April 19, 2013
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Acute pain in total joint arthroplasty predicted by patient preoperative psychological factors

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Researchers have found that optimism preoperatively was predictive of acute pain intensity postoperatively, according to results of this study of 124 patients who underwent total hip or total knee arthroplasty.

“Data from the present study, focusing on the short-term postsurgical period, confirmed the influence of psychological factors on acute pain and anxiety following major joint arthroplasties,” the researchers wrote in their study. “By identifying at-risk patients, more appropriate psychological interventions and better postsurgical surveillance can be implemented.”

In addition, optimism 24 hours before surgery also was predictive of postoperative anxiety 48 hours after surgery, which was also linked with postoperative pain, according to the abstract. The researchers noted that preoperative anxiety and patients’ perception of their illness were predictors of immediate postoperative pain.

Disclosure: The authors have no relevant financial disclosures.