Total knee replacement and health‐related quality of life: Factors influencing long‐term outcomes

Núñez, Montserrat; Lozano, Luís; Núñez, Esther; Segur, Josep M.; Sastre, Sergi; Maculé, F.; Ortega, Raquel; Suso, S.

doi:10.1002/art.24644

Cited by 111 publications

(87 citation statements)

References 28 publications

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“…They also correlated that the development of complications leads to a lower level of satisfaction for the patients. 16 But we did not find such association p value of 0.174, also some studies suggest co morbid conditions to be the reason of poor outcome 19,23 we failed to find such an association having a p value of 0.678. We had some limitations in our study such as a small sample size, also we did not analyze the effect of mental health of outcome of TKA, and also our follow up period was of one year duration only.…”

Section: Discussioncontrasting

confidence: 55%

“…1,14 Although other modes of treatment such as conservative and surgical treatment exists the definitive therapy is joint replacement, and TKA has been shown to be an effective treatment option. 2 Hence many different scores and methods were developed to assess the outcome of this procedure, including the surgeons questioning the patient about his illness and treatment 8 and objective scales such as WOMAC,KSS, SF-36 etc which have shown some degree of correlation with patient satisfaction 17 , but still some patients are dissatisfied, some studies report a dissatisfaction rate of 19% 7,8,9,16 And it is also known that there is a dissonance between the surgeon reported outcomes and patient reported outcomes. In a study by Yuan et al, it is reported that the outcome of 60 patients satisfaction to be 91% [9] while Nunez et al in a study of 112 patients report satisfaction rate to be 86% 16 Which are similar to our study results of 91.74%.…”

Section: Discussionmentioning

confidence: 99%

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Total Knee Arthroplasty; Evaluation of the Patient Satisfaction, Its Comparison With Traditional Physician Based Scores, at Karachi, Pakistan

Jabbar

Shah

Hashim

2017

TPMJ

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ABSTRACT… Objectives: We aim to evaluate the level of satisfaction after total knee arthroplasty procedure in the patient population at a tertiary care hospital in Karachi, Pakistan, and to assess the relationship between patient satisfaction and the outcome based on traditional scores. Methods: Study Design: Case series for determination of patient satisfaction. Period: One year duration from April 2015 to May 2016. Setting: Tertiary care centre in Karachi, Pakistan. The inclusion criteria was all the patients with late stage osteoarthritis of the knee joint and underwent total knee arthroplasty at our institute. Data was analyzed using SPSS version 22. Results: A total of n= 102 patients were included in the study while n= 109 knee surgeries were done in total (n= 95 patients had unilateral surgery, while n= 7 patients had bilateral surgeries on both the knee joints) n= 58 patients were females while n= 44 patients were males, the median age was 60 years, patients had a mean body mass index (BMI) of 27kg/ m 2 . Of the total surgeries performed n= 100 were in the satisfaction group while n= 9 were in the dissatisfaction group. The majority of the patients reported that they would recommend the procedure. The co morbid conditions did not affect the patient's level of satisfaction having a p value of 0.678. In the dissatisfied group, there was no significant difference when it comes to gender, the mean age of patients in the dissatisfaction group was higher than the mean age of patients in the satisfaction. We found that WOMAC scores for functioning and the final WOMAC scores were correlated with patient satisfaction and that was statistically significant, similarly SF-36 form patients were satisfied about the improvement in the physical health while they did not improve the mental health aspect of their disease. Conclusion: According to our study total knee arthroplasty is an effective treatment for osteoarthritis of the knee, patient satisfaction is correlated with post-operative WOMAC function and overall scores, and SF-36 physical component. It is important to keep patients expectations in check through proper counseling. Key words:Osteoarthritis; patient satisfaction; total knee arthroplasty; TKA. Article Citation: Jabbar FA, Shah RA, Hashim M. Total knee arthroplasty; Evaluation of the patient satisfaction, its comparison with traditional physician based scores, at Karachi, Pakistan.

