Factors Affecting Adherence to Follow-up Appointments after total knee arthroplasty

Yuenyongviwat, Varah; Chunakiat, Sahatsa; Purngpiputtrakul, Peeranut; Wanasitchaiwat, Pawin; Iamthanaporn, Khanin; Hongnaparak, Theerawit

doi:10.5604/01.3001.0014.3461

Cited by 3 publications

(12 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The one-year follow-up rate in this study was 67%. This was similar to the 60-70% of other studies that reported 1 year follow-up rates in TKA [10,13]. However, direct comparison was di cult because the rate of outpatient follow-up after surgery may vary according to each country's medical insurance system.…”

Section: Discussionsupporting

confidence: 85%

“…Factors that could affect outpatient follow-up, such as age, sex, unilateral or bilateral surgery, presence or absence of family, and distance from hospital did not affect outpatient follow-up. It has been reported that the follow-up loss rate was high in younger age groups in arthroplasty, and there was no relationship between age and follow-up rate [13]. It is thought that this is not a problem of age itself, but rather the presence of absence of a job according to age, and age acted as a compounding factor.…”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Clinical outcomes of patients lost to follow-up and factors affecting follow-up loss after total knee arthroplasty

Yoon¹,

Park²,

Yoon³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background The hypotheses were as follows: 1) the clinical outcome of patients lost to follow-up after total knee arthroplasty (TKA) will be different compared to patients with follow-up; 2) follow-up rate will be affected by various social economic factors. Methods Patients who underwent TKA between March 2019 and February 2020 were retrospectively included. Patients lost to follow-up were defined as patients who did not undergo follow-up 6 months after TKA; all patients were divided into follow-up and follow-up loss groups. Western Ontario and McMaster Universities Osteoarthritis (WOMAC) and Knee Society Score (KSS) were measured before surgery. After surgery, WOMAC, KSS function, and satisfaction were measured via telephone. Age, sex, unilateral or bilateral TKA, distance from hospital, presence of a family, and insurance were investigated. Results A total of 137 patients were included in the study. There were 92 (67.2%) patients that followed up 6 months after TKA, on the other hand, 45 patients (32.8%) were lost to follow-up. There was no difference in clinical outcomes (WOMAC, p = 0.932; KSS clinical, p = 0.450) and satisfaction (pain: p = 0.230, function: p = 0.300) between two groups. Age, sex, unilateral or bilateral TKA, distance from hospital, presence of a family, and insurance had no effect on follow-up rates. Conclusion The clinical outcomes of patients lost to follow-up after TKA did not show a difference from those who were followed up. Age, sex, unilateral or bilateral TKA, distance from hospital, presence of a family, insurance status, and postoperative clinical symptoms did not affect the follow-up rate.

show abstract

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 96%

Clinical outcomes of patients lost to follow-up and factors affecting follow-up loss after total knee arthroplasty

Yoon¹,

Park²,

Yoon³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Furthermore, the importance of follow-up visits for all patients is emphasized, with special attention to patients with poor physical health conditions. However, patients classified as ASA III seem to be less adherent to follow-up visits than those with ASA II [ 32 ]. Mannion et al explained that a higher ASA is not only associated with more complications but also with a worse patient-rated outcome 12 months after THA [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Influence of Anxiety/Depression, Age, Gender and ASA on 1-Year Follow-Up Outcomes Following Total Hip and Knee Arthroplasty in 5447 Patients

