The associations of pain catastrophizing and post-operative outcomes in domains of pain, quality of life and function in joint replacement surgery: a systematic review.

Lorelle Dismore; Anna Van Wersch; R Critchley; A Murty; Katherine Swainston

The associations of pain catastrophizing and post-operative outcomes in domains of pain, quality of life and function in joint replacement surgery: a systematic review.

Lorelle Dismore, Anna Van Wersch, R Critchley, A Murty, Katherine Swainston

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Abstract

The National Institute for Health and Care Excellence (NICE) guidelines aim to identify the best approach for recovery and rehabilitation to enable clinicians to treat patients more effectively and efficiently. Identification of the pre-surgical modifiable psychosocial risk factors that impact on post-operative recovery offers an opportunity to develop effective and appropriate interventions to facilitate patient’s recovery, which in turn will improve outcomes. A psychological construct termed pain catastrophizing has been identified as a unique predictor of chronic post-surgical pain. The clinical importance of pain catastrophizing in moderating surgical outcomes is well documented in musculoskeletal disorders and is considered one of the key predictors of post-operative pain intensity, delayed recovery, poorer quality of life and perceived disability. Objective: To identify whether pain catastrophizing affects post-surgical outcomes following joint replacement surgery in relation to pain, function and quality of life. Study group: joint replacement surgery. Methods: Systematic review identifying eight studies assessing catastrophizing and post-operative outcomes in domains of pain, quality of life and/or function. Results: The analysis of the results are limited to a qualitative synthesis of the eligible studies. Pain catastrophizing was associated with all domains; patients with high pain catastrophizing symptoms were more symptomatic post-surgery, experienced more pain and rated themselves as dissatisfied; dissatisfied patients experienced lower quality of life. Pain catastrophizing is a useful prognostic indicator for identifying individuals at-risk for poorer post-operative outcomes. Conclusions: A multidisciplinary approach with an appropriate intervention to reduce catastrophizing symptoms preoperatively may optimise post-operative outcomes following joint replacement.

Original language	English
Journal	Journal of Pain Management
Publication status	Accepted/In press - 18 May 2020

Bibliographical note

Authors may deposit and display the proofed versions of their articles in and on their personal non-commercial and affiliate non-commercial repositories and websites at any time. The same may be done with their final published articles only after a period of one year has elapsed from the day of publication. [https://novapublishers.com/shop/journal-of-pain-management/ accessed 30/6/2020]

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title = "The associations of pain catastrophizing and post-operative outcomes in domains of pain, quality of life and function in joint replacement surgery: a systematic review.",

abstract = "The National Institute for Health and Care Excellence (NICE) guidelines aim to identify the best approach for recovery and rehabilitation to enable clinicians to treat patients more effectively and efficiently. Identification of the pre-surgical modifiable psychosocial risk factors that impact on post-operative recovery offers an opportunity to develop effective and appropriate interventions to facilitate patient{\textquoteright}s recovery, which in turn will improve outcomes. A psychological construct termed pain catastrophizing has been identified as a unique predictor of chronic post-surgical pain. The clinical importance of pain catastrophizing in moderating surgical outcomes is well documented in musculoskeletal disorders and is considered one of the key predictors of post-operative pain intensity, delayed recovery, poorer quality of life and perceived disability. Objective: To identify whether pain catastrophizing affects post-surgical outcomes following joint replacement surgery in relation to pain, function and quality of life. Study group: joint replacement surgery. Methods: Systematic review identifying eight studies assessing catastrophizing and post-operative outcomes in domains of pain, quality of life and/or function. Results: The analysis of the results are limited to a qualitative synthesis of the eligible studies. Pain catastrophizing was associated with all domains; patients with high pain catastrophizing symptoms were more symptomatic post-surgery, experienced more pain and rated themselves as dissatisfied; dissatisfied patients experienced lower quality of life. Pain catastrophizing is a useful prognostic indicator for identifying individuals at-risk for poorer post-operative outcomes. Conclusions: A multidisciplinary approach with an appropriate intervention to reduce catastrophizing symptoms preoperatively may optimise post-operative outcomes following joint replacement.",

author = "Lorelle Dismore and {Van Wersch}, Anna and R Critchley and A Murty and Katherine Swainston",

note = "Authors may deposit and display the proofed versions of their articles in and on their personal non-commercial and affiliate non-commercial repositories and websites at any time. The same may be done with their final published articles only after a period of one year has elapsed from the day of publication. [https://novapublishers.com/shop/journal-of-pain-management/ accessed 30/6/2020]",

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month = may,

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issn = "1939-5914",

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T1 - The associations of pain catastrophizing and post-operative outcomes in domains of pain, quality of life and function in joint replacement surgery: a systematic review.

