Primary hip and knee replacement surgery: Ontario criteria for case selection and surgical priority.

Naylor, C. David; Williams, Jack I.

doi:10.1136/qshc.5.1.20

Cited by 112 publications

(85 citation statements)

References 39 publications

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“…Also, sleep quality is available for management of chronic pain and evaluating therapeutic outcomes (11). In addition, continuous intense nocturnal knee pain is considered an indication for total knee arthroplasty (12)(13)(14), which often relieves the nocturnal knee pain (15,16). However, how nocturnal knee pain affects QOL remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Nocturnal Knee Pain Increases With the Severity of Knee Osteoarthritis, Disturbing Patient Sleep Quality

Sasaki

Tsuda

Yamamoto

et al. 2014

Arthritis Care & Research

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Objective. Sleep disturbances frequently accompany chronic pain from osteoarthritis (OA). Effective management of sleep disturbances may require successful treatment of chronic pain, a key factor in the clinical evaluation of knee OA. However, the relationship between the severity of knee OA and sleep quality is unclear. Our purpose was to correlate the prevalence of nocturnal knee pain with different OA severity levels and to determine its influence on sleep quality. Methods. Subjects included 1,214 local volunteers with mean ؎ SD age 58.1 ؎ 13.0 years. The existence and severity of knee OA were determined by the Kellgren/Lawrence (K/L) grade, and joint space widths were measured. The presence of nocturnal knee pain and Knee Injury and Osteoarthritis Outcome Scores (KOOS) were assessed by self-completed questionnaires. Sleep quality was evaluated by the Pittsburgh Sleep Quality Index. Knee-related factors affecting sleep quality were detected using statistical methods. Results. The prevalence of nocturnal knee pain was 3.6%, 6.9%, 19.4%, 32.7%, and 75.0% in K/L grades 0, 1, 2, 3, and 4, respectively. Also, prevalence significantly increased with OA severity (P < 0.001). Sleep problems also increased with K/L grade (P ‫؍‬ 0.038), and KOOS quality of life (QOL) was significantly lower in those with OA and sleep problems. Logistic regression showed that sleep problems were related to joint space narrowing (P ‫؍‬ 0.016) and nocturnal knee pain (P ‫؍‬ 0.039). Severe OA also disturbed onset and maintenance of sleep. Conclusion. The prevalence of nocturnal knee pain and sleep problems increased with the severity of OA, impacting QOL. These results suggest the necessity of appropriate nocturnal pain control.

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Section: Introductionmentioning

confidence: 99%

Nocturnal Knee Pain Increases With the Severity of Knee Osteoarthritis, Disturbing Patient Sleep Quality

Sasaki

Tsuda

Yamamoto

et al. 2014

Arthritis Care & Research

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“…Precise estimates of both expected agreement and effect sizes for the associations investigated were obtained with the 18 rheumatologists and 30 cases used. The number of rheumatologist evaluators and cases used also compares favorably with other studies that have investigated interrater agreement (1,43,44).…”

Section: Discussionmentioning

confidence: 62%

Classification of rheumatologic opinion on early inflammatory arthritis: Harmonization of a heterogeneous standard

Tavares

Wells

Scarf

et al. 2010

Arthritis Care & Research

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“…This study does not offer new insights to improve the prioritization criteria for this type of surgery, but provides evidence that failing to apply some prioritization procedure to surgical wait-list management has consequences for control and functional capacity. Nevertheless, at this time, various priority criteria tools have been published, such as those proposed by Quintana et al [23] or Naylor et al [19]. These management procedures would permit application of the most convenient treatments at the most convenient times based on patients' physical condition and socioeconomic factors.…”

Section: Discussionmentioning

confidence: 99%

“…The ability of THA to improve function and reduce pain is well documented, and priority criteria for management of waiting lists for this surgery have been proposed [13,17]. Nevertheless, these criteria often are not followed in clinical practice [19,31], which often results in unclear wait-list management procedures. Whether waiting times influence the quality of life and health outcomes, such as pain, functional capacity, and social function, also is unclear [7].…”

Section: Introductionmentioning

confidence: 99%

Factors and Consequences of Waiting Times for Total Hip Arthroplasty

Vergara

Bilbao

González

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background Various priority criteria for waiting lists for THA have been proposed. These criteria, however, are not typically included in clinical practice, resulting in unclear management procedures. Further, the clinical effects of waiting times on subsequent pain control or function are unclear. Questions/purposes Therefore, we asked (1) what factors affect the waiting time for THA when no prioritization criteria are implemented, and (2) does waiting time influence pain and function after THA? Patient and Methods We prospectively identified all 1495 patients on a waiting list for THA during a year. Of these patients, 991 fulfilled the inclusion criteria, and waiting times were available for 695, of whom 527 (76%) responded to a followup questionnaire. Variables included wait time, sociodemographic data, comorbidities, and WOMAC and SF-36 questionnaires, collected preoperatively and 6 months after surgery. Results The mean wait time was 5 months (SD, 3.0). Patients with lower levels of pain and better function on the WOMAC scale, or better physical function on the SF-36, had longer waiting times. The gains in function were smaller for patients who waited more than 6 months. The likelihood of perceiving a gain greater than the minimal clinically important difference was greater for patients waiting less than 3 months. Conclusion Only pain and previous function were significant determinants of prioritizing patients on the waiting list. Suboptimal patient selection had clinical consequences in function gain that affect the quality of the clinical care.

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Primary hip and knee replacement surgery: Ontario criteria for case selection and surgical priority.

Cited by 112 publications

References 39 publications

Nocturnal Knee Pain Increases With the Severity of Knee Osteoarthritis, Disturbing Patient Sleep Quality

Nocturnal Knee Pain Increases With the Severity of Knee Osteoarthritis, Disturbing Patient Sleep Quality

Classification of rheumatologic opinion on early inflammatory arthritis: Harmonization of a heterogeneous standard

Factors and Consequences of Waiting Times for Total Hip Arthroplasty

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