Influence of Depression on Total Knee Arthroplasty Outcomes

被引：74

作者：

Perez-Prieto, Daniel ^{[1
]}

Gil-Gonzalez, Sergi ^{[1
]}

Pelfort, Xavier ^{[1
]}

Leal-Blanquet, Joan ^{[1
]}

Puig-Verdie, Lluis ^{[1
]}

Hinarejos, Pedro ^{[1
]}

机构：

[1] Parc Salut Mar Hosp Esperanca, Barcelona, Spain

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 01期

关键词：

total knee arthroplasty; outcomes; health related quality of life; function; depression; SPANISH VERSION; REPLACEMENT; VALIDATION; PAIN; OSTEOARTHRITIS; SCALE; SF-36; WOMAC; HIP;

D O I：

10.1016/j.arth.2013.04.030

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

It is not clear whether indicating TKA-surgery is advisable in depressed patients. A prospective cohort of 716 patients undergoing TKA was designed. SF36, KSS,WOMAC and VAS plus 2 satisfaction questions were-evaluated. There were 2 groups: 200 patients were depressed and 516 were not. Preoperative/postoperative results show better scores for non-depressed patients on almost every sub-scale. Nevertheless, net change results (improvement) were quite similar: 65.74 improvement in depressed-KSS and 74.58 in non-depressed (P = 0.049); 8.93 net change in depressed-Physical Composite Score and 11.84 in non-depressed (P = 0.003); 2.38 in depressed-Mental Composite Score and -0.61 in non-depressed (P = 0.024). Depressed patients obtained great improvement from preoperative at one-year follow-up and even greater than non-depressed patients in some domains. Moreover, satisfaction was similar. Therefore, TKA can be recommended to depressed patients. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：44 / 47

页数：4

共 26 条

[1]

ALONSO J, 1995, MED CLIN-BARCELONA, V104, P771

[2] Total knee replacement outcome and coexisting physical and emotional illness [J].