TY - JOUR
T1 - Are contextual factors associated with activities and participation after total hip arthroplasty? A systematic review
AU - Sergooris, A.
AU - Verbrugghe, J.
AU - De Baets, L.
AU - Meeus, M.
AU - Roussel, N.
AU - Smeets, R.J.E.M.
AU - Bogaerts, K.
AU - Timmermans, A.
N1 - Funding Information:
This study was supported by the Special Research Fund (BOF) of Hasselt University (BOF20OWB15).
Funding Information:
Funding statement: This work was supported by the (BOF) of Hasselt University (BOF20OWB15).
Publisher Copyright:
© 2022 Elsevier Masson SAS
PY - 2023/6/1
Y1 - 2023/6/1
N2 - Objectives: After total hip arthroplasty (THA), over 30% of individuals report activity limitations and participa-tion 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 con-sistent 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 personal-ity 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, ill-ness 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 sta-tus. 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 contex-tual factors and activities and participation after THA. Registration: PROSPERO CRD42020199070 (c) 2022 Elsevier Masson SAS. All rights reserved.
AB - Objectives: After total hip arthroplasty (THA), over 30% of individuals report activity limitations and participa-tion 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 con-sistent 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 personal-ity 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, ill-ness 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 sta-tus. 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 contex-tual factors and activities and participation after THA. Registration: PROSPERO CRD42020199070 (c) 2022 Elsevier Masson SAS. All rights reserved.
KW - Osteoarthritis
KW - Personal factors
KW - Environmental factors
KW - Social factors
KW - Cognitions
KW - Emotions
KW - QUALITY-OF-LIFE
KW - KNEE ARTHROPLASTY
KW - PATIENT CHARACTERISTICS
KW - DEPRESSIVE SYMPTOMS
KW - JOINT ARTHROPLASTY
KW - RISK-FACTORS
KW - REPLACEMENT
KW - OSTEOARTHRITIS
KW - OUTCOMES
KW - ANXIETY
U2 - 10.1016/j.rehab.2022.101712
DO - 10.1016/j.rehab.2022.101712
M3 - (Systematic) Review article
C2 - 36680879
SN - 1877-0657
VL - 66
JO - Annals of Physical and Rehabilitation Medicine
JF - Annals of Physical and Rehabilitation Medicine
IS - 5
M1 - 101712
ER -