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Pain Catastrophizing in Osteoarthritis (OA) Patients

Pain Catastrophizing in Osteoarthritis (OA) Patients. Knee Replacement Surgery. Pain = primary reason for knee replacement 30% of patients have moderate/severe pain 1 year after surgery 40% require assistive device to ambulate. 101 consecutive OA patients pre-op and 6-mos later Covariates

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Pain Catastrophizing in Osteoarthritis (OA) Patients

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  1. Pain Catastrophizing in Osteoarthritis (OA) Patients

  2. Knee Replacement Surgery • Pain = primary reason for knee replacement • 30% of patients have moderate/severe pain 1 year after surgery • 40% require assistive device to ambulate

  3. 101 consecutive OA patients pre-op and6-mos later Covariates Extent of preoperative pain or functional status Severe surgical complications Implant status Comorbidity Psychological predictors Depression Anxiety Pain catastrophizing Self-efficacy Fear of movement Riddle, et al. (2009)

  4. Results • Odds 4.5 times higher (95% CI=1.5,14) that patients with high-pain catastrophizing scores were non-responders

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