Participation Following Knee Replacement: The MOST Cohort Study

Maxwell, Jessica; Keysor, Julie J.; Niu, Jingbo; Singh, Jasvinder A.; Wise, Barton L; Law, Laura Frey; Nevitt, Michael C.; Felson, David T.

doi:10.2522/ptj.20130109

Cited by 32 publications

(28 citation statements)

References 26 publications

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“…2012, Maxwell et al. 2013) have found statistically significant improvements after surgery. A study that used the SF-36 found no effect on social function; however, the dropout level from that study was substantial (63% at 2 years after surgery) (Xie et al.…”

Section: Discussionmentioning

confidence: 96%

Improvements in physical function and pain sustained for up to 10 years after knee or hip arthroplasty irrespective of mental health status before surgery

et al. 2016

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Background and purposeThere are concerns that mental health (MH) may influence outcomes of total knee arthroplasty (TKA) or total hip arthroplasty (THA). We examined effects of poor MH before surgery on long-term outcomes of osteoarthritis-related TKA or THA in women.Patients and methodsThe data were from 9,737 middle-aged participants (47–52 years) and 9,292 older participants (73–78 years) in the Australian Longitudinal Study on Women’s Health who completed surveys between 1998 and 2013. Dates of arthroplasties were obtained from the Australian Orthopaedics Association National Joint Replacement Registry. Participants without procedures were matched with participants with procedures. Trajectories of the Short-Form 36 scores for physical functioning, bodily pain, social functioning, and mental health based on mixed modeling were plotted for participants with and without surgery (stratified according to mental health, separately for TKA and THA, and for middle-aged and older participants).ResultsIn middle-aged women with poor and good MH, TKA improved physical function and reduced bodily pain, with improvements sustained up to 10 years after surgery. TKA contributed to restoration of social function in women with good MH, but this was less clear in women with poor MH. In both MH groups, mental health appeared to be unaffected by TKA. Similar patterns were observed after THA, and in older women.InterpretationRecovery of physical and social function and reductions in pain were sustained for up to 10 years after surgery. Improvements in physical function and pain were also observed in women with poor mental health. Thus, in our view poor mental health should not be a contraindication for arthroplasty.

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Section: Discussionmentioning

confidence: 96%

Improvements in physical function and pain sustained for up to 10 years after knee or hip arthroplasty irrespective of mental health status before surgery

et al. 2016

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“…Current qualitative research has not addressed this question explicitly 38e40 and existing quantitative research has focused on frequency or quantifying amount of activity without addressing socio-cultural factors that impact why people do and do not return to activity 10e13 . For example, Maxwell et al identified that individuals under 65 years had decreased limitations in participation measured by the Late Life Disability Index 41 whereas those 75 years and older had increased restrictions 1 year following total knee replacement 42 . These authors additionally identified that depressive symptoms, lower pre-surgery function and other knee symptoms were associated with more participation limitations.…”

Section: Discussionmentioning

confidence: 99%

Understanding why people do or do not engage in activities following total joint replacement: a longitudinal qualitative study

Webster

Perruccio

Jenkinson

et al. 2015

Osteoarthritis and Cartilage

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Findings suggest that multi-faceted experiences impact participation in activity following TJR. These experiences include changes in identity and lifestyle that preclude a 'return to normal'. There is an urgent need for supports to increase people's activity post-TJR in order to facilitate enhancement of post-surgery levels of engagement. Approaches that take into consideration more personalized interventions may be critical to promoting healthy aging in people with TJR.

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“…Recent evidence suggests that 30% of patients with TKA still have participation restriction 1 year after the surgery (Maxwell et al, 2013). Recent evidence suggests that 30% of patients with TKA still have participation restriction 1 year after the surgery (Maxwell et al, 2013).…”

Section: Participation Restriction Measuresmentioning

confidence: 99%

“…The disability component of the late life function and disability instrument (LLFDI) can be used to quantify participation restrictions in patients with TKA (Maxwell et al, 2013). Patients are asked to rate the extent of the limitation (limitation domain) that they feel in performing 16 life tasks and the frequency of performing these tasks (frequency domain).…”

Section: Late Life Function and Disability Instrumentmentioning

confidence: 99%

Outcome measures capturing ICF domains in patient with total knee arthroplasty

Alnahdi

2014

International Journal of Rehabilitation Research

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The International Classification of Functioning Disability and Health (ICF) represents a general framework for concepts of health and disability. The number of patients undergoing Total knee arthroplasty (TKA) is increasing worldwide. Capturing the different health-related ICF domains in this increasing number of patients with TKA requires clinicians and researchers to be familiar with the tools that can be used in daily clinical practice to capture these health-related domains. This paper aimed to review the outcome measures related to the different ICF domains in patients with TKA and to review the psychometric properties of these outcome measures. An electronic search for relevant articles using MEDLINE and CINHAL databases up to March 2014 was performed. In addition to the electronic search, the articles retrieved were searched manually for relevant studies. Impairment-based outcome measures important to patients with TKA included measures of knee pain intensity, knee joint mobility, and muscle performance. Outcome measures capturing activity limitation in patients with TKA included both self-reported and performance-based measures as each capture a different aspect of the activity limitation construct. The disability component of the late life function and disability instrument can be used to quantify participation restriction patients with TKA. Clinicians and researchers are encouraged to measure the different health-related domains in patients with TKA using the outcome measures presented in this review.

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Participation Following Knee Replacement: The MOST Cohort Study

Abstract: Although there was a mean increase in participation ≥1 year following TKR, participation restriction was common. The likelihood of low participation was increased among women, non-whites, and those with depressive symptoms, severe pain in either knee, or worse pre-TKR function.

Cited by 32 publications

References 26 publications

Improvements in physical function and pain sustained for up to 10 years after knee or hip arthroplasty irrespective of mental health status before surgery

Improvements in physical function and pain sustained for up to 10 years after knee or hip arthroplasty irrespective of mental health status before surgery

Understanding why people do or do not engage in activities following total joint replacement: a longitudinal qualitative study

Outcome measures capturing ICF domains in patient with total knee arthroplasty

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