PHST- 2024/01/01 00:00 [pmc-release]
AID - S0972-978X(22)00245-8 [pii]
AID - 10.1016/j.jor.2022.10.007 [doi]
PST - epublish
SO  - J Orthop. 2022 Oct 21;35:18-23. doi: 10.1016/j.jor.2022.10.007. eCollection 2023 
      Jan.