Patients’ psychological well-being, preparedness may impact anxiety, depression after TKA
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Key takeaways:
- The percentage of patients with no anxiety or depression increased after total knee arthroplasty.
- Those not well-prepared to resume activities of daily living had worsening anxiety or depression.
GRAPEVINE, Texas — Results showed patients had a decrease in anxiety and depression after total knee arthroplasty. However, the level of decrease depended on patients’ preoperative psychological well-being, preparedness and expectations.
“Previous data has shown that only 50% of total knee replacement patients report their expectations being met after surgery,” Nitin Goyal, MD, chief science, technology and innovation officer at Zimmer Biomet, told Healio. “This analysis suggests that psychological well-being and patient preparedness should be assessed preoperatively and postoperatively as indicators of patient satisfaction and outcomes.”
Researchers collected the EuroQol-5D 5-Level among 1,852 patients (61.7% women) undergoing TKA preoperatively and at 1 month and 3 months postoperatively. Researchers also assessed patients’ fulfillment of physical activity expectations and preparedness to resume daily activities and physical recreation at 3 months postoperatively. Researchers analyzed the anxiety/depression dimension with Paretian classification profile changes and compared outcomes with Fisher’s exact test. They used logistic regression to analyze the relationship between baseline characteristics, patient activity expectations and changes in anxiety/depression.
Results showed a significant increase in the percentage of patients reporting no anxious or depressed feelings from 62.2% preoperatively to 77.1% at 3 months postoperatively, as well as a decrease in the percentage of patients reporting being slightly through extremely anxious or depressed. Researchers found 17.7% of patients who were not well-prepared to resume activities of daily living had worsening anxiety and depression vs. 4.4% of patients who were well-prepared. Similarly, 12.9% of patients who were not well-prepared to resume physical recreation had worsening anxiety and depression compared with 3.9% of patients who were well-prepared.
“One interesting learning from the analysis was that patients who were not well-prepared to resume activities of daily living or physical recreation after surgery were more likely to have worsening anxiety and depression levels than their counterparts,” Goyal said.
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Tripuraneni KR, et al. Poster 85. Presented at: American Association of Hip and Knee Surgeons Annual Meeting; Nov. 2-5, 2023; Grapevine, Texas.
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