Higher patient knowledge and resilience improve the functional outcome of primary total knee arthroplasty

Bumberger, Alexander; Borst, Katharina; Hobusch, Gerhard M.; Willegger, Madeleine; Stelzeneder, David; Windhager, Reinhard; Domayer, Stephan; Waldstein, Wenzel

doi:10.1007/s00508-021-01829-8

Cited by 9 publications

(9 citation statements)

References 22 publications

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“…1 Percentage of correct answers given for each question on the knowledge questionnaire knowledge scores. These findings add to the yet small body of literature, demonstrating significant associations between patient knowledge, psychological factors and PROMS following primary TJA [8,[22][23][24].…”

Section: Discussionsupporting

confidence: 54%

“…Also, an increased level of activity (UCLA) at this time was associated with higher knowledge scores. These findings add to the yet small body of literature, demonstrating significant associations between patient knowledge, psychological factors and PROMS following primary TJA [ 8 , 22 – 24 ].…”

Section: Discussionsupporting

confidence: 52%

“…Since its first publication in 2003, numerous studies have applied the CD-RISC 25 in a variety of different populations, ranging from primary care patients [18,20] to war veterans [21]. To the best of our knowledge, there are currently only two published studies that applied the CD-RISC in an arthroplasty population [12,22].…”

Section: Methodsmentioning

confidence: 99%

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Specific knowledge and resilience affect short-term outcome in patients following primary total hip arthroplasty

Bumberger

Borst

Willegger

et al. 2021

Arch Orthop Trauma Surg

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Purpose The aim of the present study was to investigate the potential associations between specific knowledge, resilience and patient-reported outcome measures (PROMS) following primary total hip arthroplasty (THA). Methods In a cross-sectional prospective study, consecutive patients following primary THA were included at a rehabilitation center. A novel knowledge score and the validated Connor Davidson Resilience Scale (CD-RISC) were utilized to assess patients’ specific knowledge and resilience, respectively. Additionally, patients completed a qualitative questionnaire regarding the information they had received. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), as well as the University of California and Los Angeles Score (UCLA) served as primary outcome measures. Stepwise multiple regression analysis was performed to identify potential predictors of outcome. Results A total of 103 patients at a mean age of 67.5 years (SD 10.5, 38–88) were included in the analysis at a median of 55.5 days (IQR 43–81) following primary THA. The mean knowledge and resilience scores were 3.8 (SD 1.6, 0–7) and 69.5 (SD 18.5, 0–100), respectively. Forty-seven percent of patients were afraid of harming their prosthesis and these patients had up to 59% worse WOMAC scores (p < 0.001). WOMAC scores on admission to rehabilitation were predicted by resilience and knowledge scores (R2 = 0.106, p = 0.036). UCLA scores at the time of admission were predicted by knowledge scores (R2 = 0.078, p = 0.007). Conclusion The present study demonstrated that patients with a feeling of uncertainty had an inferior short-term functional outcome following primary THA. Moreover, it could be shown that higher specific knowledge and resilience are associated with a better functional outcome according to validated PROMS. While these findings need to be prospectively validated in future studies, specific patient knowledge and resilience may have a direct impact on the outcome of primary THA.

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Section: Discussionsupporting

confidence: 54%

Section: Discussionsupporting

confidence: 52%

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Specific knowledge and resilience affect short-term outcome in patients following primary total hip arthroplasty

Bumberger

Borst

Willegger

et al. 2021

Arch Orthop Trauma Surg

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“…It has been described previously that patient education could have a considerable impact on outcomes of health care interventions. For instance, in patients who went through total knee or hip arthroplasty higher specific knowledge was associated with better functional outcomes [ 6 , 7 ]. However, the relationship between patients’ knowledge and IMD’s overall impact onlife has remained unexplored so far.…”

Section: Discussionmentioning

confidence: 99%

“…Available studies concerning the prevalence of IMDs are restricted mainly to single-center observations and IMD-specific registries [2,3]. Moreover, patients' knowledge and its association with health outcomes have only been studied in particular IMD groups, however, comprehensive assessments covering broad spectrum of IMDs are lacking [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and patients’ self-reported knowledge of implantable medical devices: Results of a cross-sectional survey in Hungary

et al. 2023

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Background Implantable medical devices (IMDs) are medical instruments embedded inside the body. Well-informed and empowered patients living with IMDs are key players of improving IMD-related patient safety and health outcomes. However, little is known about IMD patients’ epidemiology, characteristics, and current awareness levels. Our primary aim was to investigate the point and lifetime prevalence of patients living with IMDs. Patients’ IMD-related knowledge and determinants of IMDs’ impact on their life were also explored. Methods An online cross-sectional survey was conducted. Respondents’ IMD history, whether they received instructions for use and IMD’s overall impact on life were recorded by self-reports. Patients’ knowledge about living with IMDs was assessed on visual analogue scales (VAS, 0–10). Shared decision-making was analyzed by the 9-item Shared Decision Making Questionnaire (SDM-Q-9). Descriptive statistics and subgroup comparisons between IMD wearers were performed for statistical differences. Significant determinants of IMD’s overall impact on life were examined in linear regression analysis. Results In the total sample (N = 1400, mean age 58.1 ±11.1; female 53.7%), nearly one third of respondents were living with IMD (30.9%; 433/1400). Among them, the most frequent IMDs were tooth implants (30.9%) and intraocular lens (26.8%). Mean knowledge VAS scores were similar (range: 5.5 ±3.8–6.5 ±3.2) but differences by IMD types were observed. Patients who received instructions for use or reported better impact on life indicated higher self-reported knowledge. Regression confirmed that patients’ knowledge was significant predictor of IMD’s impact on life, but this effect was overwritten by the SDM-Q-9. Conclusions This first comprehensive epidemiological study on IMDs provides basic data for public health strategy planning alongside the implementation of MDR. Improved self-perceived outcomes were associated with higher knowledge hence education of patients receiving IMD deserves consideration. We suggest to investigate further the role of shared decision-making on IMD’s overall impact on patients’ life in future prospective studies.

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Optimization Investigations on Total Knee Arthroplasty

Tokgoz,

Levitt,

Sosa

et al. 2023

Total Knee Arthroplasty

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Higher patient knowledge and resilience improve the functional outcome of primary total knee arthroplasty

Cited by 9 publications

References 22 publications

Specific knowledge and resilience affect short-term outcome in patients following primary total hip arthroplasty

Specific knowledge and resilience affect short-term outcome in patients following primary total hip arthroplasty

Epidemiology and patients’ self-reported knowledge of implantable medical devices: Results of a cross-sectional survey in Hungary

Optimization Investigations on Total Knee Arthroplasty

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