Literature DB >> 33013084

TKA patients experience less improvement than THA patients at 3 and 12 months after surgery. A retrospective observational cohort study.

Carlos J Marques1, Hans O Pinnschmidt2, Karina Bohlen3, Juergen Lorenz4, Frank Lampe3,4.   

Abstract

PURPOSE: To investigate whether WOMAC scores changes after THA or TKA are gender and joint specific.
METHODS: Retrospective cohort study. The data of 855 THA and 684 TKA patients were analyzed.
RESULTS: Follow-up time (p < 0.001), gender (p < 0.001), joint (p < 0.001), and interaction FU by joint (p < 0.001) had significant effects on WOMAC total and sub-scores. Patients after TKA perceived less improvement in all dimensions in comparison to THA patients (p < 0.001).
CONCLUSION: WOMAC score changes after THA or TKA are joint-specific. Patients after TKA perceived less improvement. These results can be used to adjust patients' expectations.
© 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Clinical outcomes; Patient reported outcome measures; Total hip replacement; Total knee replacement; WOMAC

Year:  2020        PMID: 33013084      PMCID: PMC7511647          DOI: 10.1016/j.jor.2020.09.007

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  21 in total

1.  Responsiveness and clinically important differences for the WOMAC and SF-36 after hip joint replacement.

Authors:  J M Quintana; A Escobar; A Bilbao; I Arostegui; I Lafuente; I Vidaurreta
Journal:  Osteoarthritis Cartilage       Date:  2005-09-09       Impact factor: 6.576

2.  Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).

Authors:  Ilana Ackerman
Journal:  Aust J Physiother       Date:  2009

3.  Clinical improvement and satisfaction after total joint replacement: a prospective 12-month evaluation on the patients' perspective.

Authors:  Florian D Naal; Franco M Impellizzeri; Ulrich Lenze; Vanessa Wellauer; Rüdiger von Eisenhart-Rothe; Michael Leunig
Journal:  Qual Life Res       Date:  2015-06-12       Impact factor: 4.147

4.  Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee.

Authors:  N Bellamy; W W Buchanan; C H Goldsmith; J Campbell; L W Stitt
Journal:  J Rheumatol       Date:  1988-12       Impact factor: 4.666

5.  Responsiveness and clinically important differences for the WOMAC and SF-36 after total knee replacement.

Authors:  A Escobar; J M Quintana; A Bilbao; I Aróstegui; I Lafuente; I Vidaurreta
Journal:  Osteoarthritis Cartilage       Date:  2006-10-17       Impact factor: 6.576

Review 6.  A Systematic Review of Measurement Properties of Patient-Reported Outcome Measures Used in Patients Undergoing Total Knee Arthroplasty.

Authors:  Joel J Gagnier; Megan Mullins; Hsiaomin Huang; Danica Marinac-Dabic; Anna Ghambaryan; Benjamin Eloff; Faisal Mirza; Manuel Bayona
Journal:  J Arthroplasty       Date:  2017-01-10       Impact factor: 4.757

7.  A systematic review of estimates of the minimal clinically important difference and patient acceptable symptom state of the Western Ontario and McMaster Universities Osteoarthritis Index in patients who underwent total hip and total knee replacement.

Authors:  C MacKay; N Clements; R Wong; A M Davis
Journal:  Osteoarthritis Cartilage       Date:  2019-05-13       Impact factor: 6.576

8.  Population-based normative values for the Western Ontario and McMaster (WOMAC) Osteoarthritis Index: part I.

Authors:  Nicholas Bellamy; Cecilia Wilson; Joan Hendrikz
Journal:  Semin Arthritis Rheum       Date:  2011-05-05       Impact factor: 5.532

9.  Unfulfilled Expectations After Total Hip and Knee Arthroplasty Surgery: There Is a Need for Better Preoperative Patient Information and Education.

Authors:  Claire Tilbury; Tsjitske M Haanstra; Claudia S Leichtenberg; Suzan H M Verdegaal; Raymond W Ostelo; Henrica C W de Vet; Rob G H H Nelissen; Thea P M Vliet Vlieland
Journal:  J Arthroplasty       Date:  2016-03-17       Impact factor: 4.757

Review 10.  Patient-reported outcome measures after total knee arthroplasty: a systematic review.

Authors:  P N Ramkumar; J D Harris; P C Noble
Journal:  Bone Joint Res       Date:  2015-07       Impact factor: 5.853

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  1 in total

1.  Thresholds for meaningful improvement in WOMAC scores need to be adjusted to patient characteristics after hip and knee replacement.

Authors:  David Kuklinski; Carlos J Marques; Karina Bohlen; Karl C Westphal; Frank Lampe; Alexander Geissler
Journal:  J Orthop       Date:  2022-01-15
  1 in total

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