Study finds no associations between various mental health conditions and results after TJA
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Key takeaways:
- Researchers found no statistically significant association between mental health conditions and outcomes after TJA.
- Preoperative optimization addressing substance use may be needed.
Published results showed no statistically significant associations between mental health conditions, such as depression, anxiety, bipolar disorder, trauma and schizophrenia, and outcomes after total joint arthroplasty.
Researchers performed a retrospective review of data for 3,182 patients who underwent total hip arthroplasty and 4,430 patients who underwent total knee arthroplasty between July 1, 2007, and July 31, 2022. According to the study, researchers also accounted for confounding factors such as alcohol use, drug use, tobacco use, BMI and comorbidity index.
Overall, 560 patients who underwent THA and 1,046 patients who underwent TKA had a diagnosed mental health condition. After controlling for BMI and comorbidity index, researchers found no statistically significant differences in 90-day readmissions, 90-day reoperations or 1-year mortality between the patients with vs. without a mental health condition after THA or TKA.
“While prior studies suggest addressing the mental health condition may improve outcomes, this study suggests that preoperative medical optimization and potentially addressing substance use may be more effective strategies,” the researchers wrote in the study.
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