Article

Psychosocial factors and surgical outcomes: An evidence-based literature review

Department of Orthopaedics and Rehabilitation, Yale University, New Haven, Connecticut, United States
The Journal of the American Academy of Orthopaedic Surgeons (Impact Factor: 2.53). 08/2006; 14(7):397-405.
Source: PubMed

ABSTRACT

The 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.

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    • "Extensive research has shown the effectiveness of integrative medical strategies to improve the outcomes of surgery. As one example, a lower level of stress and anxiety is associated with improved outcomes of surgery , including fewer complications and a faster recovery [13]. Some 'mind–body' techniques have been shown to decrease stress and anxiety, reduce pain, lessen the amounts of medication required, and even reduce blood loss during surgery, all of which might result in a shorter hospital stay [14]. "
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