{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T21:53:17Z","timestamp":1781646797903,"version":"3.54.5"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:00:00Z","timestamp":1774656000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:00:00Z","timestamp":1774656000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005296","name":"Universit\u00e4tsklinikum Regensburg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005296","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Depressive symptoms are prevalent among patients with osteoarthritis (OA), particularly in geriatric patients. Pain and mood are closely interconnected, with chronic joint pain contributing significantly to psychological distress. Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are established procedures that improve pain and physical function and may also influence depressive symptoms. The objective of this study was to evaluate changes in depressive symptoms following THA and TKA in geriatric patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective pilot study, we analysed data from 143 participants enrolled in the ongoing Special Orthopaedic Geriatrics (SOG) trial, funded by the German Federal Joint Committee (G-BA). Depressive symptoms were assessed using the Geriatric Depression Scale (GDS) preoperatively and at 3 days, 7 days, 4 weeks, and 3 months after surgery. Depressive symptoms were analysed in two predefined groups: the total sample (GDS 1\u201315) and patients with elevated baseline symptoms (GDS 6\u201315). Statistical analysis included the Friedman test for repeated measures, followed by post-hoc testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the overall cohort, median GDS scores decreased from 3 at baseline to 2 at the 3-month follow-up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In the subgroup with elevated baseline symptoms (GDS 6\u201315), median scores declined from 8.5 at baseline to 4 at 3 months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Improvements were observed after both THA and TKA, with changes appearing more pronounced in THA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>THA and TKA were associated with modest improvements in depressive symptoms across the full range of baseline GDS scores. While patients with elevated baseline symptoms showed larger absolute changes, improvements were also observed in those without abnormal baseline scores. Improvements in depressive symptoms were most pronounced between the preoperative and early postoperative assessments, whereas only minor additional changes were observed during later postoperative follow-up. These findings should be interpreted as exploratory and require confirmation in larger controlled studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>This study is part of the Special Orthopaedic Geriatrics (SOG) trial, German Clinical Trials Register DRKS00024102. Registered on 19 January 2021.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00402-026-06268-6","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T15:41:50Z","timestamp":1774712510000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploratory analysis of depressive symptom trajectories before and after hip or knee arthroplasty in geriatric patients"],"prefix":"10.1007","volume":"146","author":[{"given":"Julia","family":"Schiegl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Bammert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcnther","family":"Maderbacher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Reinhard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Pagano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin","family":"Michalk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Grifka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Kappenschneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,28]]},"reference":[{"key":"6268_CR1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2411-9","volume":"20","author":"IN Ackerman","year":"2019","unstructured":"Ackerman IN, Bohensky MA, Zomer E, Tacey M, Gorelik