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Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Total Knee Arthroplasty; Evaluation of the Patient Satisfaction, Its Comparison With Traditional Physician Based Scores, at Karachi, Pakistan

Jabbar

Shah

Hashim

2017

TPMJ

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“…In this section we summarise results from 22 studies of pre-operative BMI, mental health, pain and physical function as predictors of long-term patient-reported outcomes. 46,50,127,[147][148][149][150][151][152][153][154][155][156][157][158][159][160][161][162][163][164][165] One study included important data in a second publication. 166 Details of studies are summarised in Appendix 6 with brief details in Table 5.…”

Section: Total Knee Replacementmentioning

confidence: 99%

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Blom

Artz

Beswick

et al. 2016

Programme Grants Appl Res

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms PROGRAMME GRANTS FOR APPLIED RESEARCH VOLUME 4 ISSUE 12 AUGUST 2016 ISSN 2050 DOI 10.3310/pgfar04120Improving patients' experience and outcome of total joint replacement: the RESTORE programme Ashley W Blom, Neil Artz, Andrew D Beswick, Amanda Burston, Paul Dieppe, Karen T Elvers, Rachael Gooberman-Hill, Jeremy Horwood, Paul Jepson, Emma Johnson, Erik Lenguerrand, Elsa Marques, Sian Noble, Mark Pyke, Catherine Sackley, Gina Sands, Adrian Sayers, Victoria Wells and Vikki Wylde Improving patients' experience and outcome of total joint replacement: the RESTORE programme ISSN 2050-4330 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PGfAR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/pgfar. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Programme Grants for Applied Research journalReports are published in Programme Grants for Applied Research (PGfAR) if (1) they have resulted from work for the PGfAR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. Programme Grants for Applied Research programmeThe Programme Grants for Applied Research (PGfAR) programme, part of the National Institute for Health Research (NIHR), was set up in 2006 to produce independent research findings that will have practical application for the benefit of patients and the NHS in the relatively near future. The Programme is managed by the NIHR Central Commissioning Facility (CCF) with strategic input from the Programme Director.The programme is a national response mode funding scheme that aims to provide evidence to improve health outcomes in England through promotion of health, prevention of ill health, and optimal disease management (including safety and quality), with particular emphasis on conditions causing significant disease burden.For more information about the PGfAR programme please visit the website: http://www.nihr.ac.uk/funding/programme-grants-forapplied-research.htm This reportThe research reported in this issue of the journal was funded by PGfAR as project number RP-PG-0407-10070. The contractual start date was in December 2008. The final report began editorial review in September 2014 and was accepted for publication in August 2015. As the funder, the PGfAR programme agreed the research questions and study designs in advance with the investigators. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PGfAR editors and production house have tried to ensure the accurac...

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“…TKAs are among the most common elective surgical procedures performed in the United States today, with more than half a million procedures performed annually [16,21]. Most of these procedures are performed in the geriatric population, which is estimated to grow from 13% of the US population in 2009 to 19% in 2030 [26].…”

Section: Introductionmentioning

confidence: 99%

Older Age Increases Short-term Surgical Complications After Primary Knee Arthroplasty

Easterlin

Chang

Talamini

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Age is a known risk factor for complications after knee arthroplasty; however, age-related risks for a variety of complications of total and partial knee arthroplasties have not been well quantified. Questions/purposes Our study addressed three questions to better understand age-related risk of complications: (1) At what age do different types of complications increase? (2) Is the increase in complications with age resulting from age-related patient comorbidities, sociodemographic characteristics, and surgical conditions? (3)

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Total knee replacement and health‐related quality of life: Factors influencing long‐term outcomes

Cited by 111 publications

References 28 publications

Total Knee Arthroplasty; Evaluation of the Patient Satisfaction, Its Comparison With Traditional Physician Based Scores, at Karachi, Pakistan

Total Knee Arthroplasty; Evaluation of the Patient Satisfaction, Its Comparison With Traditional Physician Based Scores, at Karachi, Pakistan

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Older Age Increases Short-term Surgical Complications After Primary Knee Arthroplasty

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