Table 4: Significant pre-operative determinants of poor outcomes as measured by change in pain and/or function status 6 weeks to 2 years following TKA.

Determinant type PAIN Studies FUNCTION Studies PAIN & FUNCTION combined Studies
Demographic NONE NONE Male gender [4] Younger age [16]
Older age [33]
Female gender [33]
Socioeconomic NONE NONE NONE NONE NONE NONE
Psychosocial Greater pain catastrophizing [22] NONE NONE Presence of depression [16]
Greater depression level [16]
Clinical Greater levels of inflammatory markers
• Greater synovial fluid TNF- α levels
• Greater synovial fluid MMP-13 levels
• Greater synovial fluid IL-6 levels
[21] Better pain level [41] Better pain/function levels [16, 40]
Higher bodily pain levels [41] Greater comorbidity [41] Worse general health status [16]
Higher bodily pain levels [41] Greater comorbidity [16, 40]
Worse mental health [42] Presence of self-reported disability [16]
Presence of osteoporosis [4] Lower self-reported general health [16]
Better function level [4] Presence of back pain [41]
Worse mental health [4]
Presence of osteoporosis [4]
Surgical Cementless prosthesis [42] NONE NONE PFC prosthesis brand [16]
Genesis 2 prosthesis brand [16]
AGC prosthesis brand [16]
Triathlon prosthesis brand [16]
Healthcare-related NONE NONE NONE NONE Surgery performed at a National Health Services Hospital (United Kingdom) [16]