A, Brand CA et al (2019) The projected burden of primary total knee and hip replacement for osteoarthritis in Australia to the year 2030. BMC Musculoskelet Disord 20:90. https:\/\/doi.org\/10.1186\/s12891-019-2411-9","journal-title":"BMC Musculoskelet Disord"},{"issue":"9475","key":"6268_CR2","doi-asserted-by":"publisher","first-page":"1961","DOI":"10.1016\/S0140-6736(05)66665-2","volume":"365","author":"GS Alexopoulos","year":"2005","unstructured":"Alexopoulos GS (2005) Depression in the elderly. Lancet 365(9475):1961\u201370. https:\/\/doi.org\/10.1016\/S0140-6736(05)66665-2","journal-title":"Lancet"},{"key":"6268_CR3","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2022011","volume":"8","author":"PM Anderson","year":"2022","unstructured":"Anderson PM, Anderson PM, Vollmann P, Wei\u00dfenberger M, Rudert M (2022) Total hip arthroplasty in geriatric patients-a single-center experience. SICOT J 8:12. https:\/\/doi.org\/10.1051\/sicotj\/2022011","journal-title":"SICOT J"},{"issue":"6","key":"6268_CR4","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1055\/s-0040-1708519","volume":"55","author":"IM Barbosa","year":"2020","unstructured":"Barbosa IM, de Sousa TG, Fernandes LM, Campos JSM, Nogueira JBS, Bezerra MJC (2020) Mind Health Before and After Total Knee Arthroplasty. Rev Bras Ortop (Sao Paulo) 55(6):783\u2013786. https:\/\/doi.org\/10.1055\/s-0040-1708519","journal-title":"Rev Bras Ortop (Sao Paulo)"},{"issue":"9783","key":"6268_CR5","doi-asserted-by":"publisher","first-page":"2115","DOI":"10.1016\/S0140-6736(11)60243-2","volume":"377","author":"JW Bijlsma","year":"2011","unstructured":"Bijlsma JW, Berenbaum F, Lafeber FP (2011) Osteoarthritis: an update with relevance for clinical practice. Lancet 377(9783):2115\u20132126. https:\/\/doi.org\/10.1016\/S0140-6736(11)60243-2","journal-title":"Lancet"},{"issue":"5","key":"6268_CR6","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","volume":"40","author":"ME Charlson","year":"1987","unstructured":"Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5):373\u2013383. https:\/\/doi.org\/10.1016\/0021-9681(87)90171-8","journal-title":"J Chronic Dis"},{"key":"6268_CR7","unstructured":"Deutsche Gesellschaft f\u00fcr Geriatrie Umfassendes Geriatrisches Assessment (Comprehensive Geriatric Assessment, CGA) bei hospitalisierten Patientinnen und Patienten S3-Leitlinie der Deutschen Gesellschaft f\u00fcr Geriatrie (DGG) https:\/\/register.awmf.org\/assets\/guidelines\/084-003l_S3_Umfassendes-Geriatrisches-Assessment-Comprehensive-Geriatric-Assessment-CGA-bei-hospitalisierten-PatientInnen_2024-06.pdf"},{"issue":"1","key":"6268_CR8","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2026.010101","volume":"36","author":"F Fiel Peres","year":"2026","unstructured":"Fiel Peres F (2026) Effect sizes for nonparametric tests. Biochem Med (Zagreb) 36(1):010101. https:\/\/doi.org\/10.11613\/BM.2026.010101","journal-title":"Biochem Med (Zagreb)"},{"key":"6268_CR9","doi-asserted-by":"publisher","DOI":"10.1026\/0084-5345.28.1.18","author":"S Gauggel","year":"1999","unstructured":"Gauggel S, Birkner B (1999) Validit\u00e4t und Reliabilit\u00e4t einer deutschen Version der Geriatrischen Depressionsskala (GDS). Z Klin Psychol Psychother. https:\/\/doi.org\/10.1026\/0084-5345.28.1.18","journal-title":"Z Klin Psychol Psychother"},{"issue":"14","key":"6268_CR10","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10143095","volume":"10","author":"JS G\u00f6tz","year":"2021","unstructured":"G\u00f6tz JS, Benditz A, Reinhard J, Schindler M, Zeman F, Grifka J, Greimel F, Leiss F (2021) Influence of anxiety\/depression, age, gender and ASA on 1-year follow-up outcomes following total hip and knee arthroplasty in 5447 patients. J Clin Med 10(14):3095. https:\/\/doi.org\/10.3390\/jcm10143095","journal-title":"J Clin Med"},{"issue":"2","key":"6268_CR11","doi-asserted-by":"publisher","first-page":"M85","DOI":"10.1093\/geronj\/49.2.m85","volume":"49","author":"JM Guralnik","year":"1994","unstructured":"Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, Scherr PA, Wallace RB (1994) A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 49(2):M85\u2013M94. https:\/\/doi.org\/10.1093\/geronj\/49.2.m85","journal-title":"J Gerontol"},{"issue":"2","key":"6268_CR12","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1055\/s-2004-830172","volume":"73","author":"PU Heuschmann","year":"2005","unstructured":"Heuschmann PU, Kolominsky-Rabas PL, Nolte CH, H\u00fcnermund G, Ruf HU, Laumeier I, Meyrer R, Alberti T, Rahmann A, Kurth T, Berger K (2005) The reliability of the German version of the barthel-index and the development of a postal and telephone version for the application on stroke patients. Fortschr Neurol Psychiatr 73(2):74\u201382. https:\/\/doi.org\/10.1055\/s-2004-830172","journal-title":"Fortschr Neurol Psychiatr"},{"issue":"1","key":"6268_CR13","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-023-04460-6","volume":"23","author":"T Kappenschneider","year":"2023","unstructured":"Kappenschneider T, Bammert P, Maderbacher G, Greimel F, Holzapfel DE, Schwarz T, G\u00f6tz J, Pagano S, Scharf M, Michalk K, Grifka J, Meyer M (2023) The impact of elective total hip and knee arthroplasty on physical performance in orthogeriatric patients: a prospective intervention study. BMC Geriatr 23(1):763. https:\/\/doi.org\/10.1186\/s12877-023-04460-6","journal-title":"BMC Geriatr"},{"issue":"1","key":"6268_CR14","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-024-07210-w","volume":"25","author":"T Kappenschneider","year":"2024","unstructured":"Kappenschneider T, Bammert P, Maderbacher G, Greimel F, Parik L, Holzapfel DE, Schraag AD, G\u00f6tz J, Michalk K, Grifka J, Meyer M (2024) The impact of primary total hip and knee replacement on frailty: an observational prospective analysis. BMC Musculoskelet Disord 25(1):78. https:\/\/doi.org\/10.1186\/s12891-024-07210-w","journal-title":"BMC Musculoskelet Disord"},{"issue":"1","key":"6268_CR15","doi-asserted-by":"publisher","first-page":"1079","DOI":"10.1186\/s12891-022-05955-w","volume":"23","author":"T Kappenschneider","year":"2022","unstructured":"Kappenschneider T, Maderbacher G, Weber M, Greimel F, Holzapfel D, Parik L, Schwarz T, Leiss F, Knebl M, Reinhard J, Schraag AD, Thieme M, Turn A, G\u00f6tz J, Zborilova M, Pulido LC, Azar F, Sp\u00f6rrer JF, Oblinger B, Pfalzgraf F, Sundmacher L, Iashchenko I, Franke S, Trabold B, Michalk K, Grifka J, Meyer M (2022) Special orthopaedic geriatrics (SOG) - a new multiprofessional care model for elderly patients in elective orthopaedic surgery: a study protocol for a prospective randomized controlled trial of a multimodal intervention in frail patients with hip and knee replacement. BMC Musculoskelet Disord 23(1):1079. https:\/\/doi.org\/10.1186\/s12891-022-05955-w","journal-title":"BMC Musculoskelet Disord"},{"issue":"6","key":"6268_CR16","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1001\/jama.2020.22171","volume":"325","author":"JN Katz","year":"2021","unstructured":"Katz JN, Arant KR, Loeser RF (2021) Diagnosis and treatment of hip and knee osteoarthritis: a review. JAMA 325(6):568\u2013578. https:\/\/doi.org\/10.1001\/jama.2020.22171","journal-title":"JAMA"},{"issue":"3","key":"6268_CR17","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1016\/s0261-5614(02)00214-5","volume":"22","author":"J Kondrup","year":"2003","unstructured":"Kondrup J, Rasmussen HH, Hamberg O, Stanga Z, ad hoc ESPEN Working Group (2003) Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr 22(3):321\u201336. https:\/\/doi.org\/10.1016\/s0261-5614(02)00214-5","journal-title":"Clin Nutr"},{"issue":"20","key":"6268_CR18","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17207475","volume":"17","author":"CY Kuo","year":"2020","unstructured":"Kuo CY, Stachiv I, Nikolai T (2020) Association of late life depression, (non-) modifiable risk and protective factors with dementia and Alzheimer\u2019s disease: literature review on current evidences, preventive interventions and possible future trends in prevention and treatment of dementia. Int J Environ Res Public Health 17(20):7475. https:\/\/doi.org\/10.3390\/ijerph17207475","journal-title":"Int J Environ Res Public Health"},{"issue":"3","key":"6268_CR19","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1093\/geront\/9.3_Part_1.179","volume":"9","author":"MP Lawton","year":"1969","unstructured":"Lawton MP, Brody EM (1969) Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9(3):179\u2013186. https:\/\/doi.org\/10.1093\/geront\/9.3_Part_1.179","journal-title":"Gerontologist"},{"issue":"9597","key":"6268_CR20","doi-asserted-by":"publisher","first-page":"1508","DOI":"10.1016\/S0140-6736(07)60457-7","volume":"370","author":"ID Learmonth","year":"2007","unstructured":"Learmonth ID, Young C, Rorabeck C (2007) The operation of the century: total hip replacement. Lancet 370(9597):1508\u20131519. https:\/\/doi.org\/10.1016\/S0140-6736(07)60457-7","journal-title":"Lancet"},{"issue":"11","key":"6268_CR21","doi-asserted-by":"publisher","first-page":"1218","DOI":"10.1016\/j.jclinepi.2008.12.009","volume":"62","author":"G Liberopoulos","year":"2009","unstructured":"Liberopoulos G, Trikalinos NA, Ioannidis JP (2009) The elderly were under-represented in osteoarthritis clinical trials. J Clin Epidemiol 62(11):1218\u20131223. https:\/\/doi.org\/10.1016\/j.jclinepi.2008.12.009","journal-title":"J Clin Epidemiol"},{"issue":"11 Suppl 2","key":"6268_CR22","doi-asserted-by":"publisher","first-page":"S16","DOI":"10.1016\/j.amjmed.2008.09.009","volume":"121","author":"EH Lin","year":"2008","unstructured":"Lin EH (2008) Depression and osteoarthritis. Am J Med 121(11 Suppl 2):S16\u2013S19. https:\/\/doi.org\/10.1016\/j.amjmed.2008.09.009","journal-title":"Am J Med"},{"issue":"5","key":"6268_CR23","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0251326","volume":"16","author":"A Maier","year":"2021","unstructured":"Maier A, Riedel-Heller SG, Pabst A, Luppa M (2021) Risk factors and protective factors of depression in older people 65+. A systematic review. PLoS One 16(5):e0251326. https:\/\/doi.org\/10.1371\/journal.pone.0251326","journal-title":"PLoS One"},{"issue":"2","key":"6268_CR24","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.21043","volume":"3","author":"R Meng","year":"2020","unstructured":"Meng R, Yu C, Liu N, He M, Lv J, Guo Y, Bian Z, Yang L, Chen Y, Zhang X, Chen Z, Wu T, Pan A, Li L (2020) Association of depression with all-cause and cardiovascular disease mortality among adults in China. JAMA Netw Open 3(2):e1921043. https:\/\/doi.org\/10.1001\/jamanetworkopen.2019.21043","journal-title":"JAMA Netw Open"},{"issue":"6","key":"6268_CR25","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1016\/j.jpain.2008.12.007","volume":"10","author":"LR Miller","year":"2009","unstructured":"Miller LR, Cano A (2009) Comorbid chronic pain and depression: who is at risk? J Pain 10(6):619\u2013. https:\/\/doi.org\/10.1016\/j.jpain.2008.12.007. 27","journal-title":"J Pain"},{"issue":"5","key":"6268_CR26","doi-asserted-by":"publisher","first-page":"63","DOI":"10.3238\/arztebl.2019.0063","volume":"116","author":"C Olotu","year":"2019","unstructured":"Olotu C, Weimann A, Bahrs C, Schwenk W, Scherer M, Kiefmann R (2019) The perioperative care of older patients. Dtsch Arztebl Int 116(5):63\u201369. https:\/\/doi.org\/10.3238\/arztebl.2019.0063","journal-title":"Dtsch Arztebl Int"},{"key":"6268_CR27","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1016\/j.jad.2023.08.108","volume":"341","author":"X Peng","year":"2023","unstructured":"Peng X, Lu Y, Chen PY, Wong CH (2023) The mediating effect of depression on the relationship between osteoarthritis and cardiovascular disease mortality: a cohort study. J Affect Disord 341:329\u2013334. https:\/\/doi.org\/10.1016\/j.jad.2023.08.108","journal-title":"J Affect Disord"},{"key":"6268_CR28","doi-asserted-by":"publisher","DOI":"10.53886\/gga.e0000143_EN","volume":"18","author":"JPC Pereira","year":"2024","unstructured":"Pereira JPC, Pinho CPS, Santos RCB, Nascimento SB, Santos LS, Mendes TSR et al (2024) Obesity versus underweight: the prognostic impact of body mass phenotypes in hospitalized older patients. Geriatr Gerontol Aging 18:e0000143. https:\/\/doi.org\/10.53886\/gga.e0000143_EN","journal-title":"Geriatr