Comparing Psychological Burden of Orthopaedic Diseases Against Medical Conditions: Investigation on Hospital Course of Hip, Knee, and Spine Surgery Patients

Publication date: Available online 21 February 2018 Source:Journal of Orthopaedics Author(s): Bassel G. Diebo, Denis Cherkalin, Cyrus M. Jalai, Neil V. Shah, Greg W. Poorman, George A. Beyer, Frank A. Segreto, Virginie Lafage, Qais Naziri, Jared M. Newman, William P. Urban, Thomas J. Errico, Frank J. Schwab, Carl B. Paulino, Peter G. Passias Retrospective review of National Inpatient Sample (2000-2012) revealed that 31.28% of musculoskeletal (MSK) patients were found to have in-hospital psychological burdens (PBs). Adult spinal deformity (ASD), degenerative disc disease (DDD) and lung cancer patients had highest PB-prevalence. MSK patients with PB were more often young, white females with increased Deyo index compared to no-PB patients. Patients who underwent spinal revision procedures had higher PB rates than with primary procedures; a converse trend was observed for total hip/knee arthroplasty. Psychological disorders were identified as significant predictors of increased total-hospital charges. Augmenting counseling with psychological screening/support is recommended to complement MSK management.
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research