Evidence map›Paper›PMID 40524126›Full record

ArticleSleep & breathing = Schlaf & Atmung2025

The influence of digital cognitive behavioral therapy treatment for perioperative sleep disorders in patients undergoing total knee arthroplasty.

Yanan Wang, Juan Shao, Peixia Yu, Yanan Li, Xiulin Huo, Qingkai Li, Li Song, Qiujun Wang, Xiaojuan Qie

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yanan Wang *Department of Anaesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, China.
Juan Shao *Department of Senile Disease, The Third Hospital of Hebei Medical University, Shi Jiazhuang, China.
Peixia YuDepartment of Anaesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, China.
Yanan LiDepartment of Anaesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, China.
Xiulin HuoDepartment of Anaesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, China.
Qingkai LiDepartment of Anaesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, China.
Li SongNeuroscience Research Center, Institute of Medical and Health Science, Hebei Medical University, Shijiazhuang, China.
Qiujun WangDepartment of Anaesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, China.
Xiaojuan QieDepartment of Anaesthesiology, The Third Hospital of Hebei Medical University, Shi Jiazhuang, China. qiexiaojuan@hebmu.edu.cn.ORCID 0009-0000-4432-9199

Funding

Central Government Guides Local Science and Technology Development Funds Projects Grant no. 246Z7742GHebei Provincial Government Funded Project of Training Excellent Talents in Clinical Medicine Grant no. zl2025161Medical Science Research Key Project Plan of Hebei Province Grant no. 20220125
6 · The paper itself

Abstract

backgroundPatients undergoing total knee arthroplasty (TKA) may suffer from perioperative sleep disorders (PSD), and their management is challenging. The aim of this study was to assess the efficiency of digital cognitive behavioral therapy (dCBT) in the management of PSD after TKA.

methodsFrom December 2022 to August 2023, a total of 114 patients undergoing primary, unilateral TKA under general anaesthesia were included. The primary outcome was the Athens Insomnia Scale (AIS) score. Other outcome parameters included sleep quality, pain scores (NRS scores), mental disorders (hospital anxiety and depression scale scores and MMSE scores) and recovery quality (quality of recovery-40 questionnaire).

resultsThere was no significant difference in AIS score, sleep quality, pain score or mental status between the two groups immediately after admission. The AIS scores of the dCBT group and control group were 3 (2) andvs. 3 (2.25) (P < 0.05) on the first postoperative day, 3 (1) vs. 3 (3) (P < 0.05) on the third postoperative day, and 1 (1) vs. 2 (2) (P < 0.05) on the 15th postoperative day, respectively. Compared with those in the control group, the sleep quality, anxiety scores and recovery quality in the early stage significantly improved in the dCBT group. However, the pain scores and cognitive function of the two groups were not significantly different.

conclusiondCBT can decrease the severity of PSD and improve recovery quality in the early stage after TKA surgery. Furthermore, dCBT can relieve anxiety and thereby promote postoperative recovery.

Indexed as

Arthroplasty, Replacement, KneeCognitive Behavioral TherapyPostoperative ComplicationsSleep Wake DisordersAgedFemaleHumansMaleMiddle AgedCognitive-behavioural therapyCognitive functionNon-pharmacological treatmentsSleep disturbancesTotal knee arthroplasty

Identifiers

PMID40524126

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.