• J Arthroplasty · Nov 2018

    Review

    Predictive Factors for Developing Chronic Pain After Total Knee Arthroplasty.

    • David H Kim, Kristine M Pearson-Chauhan, Robert J McCarthy, and Asokumar Buvanendran.
    • Department of Anesthesiology, Rush University Medical Center, Chicago, Illinois.
    • J Arthroplasty. 2018 Nov 1; 33 (11): 3372-3378.

    AbstractTotal knee arthroplasty offers substantial improvements for patients as measured by functional status and quality of life; however, 8% to 34% of patients experience chronic postsurgical pain following surgery (CPSP). In addition to disruption in daily activities of life caused by the pain itself, CPSP has been associated with an overall reduction in quality of life following surgery. Risk factors for CPSP can be broadly defined as potentially modifiable or unlikely modifiable. Unlikely modifiable risks include gender, age, medical comorbidities, and socioeconomic status. Potentially modifiable risks include perioperative pain, physical function, psychological state, surgical factors, and possibly genomics. Understanding risks and the magnitude of their effect on outcomes such as CPSP is desirable because interventions designed to affect these factors may be able to dramatically improve outcomes.Copyright © 2018 Elsevier Inc. All rights reserved.

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