Health-Related Quality of Life after Knee Replacement

Hawker, Gillian; Wright, James G.; Coyte, Peter C.; Paul, John E.; Dittus, Robert S.; Croxford, Ruth; Katz, Barry P.; Bombardier, Claire; Heck, David A.; Freund, Deborah A.

doi:10.2106/00004623-199802000-00003

Cited by 610 publications

(318 citation statements)

References 18 publications

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“…Despite increasing demand for TKAs and cost-effectiveness of the procedure [11,16,17], a substantial number of patients who undergo a TKA are dissatisfied with the outcomes, with reported satisfaction rates varying between 75% and 89% [1,6,7,23,24,36,41,51], regardless of patient demographics or severity of disease.…”

Section: Introductionmentioning

confidence: 99%

Do Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review

Khatib

Madan

Naylor

et al. 2015

Clinical Orthopaedics &Amp; Related Research

150

111

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Background A subgroup of patients undergoing TKA is unhappy with the outcome of surgery and preoperative psychological factors may play a role in their dissatisfaction. Questions/purposes We asked whether (1) psychological factors, as measured by preoperative self-reported questionnaires, predicted poor outcome after TKA, and (2) whether certain psychological factors examined predicted poor outcome better than others. Methods We performed a systematic review and metaanalysis of prospective observational studies published in MEDLINE, CINAHL 1 , EMBASE TM , and PsycINFO 1 databases from their date of inception to October 2013, augmented with a manual search of bibliographies. Study eligibility was performed according to an a priori protocol. Included studies were assessed for quality according to the Newcastle-Ottawa scale. Two reviewers independently performed the search, identified eligible studies, assessed their methodologic quality, and extracted data. Outcomes of interest included postoperative dissatisfaction, pain, or limited function of the patients.

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Section: Introductionmentioning

confidence: 99%

Do Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review

Khatib

Madan

Naylor

et al. 2015

Clinical Orthopaedics &Amp; Related Research

150

111

View full text Add to dashboard Cite

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“…TKA provides pain relief and allows increased physical function in patients with osteoarthritis of the knee, and the positive results from this procedure [5-7, 28, 32] have led to increased demand at an exponential rate during the last 20 years [12,18,19]. The corresponding demand for revision of a TKA (rev-TKA) has increased accordingly [1, 4,18].…”

Section: Introductionmentioning

confidence: 99%

Does Concomitant Low Back Pain Affect Revision Total Knee Arthroplasty Outcomes?

Novicoff

Rion

Mihalko

et al. 2009

Clinical Orthopaedics &Amp; Related Research

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The number of revision total knee arthroplasties (rev-TKA) is increasing every year. These cases are technically difficult and add considerable burden on the healthcare system. Many patients have concomitant low back pain that may interfere with functional outcome. We asked whether having low back pain at baseline would influence amount and rate of improvement on standardized outcomes measures after rev-TKA. We retrospectively reviewed 308 patients from prospectively collected data in a multicenter study. A minimum 24-month followup was available for 221 patients (71.8%). Patients with low back pain at baseline had worse scores on most instruments than their counterparts at baseline, 12 months postsurgery, and 24 months postsurgery. The data suggest concomitant back pain in patients undergoing rev-TKA affects their outcomes as measured by standardized instruments. Orthopaedic surgeons should counsel their patients with back pain regarding the possibility of slower or less complete recovery.

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“…When medical therapy fails to control pain or physical functioning reaches an unacceptable level, total joint arthroplasty (TJA) of the hip or knee is indicated (3,4). Although TJA results in substantial reduction in pain and disability (3)(4)(5)(6)(7), studies indicate that candidates for surgery can be reluctant to consider TJA. For example, in a US study, many African Americans with advanced knee osteoarthritis (OA) reported being unwilling to have surgery, reflecting a belief that it would not significantly improve their current health (8).…”

Section: Introductionmentioning

confidence: 99%

A patient‐centered perspective on surgery avoidance for hip or knee arthritis: Lessons for the future

Ballantyne

Gignac

Hawker

2007

Arthritis & Rheumatism

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Objective. Research indicates that there is a discrepancy between need and patient preference for total joint arthroplasty (TJA), an efficacious and cost-effective treatment for severe hip or knee arthritis. To understand this discrepancy, we conducted qualitative research to assess the illness perceptions and preferred accommodations and coping strategies of patients with advanced osteoarthritis who had expressed a preference to avoid TJA. Methods. In-depth interviews were conducted with a community sample of 29 men and women who were medically assessed as appropriate candidates for TJA but who had expressed a preference to avoid surgery. Inductive content analysis of text data was used to examine how patients' illness perceptions and preferred coping strategies related to surgery preference. Results. Participants frequently rejected the medicalization of arthritis, normalizing the experience of functional decline and defining it as age normative. Participants drew on a broad set of previous experiences with informal and formal care to make decisions about how to manage their condition. Previous negative encounters in medical and surgical care, including those from a distant past or those experienced vicariously, combined with the perception (reinforced by physicians and others) that doing nothing was a viable option deterred arthritis-related help seeking in the health care system. Conclusion. Individuals with arthritis may benefit from additional counseling regarding effective medical and surgical treatments. Physicians may better meet patient needs by gauging patient preferences for a combination of self-management strategies and medical interventions.

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Health-Related Quality of Life after Knee Replacement

Cited by 610 publications

References 18 publications

Do Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review

Do Psychological Factors Predict Poor Outcome in Patients Undergoing TKA? A Systematic Review

Does Concomitant Low Back Pain Affect Revision Total Knee Arthroplasty Outcomes?

A patient‐centered perspective on surgery avoidance for hip or knee arthritis: Lessons for the future

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