Patients undergoing knee surgery provided accurate ratings of preoperative quality of life and function 2 weeks after surgery

Bryant, Dianne; Norman, Geoff; Stratford, Paul W.; Marx, Robert G.; Walter, Stephen D.; Guyatt, Gordon

doi:10.1016/j.jclinepi.2006.01.013

Cited by 50 publications

(38 citation statements)

References 46 publications

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“…Preinjury function was assessed at time of hospital discharge, which has previously been shown to have high enough accuracy to allow for the substitution of prospectively collected baseline information. 24 …”

Section: Methodsmentioning

confidence: 99%

Reaming Does Not Affect Functional Outcomes After Open and Closed Tibial Shaft Fractures

Lin

Swiontkowski

Bhandari

et al. 2016

Journal of Orthopaedic Trauma

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Objectives We sought to determine the effect of reaming on 1-year SF-36 and SMFA scores from the Study to Prospectively Evaluate Reamed Intramedullary Nails in patients with Tibial Fractures (SPRINT). Design Prospective randomized controlled trial. 1,319 patients were randomized to reamed or unreamed nails. Fractures were categorized as open or closed. Setting 29 academic and community health centers across the US, Canada, and the Netherlands Patients/Participants 1,319 skeletally mature patients with closed and open diaphyseal tibia fractures. Intervention Reamed versus unreamed tibial nails Main Outcome Measurements SF-36 and the SMFA. Outcomes were obtained during the initial hospitalization to reflect preinjury status, and again at the 2-week, 3-month, 6-month, and 1-year follow-up. Repeated measures analyses were performed with P <0.05 considered significant. Results There were no differences between the reamed and unreamed groups at 12 months for either the SF-36 Physical Component Score (PCS) (42.9 v 43.4, p = 0.54, 95% Confidence Interval for the difference [CI] −2.1 to 1.1) or the SMFA Dysfunction Index (DI) (18.0 v 17.6, p=0.79. 95% CI −2.2 to 2.9). At one year, functional outcomes were significantly below baseline for the SF-36 PCS, SMFA DI, and SMFA Bothersome Index (p < 0.001). Time and fracture type were significantly associated with functional outcome. Conclusions Reaming does not affect functional outcomes following intramedullary nailing for tibial shaft fractures. Patients with open fractures have worse functional outcomes than those with a closed injury. Patients do not reach their baseline function by one year after surgery.

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Section: Methodsmentioning

confidence: 99%

Reaming Does Not Affect Functional Outcomes After Open and Closed Tibial Shaft Fractures

Lin

Swiontkowski

Bhandari

et al. 2016

Journal of Orthopaedic Trauma

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“…21,40,47,[49][50][51][52][53] Should future ACL treatments focus on PROMs, more objective measures or some combination of both? Should the assessment tools be disease-specific or is a general tool such as the International Knee Documentation Committee sufficient?…”

Section: Discussionmentioning

confidence: 99%

Validity, Reliability, and Responsiveness of the Anterior Cruciate Ligament Quality of Life Measure

Lafave

Hiemstra

Kerslake

et al. 2017

Clinical Journal of Sport Medicine

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“…35,36 We explored the effect of including pre-injury SF-36 PCS scores and MCS scores in our adjusted multi-variable regression models to determine if SPOC scores were capturing pre-injury characteristics. For example, it may be that individuals who score high for somatic pre-occupation or poor coping after an injury would have scored equally poorly before their injury.…”

Section: Scale Validationmentioning

confidence: 99%

Development and Validation of an Instrument to Predict Functional Recovery in Tibial Fracture Patients

Busse

Bhandari

Guyatt

et al. 2012

Journal of Orthopaedic Trauma

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Objective To explore the role of patients’ beliefs in their likelihood of recovery from severe physical trauma. Methods We developed and validated an instrument designed to capture the impact of patients’ beliefs on functional recovery from injury; the Somatic Pre-occupation and Coping (SPOC) questionnaire. At 6-weeks post-surgical fixation, we administered the SPOC questionnaire to 359 consecutive patients with operatively managed tibial shaft fractures. We constructed multivariable regression models to explore the association between SPOC scores and functional outcome at 1-year, as measured by return to work and short form-36 (SF-36) physical component summary (PCS) and mental component summary (MCS) scores. Results In our adjusted multivariable regression models that included pre-injury SF-36 scores, SPOC scores at 6-weeks post-surgery accounted for 18% of the variation in SF-36 PCS scores and 18% of SF-36 MCS scores at 1-year. In both models, 6-week SPOC scores were a far more powerful predictor of functional recovery than age, gender, fracture type, smoking status, or the presence of multi-trauma. Our adjusted analysis found that for each 14 point increment in SPOC score at 6-weeks (14 chosen on the basis of half a standard deviation of the mean SPOC score) the odds of returning to work at 1-year decreased by 40% (odds ratio = 0.60; 95% CI = 0.50 to 0.73). Conclusion The SPOC questionnaire is a valid measurement of illness beliefs in tibial fracture patients and is highly predictive of their long-term functional recovery. Future research should explore if these results extend to other trauma populations and if modification of unhelpful illness beliefs is feasible and would result in improved functional outcomes.

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Patients undergoing knee surgery provided accurate ratings of preoperative quality of life and function 2 weeks after surgery

Cited by 50 publications

References 46 publications

Reaming Does Not Affect Functional Outcomes After Open and Closed Tibial Shaft Fractures

Reaming Does Not Affect Functional Outcomes After Open and Closed Tibial Shaft Fractures

Validity, Reliability, and Responsiveness of the Anterior Cruciate Ligament Quality of Life Measure

Development and Validation of an Instrument to Predict Functional Recovery in Tibial Fracture Patients

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