Predictors of outcomes of total knee replacement surgery

Judge, Andrew; Arden, N K; Cooper, Cyrus; Javaid, M K; Carr, Andrew; Field, Richard E.; Dieppe, Paul

doi:10.1093/rheumatology/kes075

Cited by 315 publications

(358 citation statements)

References 33 publications

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“…Dissatisfaction ranged from 7.5% to 28.3% (median, 18.6%). Psychological health was deemed a significant predictor in satisfaction at a minimum followup of 6 months after TKA in four studies [18,24,27,44]; another study attributed patient dissatisfaction to postoperative stiffness, but did not comment on the effect of mental health state of patients [28].…”

Section: Resultsmentioning

confidence: 99%

“…The remaining six studies did not examine these states specifically but showed that lower preoperative mental health scores had similar postoperative associations [8,9,13,27,46,47,50]. Pain scores in the patient population with anxiety, depression, or lower mental health scores were elevated at baseline and at all assessment points [13,27,28,34,37,47,50] for up to 2 years in one study [34 ]. Lingard and Riddle [34] estimated the effect to be 3 to 5 points lower on the 20-point pain component of the WOMAC, indicating worse pain in the group of patients with lower mental health scores.…”

Section: Resultsmentioning

confidence: 99%

“…The studies were conducted in seven countries: 10 in the USA [3,5,8,9,13,14,24,34,39,46]; four in the UK [27,34,44,50]; four in Canada; [18,26,34,47]; and one each in Australia [34], Spain [15], Greece [37], and Korea [28]. Most studies (17) were conducted in metropolitan populations; one study was a multinational cohort study conducted in 13 centers in four countries (UK, USA, Australia, and Canada) [34].…”

Section: Methodsmentioning

confidence: 99%

“…The Oxford Knee Score was used in three other studies [5,27,44] and the Knee Society Score was used in two studies [8,9]. Patient satisfaction was assessed directly in only five studies [18,24,27,28,44], measured using a four-point Likert scale in three [18,28,44] and a three-point scale in another study [24]. One study used a 100-mm VAS and asked the patients to mark how satisfied they were with the procedure [27].…”

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

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

Khatib

Madan

Naylor

et al. 2015

Clinical Orthopaedics &Amp; Related Research

156

114

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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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

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

Khatib

Madan

Naylor

et al. 2015

Clinical Orthopaedics &Amp; Related Research

156

114

View full text Add to dashboard Cite

show abstract

“…We have also demonstrated that pain‐at‐rest and pain‐on‐movement differ in hip and knee patients. This highlights the importance of distinguishing between these 2 types of pain in research studies, and the need to explore if this distinction can improve the poor ability of statistical models to predict which patients are at risk of developing chronic postsurgical pain 37. There is also a need for further research to understand the pain mechanisms driving these different associations and to investigate whether interventions have different effects in hip and knee OA.…”

Section: Discussionmentioning

confidence: 99%

Rest Pain and Movement‐Evoked Pain as Unique Constructs in Hip and Knee Replacements

Sayers

Wylde

Lenguerrand

et al. 2016

Arthritis Care & Research

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ObjectiveThere is limited information about the extent to which the association between preoperative and chronic postoperative pain is mediated via pain‐on‐movement or pain‐at‐rest. We explored these associations in patients undergoing total hip replacement (THR) and total knee replacement (TKR).MethodsA total of 322 and 316 patients receiving THR and TKR, respectively, were recruited into a single‐center UK cohort (Arthroplasty Pain Experience) study. Preoperative, acute postoperative, and 12‐month pain severity was measured using self‐reported pain instruments. The association between preoperative/acute pain and chronic postoperative pain was investigated using structural equation modeling (SEM).ResultsPatients with high levels of preoperative pain were more likely to report chronic pain after THR (β = 0.195, P = 0.02) and TKR (β = 0.749, P < 0.0001). Acute postoperative pain‐on‐movement was not associated with chronic pain after TKR or THR after adjusting for preoperative pain; however, acute pain‐at‐rest was associated with chronic pain after THR (β = 0.20, P < 0.0002) but not TKR after adjusting for preoperative pain. Analysis of pain‐at‐rest and pain‐on‐movement highlighted differences between THR and TKR patients. Chronic pain‐at‐rest after THR was weakly associated with pain‐at‐rest during the preoperative (β = 0.11, P = 0.068) and acute postoperative period (β = 0.21, P < 0.0001). In contrast, chronic pain‐on‐movement after TKR was strongly associated with the severity of pain‐on‐movement during the preoperative period (β = 0.51, P = 0.001).ConclusionSEM illustrated the different patterns of association between measures of pain over time in patients undergoing THR and TKR for osteoarthritis. These findings highlight the importance of future work that explores the mechanisms underlying pain‐on‐movement and pain‐at‐rest.

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Racial/Ethnic Disparities in Physical Function Before and After Total Knee Arthroplasty Among Women in the United States

et al. 2020

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IMPORTANCE Although racial/ethnic differences in functional outcomes after total knee arthroplasty (TKA) exist, whether such differences are associated with differences in presurgical physical function (PF) has not been thoroughly investigated.OBJECTIVE To examine trajectories of PF by race/ethnicity before and after TKA among older women. DESIGN, SETTING, AND PARTICIPANTS This cohort study was conducted among the prospectiveWomen's Health Initiative with linked Medicare claims data. A total of 10 325 community-dwelling women throughout the United States with Medicare fee-for-service underwent primary TKA

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Predictors of outcomes of total knee replacement surgery

Cited by 315 publications

References 33 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

Rest Pain and Movement‐Evoked Pain as Unique Constructs in Hip and Knee Replacements

Racial/Ethnic Disparities in Physical Function Before and After Total Knee Arthroplasty Among Women in the United States

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