Effect of Depression Interventions in Patients Undergoing Total Joint Arthroplasty Without a Formal Diagnosis of Depression: A Systematic Review.
Faran ChaudhrySamuel MorganColin KruseJesse WolfstadtSeper EkhtiariPublished in: The Journal of the American Academy of Orthopaedic Surgeons (2024)
Overall, a wide range of interventions aimed at psychological optimization of patients undergoing TJA can improve depressive symptoms, pain, and function, even in the absence of a formal diagnosis of depression. Specifically, cognitive-based psychotherapy and enhanced perioperative support had the best evidence. Routine pharmacotherapy plays a limited role, if any, in the care of TJA. Additional efforts to develop pragmatic, evidence-based, and reproducible interventions are warranted to continue to optimize outcomes in TJA patients.
Keyphrases
- depressive symptoms
- patients undergoing
- sleep quality
- physical activity
- social support
- ejection fraction
- newly diagnosed
- chronic pain
- pain management
- palliative care
- prognostic factors
- randomized controlled trial
- cardiac surgery
- neuropathic pain
- study protocol
- type diabetes
- metabolic syndrome
- spinal cord injury
- patient reported outcomes
- skeletal muscle
- smoking cessation
- weight loss
- acute kidney injury