Ethnicity Affects the Outcome of Total Knee Arthroplasty

Mangelson, John J.; Noble, Philip C.; Osadebe, Uche C.; Harrington, Melvyn A.; Parsley, Brian S.

doi:10.1016/j.arth.2010.01.049

Cited by 2 publications

(1 citation statement)

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“…Preoperative PAQ pain score in the Asian cohort was significantly higher than in North American cohort. Based on a previous study by Mangelson et al, 29 pain is a major determinant for the outcome of TKA among women, and different perceptions of pain are noted in various ethnic groups, thus ethnicity should be considered as a covariate in evaluating TKA outcomes. Nevertheless, Asian patients had higher postoperative KSS knee score and WOMAC outcome scores.…”

Section: Discussionmentioning

confidence: 99%

A comparison of clinical and patient-reported outcome measures of TKR: Comparison of Asian to North American patients

Budhiparama

Gaudiani

White

et al. 2019

J Orthop Surg (Hong Kong)

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Background: Cultural differences between continents may also affect the outcome on interventions. This study compared an Asian and North American cohort of total knee replacement (TKR) patients. Questions/purposes: This study aims to compare the patient-reported outcome measures as well as a functional outcome after TKR between these two different patient populations with a different cultural societal background in two different countries. Patients and Methods: A retrospective study on two cohorts of 76 Asian TKR patients and 64 North American TKR patients were compared. Demographics, patient-reported outcome measures (Knee Society Score (KSS), Patient-Administered Questionnaire (PAQ), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)), knee range of motion (RoM), and radiographic component position were compared. Results: The Asian cohort had more females compared to the North American and significantly worse preoperative RoM, and worse KSS function score and PAQ pain scores. The preoperative KSS knee score and WOMAC scores were comparable between the two groups. Postoperatively, the differences in WOMAC and KSS knee scores were significant, while KSS function and PAQ were comparable between groups. Conclusions: Even though Asian TKR patients had significantly worse preoperative scores, their postoperative outcomes were comparable to North Americans. The higher preoperative functional deficit and the higher pain levels in the Asian population might be due to cultural differences and/or socioeconomic reasons, which made Asian patients present with more severe conditions in the preoperative consultation for a possible surgical treatment compared to North Americans. More research is needed to investigate the difference between these cultural impacts on TKR outcomes.

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Section: Discussionmentioning

confidence: 99%