Factors associated with poor self-reported function and quality of life in patients with end-stage knee or hip osteoarthritis immediately prior to total joint arthroplasty

Abstract

Introduction: The aim was to evaluate patients' perception of function and physical and mental dimensions of health-related quality of life (HRQoL) in patients with end-stage knee or hip osteoarthritis (OA) immediately prior to surgery and to identify the factors associated with the outcomes. Material and methods: The study included 200 patients with end-stage OA (100 knee OA and 100 hip OA patients). Self-reported physical function was assessed using the Oxford Knee Score or Oxford Hip Score. Physical and mental dimensions of HRQoL were assessed using the physical and mental component summary scores of the 36-Item Short-Form Health Survey. Multivariate linear regression analysis was used to identify the sociodemographic, clinical and psychological factors associated with self-reported function and physical and mental dimensions of HRQoL. Results: End-stage knee or hip OA patients had poor function and physical dimension of HRQoL, while the mental dimension of HRQoL was not impaired. In knee OA, pain, flexion range of motion (ROM), catastrophizing, and anxiety were significantly associated with self-reported function (explained 56% of the variance), whereas catastrophizing explained 10% of the variance of the physical dimension of HRQoL. In hip OA, flexion ROM, catastrophizing and being employed were significantly associated with self-reported function (explained 44% of the variance), whereas catastrophizing and flexion ROM explained 34% of the variance of the physical dimension of HRQoL. Conclusions: Many investigated factors were associated with poor self-reported function and HRQoL in knee and hip OA. However, the most important factors for both knee and hip OA were catastrophizing and flexion ROM.

A diarized journey: an interpretative phenomenological analysis of the older person’s lived experience of a hip or knee replacement within a fast-track programme

“…Patients scheduled for THR or TKR surgery experience OA symptoms like pain, activity limitations and decreased range of motion, with an increased risk for obesity and comorbidities and, additionally, lower health-related quality of life and economic strain [ 11 , 12 ]. Considering the symptoms of OA, the impact on the older person is experienced even more severely.…”

Knee Joint Replacement: A Study Of The Patient Profile In Central India

“…Knee is a very complex joint and the kinetics of the knee joint involves interplay of three bones femur, patella and tibia/fibula and the cartilages and ligaments around it [5,6,7,8]. Total knee replacement or Knee arthroplasty has made a revolution in treatment of painful conditions like osteoarthritis or rheumatoid arthritis could now be solved by replacing the damaged joint with an artificial joint which dramatically improves the pain of the patient and the person who could barely walk due to pain starts walking again pain free.…”

A diarized journey: an interpretative phenomenological analysis of the older person’s lived experience of a hip or knee replacement within a fast-track programme

“…Patients scheduled for THR or TKR surgery experience OA symptoms like pain, activity limitations and decreased range of motion, with an increased risk for obesity and comorbidities and, additionally, lower health-related quality of life and economic strain [9,10]. Considering the symptoms of OA, the impact on the older person is experienced even more severely.…”