Yale University

Psychosocial factors and surgical outcomes: an evidence-based literature review.

TitlePsychosocial factors and surgical outcomes: an evidence-based literature review.
Publication TypeJournal Article
Year of Publication2006
AuthorsRosenberger, Patricia H., Peter Jokl, and Jeannette Ickovics
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Date Published2006 Jul
KeywordsAffect, Anxiety, Attitude to Health, Evidence-Based Medicine, Humans, Outcome Assessment (Health Care), Psychology, Risk Assessment, Risk Factors, Stress, Psychological, Surgical Procedures, Operative, Treatment Outcome
AbstractThe influence of psychosocial factors on clinical outcomes after surgery has been investigated in several studies. This review is limited to surgical outcomes studies published between 1990 and 2004 that include (1) psychosocial variables (eg, depression, social support) as predictors of outcome and that focus on (2) clinical outcomes (eg, postoperative pain, functional recovery) using (3) specific multivariate analytic techniques with (4) relevant clinical variables (eg, presurgical health status) included as covariates. Twenty-nine studies met these criteria. Results indicate that psychosocial factors play a significant role in recovery and are predictive of surgical outcome, even after accounting for known clinical factors. Attitudinal and mood factors were strongly predictive; personality factors were least predictive. The results suggest that preoperative consideration of attitudinal and mood factors will assist the surgeon in estimating both the speed and extent of postoperative recovery.
Alternate JournalJ Am Acad Orthop Surg

External Links