Table 3: Significant pre-operative determinants of poor outcomes as measured by pain and/or function status at 6 weeks to 2 years following TKA.

Determinant type PAIN Studies FUNCTION Studies PAIN & FUNCTION combined Studies
Demographic Younger age [24] Younger age [10] Female gender [23, 25]
Female gender [26] Older age [25, 26] South-Asian, black or other non-white ethnicity [23]
Female gender [25] Younger age [23]
Single, separated or divorced [17] Older age [23]
Socioeconomic Low income [34] Unemployed or retired [17] Greater social deprivation [23, 25]
Greater social deprivation [25] Greater social deprivation [25]
Lower education level [18]
Psychosocial Lower coping efficacy [51] Lower coping efficacy [51] Presence of depression [23, 25, 32, 35]
High arthritis helplessness [51] Absence of social support [24] Higher anxiety level [25, 27]
Higher pessimism [51] Higher anxiety [25, 31]
Lower expected chance of recovery [51] Higher depression level [18, 25]
Lower expected change in quality of life [51] Less frequent availability of tangible support [18]
Absence of social support [24] Less problem-solving coping style [18]
Higher anxiety level [25, 31] Greater pain catastrophizing [30, 36]
Higher depression level [25] Worse self-efficacy [32]
Less problem-solving coping style [18]
More dysfunctional coping [18]
Less internal belief of control over health [18]
Greater pain catastrophizing [30]
Greater perceived injustice [37]
Clinical Worse pain level [9, 15, 17, 29, 24-26, 28, 32] Worse function level [9, 10, 15, 17-19, 24-26, 28, 31, 37] Presence of back pain [33, 35]
Presence of back pain [24, 26] Presence of back pain [24] Worse pain/function levels [20, 23, 25, 27, 29, 35]
Greater comorbidity [18, 24, 26, 38] Greater comorbidity [10, 24, 26] Worse mental health [20, 33, 35]
Worse mental health [25] Worse mental health [10, 26, 38] Worse general health status [23]
OA diagnosis [19] Use of walking devices [10] Vascular comorbidity [23, 26]
Symptomatic ankles/feet/toes [19] Higher BMI [25, 26] Obesity [39]
Symptomatic neck [19] Symptomatic ankles/feet/toes [19] Higher BMI [20, 25]
Symptomatic neck [19] OA diagnosis [23, 25]
More painful joints elsewhere [31] Greater comorbidity [20, 29]
Restricted knee flexion [26] Heart disease [23]
Absence of high blood pressure [23]
Stroke [23]
Diabetes [23]
Revision surgery [23]
Shorter duration of symptoms [23]
Surgical Cruciate-retaining implant [17] NONE NONE NONE NONE