AU - Dismore, Lorelle

AU - Van Wersch, Anna

AU - Critchley, R

AU - Murty, A

AU - Swainston, Katherine

N1 - Authors may deposit and display the proofed versions of their articles in and on their personal non-commercial and affiliate non-commercial repositories and websites at any time. The same may be done with their final published articles only after a period of one year has elapsed from the day of publication. [https://novapublishers.com/shop/journal-of-pain-management/ accessed 30/6/2020]

PY - 2020/5/18

Y1 - 2020/5/18

N2 - The National Institute for Health and Care Excellence (NICE) guidelines aim to identify the best approach for recovery and rehabilitation to enable clinicians to treat patients more effectively and efficiently. Identification of the pre-surgical modifiable psychosocial risk factors that impact on post-operative recovery offers an opportunity to develop effective and appropriate interventions to facilitate patient’s recovery, which in turn will improve outcomes. A psychological construct termed pain catastrophizing has been identified as a unique predictor of chronic post-surgical pain. The clinical importance of pain catastrophizing in moderating surgical outcomes is well documented in musculoskeletal disorders and is considered one of the key predictors of post-operative pain intensity, delayed recovery, poorer quality of life and perceived disability. Objective: To identify whether pain catastrophizing affects post-surgical outcomes following joint replacement surgery in relation to pain, function and quality of life. Study group: joint replacement surgery. Methods: Systematic review identifying eight studies assessing catastrophizing and post-operative outcomes in domains of pain, quality of life and/or function. Results: The analysis of the results are limited to a qualitative synthesis of the eligible studies. Pain catastrophizing was associated with all domains; patients with high pain catastrophizing symptoms were more symptomatic post-surgery, experienced more pain and rated themselves as dissatisfied; dissatisfied patients experienced lower quality of life. Pain catastrophizing is a useful prognostic indicator for identifying individuals at-risk for poorer post-operative outcomes. Conclusions: A multidisciplinary approach with an appropriate intervention to reduce catastrophizing symptoms preoperatively may optimise post-operative outcomes following joint replacement.

AB - The National Institute for Health and Care Excellence (NICE) guidelines aim to identify the best approach for recovery and rehabilitation to enable clinicians to treat patients more effectively and efficiently. Identification of the pre-surgical modifiable psychosocial risk factors that impact on post-operative recovery offers an opportunity to develop effective and appropriate interventions to facilitate patient’s recovery, which in turn will improve outcomes. A psychological construct termed pain catastrophizing has been identified as a unique predictor of chronic post-surgical pain. The clinical importance of pain catastrophizing in moderating surgical outcomes is well documented in musculoskeletal disorders and is considered one of the key predictors of post-operative pain intensity, delayed recovery, poorer quality of life and perceived disability. Objective: To identify whether pain catastrophizing affects post-surgical outcomes following joint replacement surgery in relation to pain, function and quality of life. Study group: joint replacement surgery. Methods: Systematic review identifying eight studies assessing catastrophizing and post-operative outcomes in domains of pain, quality of life and/or function. Results: The analysis of the results are limited to a qualitative synthesis of the eligible studies. Pain catastrophizing was associated with all domains; patients with high pain catastrophizing symptoms were more symptomatic post-surgery, experienced more pain and rated themselves as dissatisfied; dissatisfied patients experienced lower quality of life. Pain catastrophizing is a useful prognostic indicator for identifying individuals at-risk for poorer post-operative outcomes. Conclusions: A multidisciplinary approach with an appropriate intervention to reduce catastrophizing symptoms preoperatively may optimise post-operative outcomes following joint replacement.

M3 - Article

SN - 1939-5914

JO - Journal of Pain Management

JF - Journal of Pain Management

ER -

The associations of pain catastrophizing and post-operative outcomes in domains of pain, quality of life and function in joint replacement surgery: a systematic review.

Abstract

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