Article

OBJECTIVE: To evaluate the predictive value of preoperative psychosocial factors
on the perceived and observed postoperative patient's functional recovery during
the post-hospital phase and up to 12 months after hospital discharge of patients
who underwent total knee or total hip arthroplasty. METHODS:
A systematic review
was performed. MEDLINE, CINAHL, EMBASE and PsychINFO were systematically screened
in order to find prospective longitudinal studies. Risk of bias was assessed
using a modified version of a
27-item checklist for prognostic studies, as
previously used by Veerbeek. A qualitative analysis was performed using the
method of Zwikker. RESULTS: A total of 26 studies, with a total of 11,020
patients, were included. In total, 22 studies were judged as having a high risk
of bias. Overall, no longitudinal association with perceived or observed
functional recovery was found in all of the seven preoperative psychosocial
categories: A: mental well-being, B: cognitions, C: beliefs, D: expectations, E:
coping, F: social support or G: personality traits in total joint arthroplasty.
Mental well-being seems to be the exception in one time period (>6 weeks through
</=3 months) and change score in observed functional recovery, but only in
patients awaiting total knee arthroplasty (100% and 75% of the variables were
significantly and consistently associated, respectively). CONCLUSION: Overall,
the results of this systematic review suggest that there is no longitudinal
association between preoperative psychosocial factors and perceived or observed
patient's postoperative functional recovery after total joint arthroplasty. The
psychological category mental well-being is related to observed postoperative
recovery >6 weeks through </=3 months and to change score after total knee
arthroplasty.

Langue : ANGLAIS