Depression/Anxiety as a Risk Factor
Limited evidence supports that patients with depression and/or anxiety symptoms have less improvement in patient reported outcomes with total knee arthroplasty (TKA).
Surgical Management of Osteoarthritis of the Knee
Endorsed by: The Knee Society, SOMOS, AAHKS, ACR, AGS, AANA

Rationale
One moderate quality study (Duiven 2013) and one low quality paper (Singh 2010) demonstrated less good outcomes in patients with anxiety/depression. There only being one moderate quality paper, the recommendation made was that limited evidence supports that patients with depression and/or anxiety symptoms have less improvement in patient reported outcomes with total knee arthroplasty.
 

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