Literature DB >> 21040250

The impacts of pre-surgery wait for total knee replacement on pain, function and health-related quality of life six months after surgery.

François Desmeules1, Clermont E Dionne, Étienne L Belzile, Renée Bourbonnais, Pierre Frémont.   

Abstract

OBJECTIVE: The purpose of the current study was to assess, in patients scheduled for primary total knee replacement (TKR), the effects of pre-surgery waiting time on pain and functional limitations related to the knee joint undergoing surgery, on health-related quality of life (HRQoL) and on contralateral knee pain 6 months after surgery.
METHOD: A total of 141 patients scheduled for TKR were recruited from three hospitals in Quebec City, Canada, and followed up until 6 months after surgery. Pre-surgery wait, defined as the time between enrolment on the pre-surgery waiting list and surgery, was considered in four categories (≤3, >3-6, >6-9, >9 months). Pain and functional limitations were measured with the Western Ontario and McMaster Osteoarthritis Index (WOMAC). HRQoL was measured with the SF-36.
RESULTS: Mean pre-surgery waiting time was 184 (SD: 120.8) days. Six months after TKR, a significant difference was seen between the four groups of pre-surgery wait in terms of HRQoL SF-36 role physical [F(3, 136) = 2.74, P = 0.046] and contralateral knee WOMAC pain [F(3, 136) = 5.78, P = 0.0009] scores. Participants with the longest pre-surgery wait (>9 months) showed the worst scores 6 months after TKR.
CONCLUSIONS: Longer pre-surgery waiting time had a negative clinically important impact on HRQoL and contralateral knee pain 6 months after surgery.
© 2010 Blackwell Publishing Ltd.

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Year:  2010        PMID: 21040250     DOI: 10.1111/j.1365-2753.2010.01541.x

Source DB:  PubMed          Journal:  J Eval Clin Pract        ISSN: 1356-1294            Impact factor:   2.431


  17 in total

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9.  Prediction of poor outcomes six months following total knee arthroplasty in patients awaiting surgery.

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

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Journal:  JAMA Netw Open       Date:  2020-05-01
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