作者
Stephanie R Filbay, Andrew Judge, Antonella Delmestri, Nigel K Arden, D Altman, D Beard, A Carr, C Cooper, D Culliford, T Griffin, K Javaid, J Latham, D Murray, R Pinedo-Villanueva, A Price, D Prieto-Alhambra
发表日期
2018/7/1
期刊
The Journal of arthroplasty
卷号
33
期号
7
页码范围
2146-2152. e4
出版商
Churchill Livingstone
简介
Background
One-in-five patients are dissatisfied following knee arthroplasty and <50% have fulfilled expectations. The relationship between knee-arthroplasty expectations and surgical outcome remains unclear.
Purpose
Are expectations regarding the impact of pain on postoperative life predictive of one-year outcome? Does the impact of pain on preoperative quality of life (QOL) influence this relationship?
Methods
Longitudinal cohort of 1044 uni-compartmental (43%) or total knee-arthroplasty (57%) (UKA or TKA) patients, aged mean 69 ± 9 years. Preoperatively, patients reported the impact of pain on QOL and expected impact of pain on life one-year post-arthroplasty. One-year postoperative outcomes: non-return to desired activity, surgical dissatisfaction, not achieving Oxford Knee Score minimal important change (OKS <MIC). Logistic regression including covariates was performed for all patients and subgroups …
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