Are contextual factors associated with activities and participation after total hip arthroplasty? A systematic review - 12/07/23
, Jonas Verbrugghe a, Liesbet De Baets b, g, Mira Meeus c, g, Nathalie Roussel c, g, Rob J.E.M. Smeets d, e, g, Katleen Bogaerts a, f, Annick Timmermans a
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Abstract |
Objectives |
After total hip arthroplasty (THA), over 30% of individuals report activity limitations and participation restrictions. This systematic review aimed to determine the association between contextual factors and outcomes in the activity and participation domain after THA for hip osteoarthritis (OA).
Methods |
This systematic review was developed according to the PRISMA guidelines for systematic reviews. PubMed, Web of Science, Embase and Scopus were searched until August 2022. Risk of bias was assessed with the Quality in Prognosis Studies tool (QUIPS).
Results |
Twenty-nine articles were included. Eighteen had a high risk of bias, 3 had a low risk of bias, and 8 had a moderate risk of bias. Anxiety was only investigated in studies with high risk of bias but showed a consistent negative association with activities and participation after THA across multiple studies. Evidence was inconsistent regarding the associations between depression, trait anxiety, sense of coherence, big 5 personality traits, educational level, marital status, employment status, job position, expectations and social support, and the activity and participation domain. Optimism, general self-efficacy, cognitive appraisal processes, illness perception, ethnicity, and positive life events were associated with activities and participation but were only investigated in 1 study. No associations were identified across multiple studies for living or smoking status. Control beliefs, kinesiophobia, race, discharge location, level of poverty in neighbourhood, negative life events and occupational factors, were not associated with the activity and participation domain but were only investigated in 1 study.
Conclusion |
Methodological quality of the included studies was low. Anxiety was the only factor consistently associated with worse outcomes in the activity and participation domain after THA but was only investigated in studies with high risk of bias. Further research is needed to confirm relationships between other contextual factors and activities and participation after THA.
Registration |
PROSPERO CRD42020199070
Le texte complet de cet article est disponible en PDF.Keywords : Osteoarthritis, Personal factors, Environmental factors, Social factors, Cognitions, Emotions
Abbreviations : BMI, BSI, EQ-5D50, HADS, HOOS, HOOS-JR, ICF, OA, OR, PRISMA, QOL, QUIPS, SF-36, SF-36 PCS, THA, TKA, WOMAC
Plan
| Funding statement: This work was supported by the (BOF) of Hasselt University (BOF20OWB15). |
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| Competing interest statement: The authors declare no conflicts of interest. |
Vol 66 - N° 5
Article 101712- juin 2023 Retour au numéro
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