Association of social support with patient-reported outcomes after joint replacement: A systematic review and meta-analysis

Vikki Wylde; Setor K Kunutsor; Erik Lenguerrand; John Jackson; Ashley W Blom; Andrew D Beswick

doi:10.1016/S2665-9913(19)30050-5

Association of social support with patient-reported outcomes after joint replacement: A systematic review and meta-analysis

Vikki Wylde^*, Setor K Kunutsor, Erik Lenguerrand, John Jackson, Ashley W Blom, Andrew D Beswick

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

14 Citations (Scopus)

220 Downloads (Pure)

Abstract

Background
Identifying prognostic factors for outcomes after joint replacement could improve the provision of stratified care. This study evaluated whether social support is a prognostic factor for better patient-reported outcomes after total hip replacement (THR) and total knee replacement (TKR).

Methods
In this systematic review, MEDLINE, Embase and PsycINFO were searched from inception to April 2019. Cohort studies evaluating the association between social support and patientreported outcomes at three months or longer after THR or TKR were included. Outcomes included pain, function, satisfaction and general health. Data were extracted from study reports. Study quality was assessed using the QUIPS tool. Data were synthesized using metaanalysis and narrative synthesis. The review was registered on PROSPERO (CRD42016041485).

Findings
Searches identified 5,810 articles and 56 studies with data from 119,165 patients were included. In meta-analysis, the presence of social support had a beneficial effect on long-term post-operative WOMAC (2,022 patients; mean difference 2.88; 95% CIs 1.30; 4.46) and Oxford Knee Score (69,570 patients; 0.29; 0.12, 0.45). Social support measured using a validated questionnaire was found to be associated with WOMAC pain (671 patients; 0.04; 0.00, 0.08) but not WOMAC function (671 patients; -0.01; -0.12, 0.11). The presence of social support had a positive association with some SF-36 subscales but not others. For all outcomes, results of narrative synthesis were inconsistent.

Interpretation
There is evidence that social support is a prognostic factor for some outcomes after joint replacement. Development and evaluation of complex interventions to improve social support and social integration is warranted.

Original language	English
Pages (from-to)	e174-e186
Number of pages	13
Journal	Lancet Rheumatology
Volume	1
Issue number	3
Early online date	2 Oct 2019
DOIs	https://doi.org/10.1016/S2665-9913(19)30050-5
Publication status	Published - 1 Nov 2019

Research Groups and Themes

Centre for Surgical Research

Access to Document

10.1016/S2665-9913(19)30050-5

Full-text PDF (author accepted manuscript)
This is the author accepted manuscript (AAM). The final published version (version of record) is available online via Elsevier at https://www.sciencedirect.com/science/article/pii/S2665991319300505. Please refer to any applicable terms of use of the publisher.
Accepted author manuscript, 242 KB

Handle.net

Persistent link

Professor Vikki Wylde
- V.Wyldebristol.acuk
- Bristol Medical School (THS) - Professor of Musculoskeletal Health
- Evidence Synthesis Group
- Musculoskeletal Research Unit
Person: Academic , Member

Cite this

@article{cd0f440491ab47249195df6c40b8013b,

title = "Association of social support with patient-reported outcomes after joint replacement: A systematic review and meta-analysis",

abstract = "Background Identifying prognostic factors for outcomes after joint replacement could improve the provision of stratified care. This study evaluated whether social support is a prognostic factor for better patient-reported outcomes after total hip replacement (THR) and total knee replacement (TKR). Methods In this systematic review, MEDLINE, Embase and PsycINFO were searched from inception to April 2019. Cohort studies evaluating the association between social support and patientreported outcomes at three months or longer after THR or TKR were included. Outcomes included pain, function, satisfaction and general health. Data were extracted from study reports. Study quality was assessed using the QUIPS tool. Data were synthesized using metaanalysis and narrative synthesis. The review was registered on PROSPERO (CRD42016041485). Findings Searches identified 5,810 articles and 56 studies with data from 119,165 patients were included. In meta-analysis, the presence of social support had a beneficial effect on long-term post-operative WOMAC (2,022 patients; mean difference 2.88; 95% CIs 1.30; 4.46) and Oxford Knee Score (69,570 patients; 0.29; 0.12, 0.45). Social support measured using a validated questionnaire was found to be associated with WOMAC pain (671 patients; 0.04; 0.00, 0.08) but not WOMAC function (671 patients; -0.01; -0.12, 0.11). The presence of social support had a positive association with some SF-36 subscales but not others. For all outcomes, results of narrative synthesis were inconsistent. Interpretation There is evidence that social support is a prognostic factor for some outcomes after joint replacement. Development and evaluation of complex interventions to improve social support and social integration is warranted. ",