Gerontol Aging"},{"issue":"1","key":"6268_CR29","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.arth.2013.04.030","volume":"29","author":"D Perez-Prieto","year":"2014","unstructured":"Perez-Prieto D, Gil-Gonzalez S, Pelfort X, Leal-Blanquet J, Puig-Verdie L, Hinarejos P (2014) Influence of depression on total knee arthroplasty outcomes. J Arthroplasty 29(1):44\u201347. https:\/\/doi.org\/10.1016\/j.arth.2013.04.030","journal-title":"J Arthroplasty"},{"issue":"2","key":"6268_CR30","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1016\/j.arth.2015.09.015","volume":"31","author":"MR Rasouli","year":"2016","unstructured":"Rasouli MR, Menendez ME, Sayadipour A, Purtill JJ, Parvizi J (2016) Direct cost and complications associated with total joint arthroplasty in patients with preoperative anxiety and depression. J Arthroplasty 31(2):533\u2013536. https:\/\/doi.org\/10.1016\/j.arth.2015.09.015","journal-title":"J Arthroplasty"},{"key":"6268_CR31","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1016\/B978-0-12-804766-8.00023-6","volume":"167","author":"CF Reynolds","year":"2019","unstructured":"Reynolds CF, Lenze E, Mulsant BH (2019) Assessment and treatment of major depression in older adults. Handb Clin Neurol 167:429\u2013435. https:\/\/doi.org\/10.1016\/B978-0-12-804766-8.00023-6","journal-title":"Handb Clin Neurol"},{"issue":"5","key":"6268_CR32","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13051469","volume":"13","author":"EJ R\u00f6hrig","year":"2024","unstructured":"R\u00f6hrig EJ, Schenkat H, Hochhausen N, R\u00f6hl AB, Derwall M, Rossaint R, Kork F (2024) Comparing Charlson Comorbidity Index scores between anesthesiologists, patients, and administrative data: a prospective observational study. J Clin Med 13(5):1469. https:\/\/doi.org\/10.3390\/jcm13051469","journal-title":"J Clin Med"},{"key":"6268_CR33","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2025.106691","volume":"131","author":"F Schmitter","year":"2026","unstructured":"Schmitter F, N\u00fcesch C, Koch D, Stoffel K, Ismailidis P, M\u00fcndermann A (2026) Differences in gait kinematics and kinetics between patients 1 year after total hip or knee arthroplasty and healthy controls. Clin Biomech 131:106691. https:\/\/doi.org\/10.1016\/j.clinbiomech.2025.106691","journal-title":"Clin Biomech"},{"issue":"2","key":"6268_CR34","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1055\/s-2004-834733","volume":"30","author":"T Sch\u00fctz","year":"2005","unstructured":"Sch\u00fctz T, Valentini L, Plauth M (2005) Screening auf Mangelern\u00e4hrung nach den ESPEN-Leitlinien 2002. Aktuel Ernahrungsmed 30(2):99\u2013103. https:\/\/doi.org\/10.1055\/s-2004-834733","journal-title":"Aktuel Ernahrungsmed"},{"issue":"1","key":"6268_CR35","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.OA.22.00112","volume":"8","author":"I Shichman","year":"2023","unstructured":"Shichman I, Roof M, Askew N, Nherera L, Rozell JC, Seyler TM, Schwarzkopf R (2023) Projections and epidemiology of primary hip and knee arthroplasty in Medicare patients to 2040\u20132060. JB JS Open Access 8(1):e22.00112. https:\/\/doi.org\/10.2106\/JBJS.OA.22.00112","journal-title":"JB JS Open Access"},{"key":"6268_CR36","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1016\/j.jad.2019.08.053","volume":"259","author":"C Shin","year":"2019","unstructured":"Shin C, Park MH, Lee SH, Ko YH, Kim YK, Han KM, Jeong HG, Han C (2019) Usefulness of the 15-item geriatric depression scale (GDS-15) for classifying minor and major depressive disorders among community-dwelling elders. J Affect Disord 259:370\u2013375. https:\/\/doi.org\/10.1016\/j.jad.2019.08.053","journal-title":"J Affect Disord"},{"issue":"9","key":"6268_CR37","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.3390\/medicina58091277","volume":"58","author":"CI Stoica","year":"2022","unstructured":"Stoica CI, Nedelea G, Cotor DC, Gherghe M, Georgescu DE, Dragosloveanu C, Dragosloveanu S (2022) The outcome of total knee arthroplasty for patients with psychiatric disorders: a single-center retrospective