Götz

Benditz

Reinhard

et al. 2021

JCM

View full text Add to dashboard Cite

Introduction: There are many factors influencing the outcome after total joint arthroplasty (TJA). In particular, patient-related factors such as age, gender, ASA (American Society of Anesthesiologists), or preoperative anxiety/depression have become increasingly important. The aim of this study was to examine the association of these parameters with 1-year postoperative outcomes after total knee and total hip arthroplasty (TKA, THA). Methods: A retrospective cohort of 5447 TJA patients was evaluated by pre- and postoperative analysis of EQ-5D, EQ-VAS and WOMAC Score. Furthermore, major focus was put on the association between age, gender, ASA, preoperative anxiety/depression and outcome parameters. Results: 53.3% (2903/5447) of all patients were identified with anxiety/depression at time of surgery. In the analysis, patients without anxiety/depression showed statistically significantly (p < 0.05) better EQ-5D, EQ-VAS and WOMAC scores. In addition, patients with ASA 2 or 3 and age over 70 years showed statistically significantly (p < 0.01) worse EQ-5D and WOMAC scores. Gender did not influence the postoperative EQ-5D and WOMAC results, but men had significantly better EQ-VAS scores than women in this study. Conclusion: Preoperative anxiety/depression symptoms show worse clinical outcomes 1 year postoperatively after TJA. Other outcome-influencing factors are higher age and ASA 2 or 3. In the future, such patients should be identified, and as far as applicable, a treatment of anxiety/depression or comorbidities should be implemented preoperatively of the surgical procedure to improve clinical outcomes.

show abstract

“…20,23,24 Despite this, few studies have cited distance as a risk factor for orthopaedic surgery patients in not attending their follow-up appointments. 1,9,25 The literature surrounding this issue is mixed, although logically one would expect distance to propose a barrier to care. 1,2,[7][8][9]11 In a study of orthopaedic trauma surgery follow-up by Whiting et al, 1 distance was only notable when traveling greater than 100 miles to the clinic.…”

Section: Discussionmentioning

confidence: 99%

“…Missed appointments and noncompliance are challenging topics that prevent the surgeon from adequately addressing postoperative complications and have been associated with poorer outcomes including worse function, greater pain, strain on the patientphysician relationship, higher costs, and delays in recognition of complications such as surgical site infection or fracture nonunion. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Previous studies have examined factors associated with patients with orthopaedic trauma missing follow-up appointments at urban level 1 trauma centers with conflicting results regarding distance. 1,2 Influence of distance on attendance to follow-up visits in a more rural setting has yet to be investigated.…”

mentioning

confidence: 99%

Factors Influencing Compliance to Follow-up Visits in Orthopaedic Surgery

Bender,

Jain,

Giron

et al. 2024

JAAOS Glob Res Rev

View full text Add to dashboard Cite

Background: Orthopaedic procedures require postoperative follow-up to maximize recovery. Missed appointments and noncompliance can result in complications and increased healthcare costs. This study investigates the relationship between patient postoperative visit attendance and the distance traveled to receive care. Materials and Methods: A retrospective review of all surgeries performed by a single orthopaedic surgeon in 2019 at level 1 trauma center in a midsized city serving a largely rural population was completed. We excluded patients who underwent another subsequent procedure. Distance to care and time traveled were determined by the patient's address and the clinic address using Google Maps Application Programming Interface. Other variables that may affect attendance at follow-up visits were also collected. Univariate and multivariate logistic regression was done with purposeful selection. Results: We identified 518 patients of whom 32 (6%) did not attend their first scheduled follow-up appointment. An additional 47 (10%) did not attend their second follow-up. In total, 79 patients (15%) did not attend one of their appointments. Younger age, male sex, Black or African American race, self-pay, Medicaid insurance, accident insurance, and increased distance were individual predictors of missing an appointment. In the final multivariate logistic regression model, male sex (OR 1.74), Black or African American race (OR 2.78), self-pay (OR 3.12), Medicaid (OR 3.05), and traveling more than 70 miles to clinic (OR 2.02) markedly predicted missing an appointment, while workers' compensation (OR 0.23) predicted attendance. Discussion: Several nonmodifiable patient factors predict patient noncompliance in attending orthopaedic postoperative visits. When patients are considered at high risk of being lost to follow-up, there may be an opportunity to implement interventions to improve follow-up rate and patient outcomes, minimize patient costs, and maximize profitability for the hospital.

show abstract

Factors Affecting Adherence to Follow-up Appointments after total knee arthroplasty

Cited by 3 publications

References 0 publications

Clinical outcomes of patients lost to follow-up and factors affecting follow-up loss after total knee arthroplasty

Clinical outcomes of patients lost to follow-up and factors affecting follow-up loss after total knee arthroplasty

Influence of Anxiety/Depression, Age, Gender and ASA on 1-Year Follow-Up Outcomes Following Total Hip and Knee Arthroplasty in 5447 Patients

Factors Influencing Compliance to Follow-up Visits in Orthopaedic Surgery

Contact Info

Product

Resources

About