author = "Vikki Wylde and Kunutsor, {Setor K} and Erik Lenguerrand and John Jackson and Blom, {Ashley W} and Beswick, {Andrew D}",

year = "2019",

month = nov,

day = "1",

doi = "10.1016/S2665-9913(19)30050-5",

language = "English",

volume = "1",

pages = "e174--e186",

journal = "Lancet Rheumatology",

issn = "2665-9913",

publisher = "Elsevier",

number = "3",

}

TY - JOUR

T1 - Association of social support with patient-reported outcomes after joint replacement

T2 - A systematic review and meta-analysis

AU - Wylde, Vikki

AU - Kunutsor, Setor K

AU - Lenguerrand, Erik

AU - Jackson, John

AU - Blom, Ashley W

AU - Beswick, Andrew D

PY - 2019/11/1

Y1 - 2019/11/1

N2 - Background Identifying prognostic factors for outcomes after joint replacement could improve the provision of stratified care. This study evaluated whether social support is a prognostic factor for better patient-reported outcomes after total hip replacement (THR) and total knee replacement (TKR). Methods In this systematic review, MEDLINE, Embase and PsycINFO were searched from inception to April 2019. Cohort studies evaluating the association between social support and patientreported outcomes at three months or longer after THR or TKR were included. Outcomes included pain, function, satisfaction and general health. Data were extracted from study reports. Study quality was assessed using the QUIPS tool. Data were synthesized using metaanalysis and narrative synthesis. The review was registered on PROSPERO (CRD42016041485). Findings Searches identified 5,810 articles and 56 studies with data from 119,165 patients were included. In meta-analysis, the presence of social support had a beneficial effect on long-term post-operative WOMAC (2,022 patients; mean difference 2.88; 95% CIs 1.30; 4.46) and Oxford Knee Score (69,570 patients; 0.29; 0.12, 0.45). Social support measured using a validated questionnaire was found to be associated with WOMAC pain (671 patients; 0.04; 0.00, 0.08) but not WOMAC function (671 patients; -0.01; -0.12, 0.11). The presence of social support had a positive association with some SF-36 subscales but not others. For all outcomes, results of narrative synthesis were inconsistent. Interpretation There is evidence that social support is a prognostic factor for some outcomes after joint replacement. Development and evaluation of complex interventions to improve social support and social integration is warranted.

AB - Background Identifying prognostic factors for outcomes after joint replacement could improve the provision of stratified care. This study evaluated whether social support is a prognostic factor for better patient-reported outcomes after total hip replacement (THR) and total knee replacement (TKR). Methods In this systematic review, MEDLINE, Embase and PsycINFO were searched from inception to April 2019. Cohort studies evaluating the association between social support and patientreported outcomes at three months or longer after THR or TKR were included. Outcomes included pain, function, satisfaction and general health. Data were extracted from study reports. Study quality was assessed using the QUIPS tool. Data were synthesized using metaanalysis and narrative synthesis. The review was registered on PROSPERO (CRD42016041485). Findings Searches identified 5,810 articles and 56 studies with data from 119,165 patients were included. In meta-analysis, the presence of social support had a beneficial effect on long-term post-operative WOMAC (2,022 patients; mean difference 2.88; 95% CIs 1.30; 4.46) and Oxford Knee Score (69,570 patients; 0.29; 0.12, 0.45). Social support measured using a validated questionnaire was found to be associated with WOMAC pain (671 patients; 0.04; 0.00, 0.08) but not WOMAC function (671 patients; -0.01; -0.12, 0.11). The presence of social support had a positive association with some SF-36 subscales but not others. For all outcomes, results of narrative synthesis were inconsistent. Interpretation There is evidence that social support is a prognostic factor for some outcomes after joint replacement. Development and evaluation of complex interventions to improve social support and social integration is warranted.

U2 - 10.1016/S2665-9913(19)30050-5

DO - 10.1016/S2665-9913(19)30050-5

M3 - Article (Academic Journal)

C2 - 35072110

SN - 2665-9913

VL - 1

SP - e174-e186

JO - Lancet Rheumatology

JF - Lancet Rheumatology

IS - 3

ER -

Association of social support with patient-reported outcomes after joint replacement: A systematic review and meta-analysis

Abstract

Research Groups and Themes

Access to Document

Handle.net

Fingerprint

Profiles

Professor Vikki Wylde

Cite this