Prevalence of knee problems in the population aged 55 years and over: identifying the need for knee arthroplasty

Tennant, Alan; Fear, Jon; Pickering, A.; Hillman, M.; Cutts, Alison; Chamberlain, M A

doi:10.1136/bmj.310.6990.1291

Cited by 90 publications

(65 citation statements)

References 8 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Completed questionnaires were received from 16,222 individuals (response rate 86%) (11 are presented in Table 1. The median reported number of joints involved was 4 (range 1-8; 25th quartile ϭ 2, 75th quartile ϭ 8.00).…”

Section: Resultsmentioning

confidence: 99%

“…A community-based postal survey, approved by the North Yorkshire local ethics committee, was originally commissioned by North Yorkshire Health as part of a study to determine the prevalence of knee and hip problems in the community in the 1990s (11,12). Names of 18,227 individuals Ͼ55 years of age were selected randomly from the North Yorkshire Family Health Services Authority, which is coterminous with North Yorkshire District Health Authority.…”

Section: Methodsmentioning

confidence: 99%

“…The postal questionnaire was used to describe population estimates of joint problems and to identify patients with functional limitations associated with joint pathology. Individuals with knee problems were invited to complete a more comprehensive questionnaire, which formed the basis of the work that has been published elsewhere (11). The data used in this study were from the first questionnaire and have not been published previously.…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Impact of multiple joint problems on daily living tasks in people in the community over age fifty‐five

Keenan¹,

Tennant²,

Fear³

et al. 2006

Arthritis & Rheumatism

135

155

View full text Add to dashboard Cite

Objective. To establish the prevalence of multiple joint problems and their impact on everyday tasks. Methods. A random sample of the UK population was assessed using a postal questionnaire. Data on overall joint pain, swelling and stiffness, and activities of daily living were obtained from 16,222 individuals >55 years of age (86% response rate). Prevalence estimates of joint problems were established and the impact of multiple joint pathologies on common physical tasks was determined. Results. Single joint involvement was unusual (median joint involvement 4). Although the knee was the most frequently involved joint (220.30 per 1,000), isolated knee pathology accounted for only 1 in 11 patients with knee pain. Although single joint disorders increased the risk of experiencing functional difficulty, this risk was substantially increased with multiple joint problems: individuals with knee and feet problems were 14 times more likely to experience difficulty standing and walking than those without knee problems (odds ratio [OR] 14.50); knee and hip problems increased the risk >12 times (OR 12.43) whereas knee, back, feet, and hip involvement increased the risk 60 times (OR 62.41). Conclusion. Multiple-site joint problems are much more common than single joint problems. Although individual joint problems have a considerable impact on a person's functional ability, this risk is substantially increased when other joints are involved. With the increasing burden associated with the aging population, it is essential that the management of joint pain be considered in light of the impact of multiple, rather than single, joint problems.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Impact of multiple joint problems on daily living tasks in people in the community over age fifty‐five

Keenan¹,

Tennant²,

Fear³

et al. 2006

Arthritis & Rheumatism

135

155

View full text Add to dashboard Cite

show abstract

“…8 The criteria as to why individuals are put on the waiting list for joint replacement are not clear cut. [9][10][11] The basis for the decision, whether it is radiological, clinical, or includes measuring pain levels and physical function, appears to vary between surgeons and hospitals.…”

Section: Introductionmentioning

confidence: 99%

GP referral of patients with osteoarthritis for consideration of total joint replacement: a longitudinal study

2011

View full text Add to dashboard Cite

METHOD Participants and samplingThis was a longitudinal study with data collected by postal questionnaire at baseline, 3 months, 6 months, and 12 months. This paper reports on baseline and 12 month data. All new GP referral letters to 10 orthopaedic surgeons in a regional orthopaedic centre in the north west of England were read on a weekly basis, to identify individuals over 18 years of age with a confirmed diagnosis of OA who were considered potentially suitable for TJR. A patient-recruitment form was used to record patient information details and the reason for referral. Recruitment of AimThe aim of the study was to investigate symptom variation in individuals with OA newly referred by GPs to an orthopaedic surgeon for consideration for TJR, and to determine the predictors of having this procedure. Design and settingA longitudinal study of patients at a regional orthopaedic centre with follow-up at 3, 6, and 12 months by postal questionnaire. MethodGP referrals of patients with OA to orthopaedic surgeons were consecutively sampled. Of the 431 eligible patients, 257 (59.6%) were recruited. Validated measurement tools were used to measure pain, physical functioning, severity of OA, and health-related quality of life.

show abstract

“…It achieves an immediate and exceptional restoration in the quality of life that is comparable only to a few other procedures [10,31]. It is estimated that 20% of the UK population is now over 60 years old and at least 2% will have significant knee symptoms warranting a knee replacement [40]. In the USA, the demand for primary total knee arthroplasties is projected to grow nearly sevenfold to almost 3.5 million procedures over the next 20 years [19].…”

Section: Introductionmentioning

confidence: 99%

Navigation knee replacement

Dattani

Patnaik

Kantak

et al. 2008

International Orthopaedics (SICO

View full text Add to dashboard Cite

Total knee replacement (TKR) achieves an immediate and exceptional restoration in the quality of life that is comparable only to a few other procedures. It has been suggested that the most common cause of revision TKR is error in surgical technique, from malpositioning of the components which results in a poorer post-operative outcome. Based on the theoretical assumption that the use of computer-assisted systems (CAS) in TKRs may improve implant alignment and thus implant longevity, the use of this technology is becoming increasingly popular. This article (a) reviews whether computer-assisted TKR (CASTKR) results in improved prosthesis alignment compared with the conventional technique, (b) assesses the functional and clinical outcomes of CASTKR and (c) evaluates the cost-effectiveness of using this technology.Résumé La prothèse totale du genou (TKR) permet de restaurer une qualité de vie comparable à peu d'autres techniques. Il est courant de penser que la cause la plus habituelle de reprise des prothèses du genou est secondaire à une erreur technique du fait d'un mauvais positionnement des composants. Sur le plan théorique, l'utilisation de la navigation (CAS) permet d'améliorer l'alignement des implants et donc la longévité de la prothèse. Cette technique devenant de plus en plus populaire. Cet article permet d'analyser les résultats en fonction de l'utilisation de la navigation comparée à une technique conventionnelle, avec évaluation clinique, fonctionnelle (CATKR) ainsi que le rapport coût/utilité de cette technique.

show abstract

Prevalence of knee problems in the population aged 55 years and over: identifying the need for knee arthroplasty

Cited by 90 publications

References 8 publications

Impact of multiple joint problems on daily living tasks in people in the community over age fifty‐five

Impact of multiple joint problems on daily living tasks in people in the community over age fifty‐five

GP referral of patients with osteoarthritis for consideration of total joint replacement: a longitudinal study

Navigation knee replacement

Contact Info

Product

Resources

About