study. Med (Kaunas) 58(9):1277. https:\/\/doi.org\/10.3390\/medicina58091277","journal-title":"Med (Kaunas)"},{"issue":"4","key":"6268_CR38","doi-asserted-by":"publisher","first-page":"1773","DOI":"10.1007\/s00402-023-05159-4","volume":"144","author":"T Tamate","year":"2024","unstructured":"Tamate T, Nishioka S, Ry LD, Weldon RH, N AS, Nakasone CK (2024) The influence of mental health on early outcomes following total hip arthroplasty. Arch Orthop Trauma Surg 144(4):1773\u20131779. https:\/\/doi.org\/10.1007\/s00402-023-05159-4","journal-title":"Arch Orthop Trauma Surg"},{"issue":"2","key":"6268_CR39","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1111\/psyg.13069","volume":"24","author":"QC Truong","year":"2024","unstructured":"Truong QC, Cervin M, Choo CC, Numbers K, Bentvelzen AC, Kochan NA, Brodaty H, Sachdev PS, Medvedev ON (2024) Examining the validity of the Mini-Mental State Examination (MMSE) and its domains using network analysis. Psychogeriatrics 24(2):259\u2013271. https:\/\/doi.org\/10.1111\/psyg.13069","journal-title":"Psychogeriatrics"},{"key":"6268_CR40","unstructured":"United Nations. Department of Economic and Social Affairs World Population Prospects 2022 - Summary of Results. UN DESA\/POP\/2021\/TR\/NO.3 United Nations NewYork. https:\/\/www.un.org\/development\/desa\/pd\/sites\/www.un.org.development.desa.pd\/files\/wpp2022_summary_of_results.pdf"},{"key":"6268_CR41","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1016\/j.jcot.2021.04.028","volume":"18","author":"SP Vajapey","year":"2021","unstructured":"Vajapey SP, McKeon JF, Krueger CA, Spitzer AI (2021) Outcomes of total joint arthroplasty in patients with depression: a systematic review. J Clin Orthop Trauma 18:187\u2013198. https:\/\/doi.org\/10.1016\/j.jcot.2021.04.028","journal-title":"J Clin Orthop Trauma"},{"issue":"20","key":"6268_CR42","doi-asserted-by":"publisher","first-page":"2191","DOI":"10.1001\/jama.2013.281053","volume":"310","author":"World Medical Association","year":"2013","unstructured":"World Medical Association (2013) World Medical Association declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 310(20):2191\u20134. https:\/\/doi.org\/10.1001\/jama.2013.281053","journal-title":"JAMA"},{"key":"6268_CR43","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/0022-3956(82)90033-4","volume":"17","author":"JA Yesavage","year":"1982","unstructured":"Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer O (1982) Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17:37\u201349. https:\/\/doi.org\/10.1016\/0022-3956(82)90033-4","journal-title":"J Psychiatr Res"},{"issue":"20","key":"6268_CR44","doi-asserted-by":"publisher","first-page":"873","DOI":"10.5435\/JAAOS-D-20-00721","volume":"29","author":"AK Zalikha","year":"2021","unstructured":"Zalikha AK, Karabon P, Hajj Hussein I, El-Othmani MM (2021) Anxiety and depression impact on inhospital complications and outcomes after total knee and hip arthroplasty: a propensity score-weighted retrospective analysis. J Am Acad Orthop Surg 29(20):873\u2013884. https:\/\/doi.org\/10.5435\/JAAOS-D-20-00721","journal-title":"J Am Acad Orthop Surg"},{"key":"6268_CR45","doi-asserted-by":"crossref","unstructured":"Ziller C, Braun T, Thiel C. Frailty phenotype prevalence and frailty criteria in community-dwelling older adults in Germany. Clin Interv Aging. 2020;15:2199\u20132208.","DOI":"10.2147\/CIA.S238204"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-026-06268-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-026-06268-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-026-06268-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T21:04:44Z","timestamp":1781643884000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-026-06268-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,28]]},"references-count":45,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6268"],"URL":"https:\/\/doi.org\/10.1007\/s00402-026-06268-6","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,28]]},"assertion":[{"value":"17 October 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"125"}}