scholarly journals Patient-reported Quality of Life Before and After Total Knee Arthroplasty: A Prospective Multicentre Cohort Study

2021 ◽  
Author(s):  
Jinghui Chang ◽  
Manru Fu ◽  
Peihua Cao ◽  
Changhai Ding ◽  
Dong Wang
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Family Income ◽  
Knee Function ◽  
Targeted Interventions ◽  
Patient Reported ◽  
Before And After ◽  
Total Knee

Abstract Background: To identify patients’ self-reported health-related quality of life (HRQoL) before and after total knee arthroplasty (TKA) and determine factors contributing to any heterogeneity in HRQoL. Methods: This prospective multicentre study included 404 patients with knee osteoarthritis who underwent TKA between 1 April and 30 December 2019 and in whom HRQoL was assessed preoperatively and at 7 days and 1, 3, and 6 months postoperatively. Sociodemographic characteristics were assessed using a general information questionnaire; disability, using the Knee Injury and Osteoarthritis Outcome Score; pain, using the visual analogue scale (VAS) score; and HRQoL, using the European Quality of Life Five Dimension Five Level (EQ-5D-5L) score. Potential heterogeneity and factors influencing longitudinal changes in HRQoL were analysed using a growth mixture model.Results: The mean EQ-5D-5L score improved from 0.69 preoperatively to 0.90 at 6 months postoperatively. Two types of longitudinal heterogeneity were identified: (1) a group of patients with a small and slow improvement in HRQoL and (2) a group of patients who showed marked and rapid improvement in HRQoL. The main characteristics of the latter group were a monthly family income >2000 yuan, exercising for approximately 30 min daily, and better knee function at baseline. Baseline knee function and change in knee function were significantly associated with the percentage change in HRQoL.Conclusions: HRQoL improved considerably after TKA. However, there was some heterogeneity in the changes in HRQoL depending on certain patient characteristics. Targeted interventions should focus on these differences to optimise the outcomes of TKA.

scholarly journals Outcomes of the rotating hinge knee in revision total knee arthroplasty with a median follow-up of 6.2 years

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Jake von Hintze ◽  
Mika Niemeläinen ◽  
Harri Sintonen ◽  
Jyrki Nieminen ◽  
Antti Eskelinen
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Survival Rate ◽  
Knee Arthroplasty ◽  
Revision Total Knee Arthroplasty ◽  
Patient Reported ◽  
Total Knee ◽  
Revision Tka

Abstract Background The purpose of this study was to determine the mid-term clinical, radiographic and health-related quality of life (HRQoL) outcomes and define the survival rate in patients who had undergone revision total knee arthroplasty (TKA) using the single rotating hinged knee (RHK) design. Methods Between January 2004 and December 2013, 125 revision TKAs were performed at our institution using the single RHK implant. We conducted both a retrospective analysis of prospectively collected outcome data of these patients and a prospective follow-up study of all 39 living patients (41 knees). The follow-up phase included an optional extra follow-up visit, PROM questionnaires, and plain radiographs. Results The ten-year Kaplan-Meier survival rate of the revision RHK knees was 81.7% (95% CI 71.9–91.6%) with re-revision for any reason as the endpoint. Overall, 15 knees (12% of the total) underwent re-revision surgery during the follow-up. The median follow-up was 6.2 years (range, 0–12.7 years) post-operatively for the baseline group. One mechanical hinge mechanism-related failure occurred without any history of trauma or infection. At the time of the final follow-up, the majority of patients evinced a fairly good clinical outcome measured with patient-reported outcome measures and none of the components were radiographically loose. Conclusion We found that in patients undergoing complex revision TKA, fairly good functional outcome and quality of life can be achieved using an RHK implant. Further, it seems that in this type of patient cohort, revision TKA using an RHK implant relieves pain more than it improves ability to function. The NexGen® RHK design can be regarded as a suitable option in complex revision TKA.

Patient-Reported Outcomes, Quality of Life, and Satisfaction Rates in Young Patients Aged 50 Years or Younger After Total Knee Arthroplasty

2017 ◽  
Vol 32 (2) ◽  
pp. 419-425 ◽  
Author(s):  
Graham Seow-Hng Goh ◽  
Ming Han Lincoln Liow ◽  
Hamid Rahmatullah Bin Abd Razak ◽  
Darren Keng-Jin Tay ◽  
Ngai-Nung Lo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Patient Reported Outcomes ◽  
Young Patients ◽  
Patient Reported ◽  
Total Knee ◽  
Satisfaction Rates

Effects of pre- or postoperative therapeutic exercise on the quality of life, before and after total knee arthroplasty for osteoarthritis

2008 ◽  
Vol 21 (3) ◽  
pp. 161-169 ◽  
Author(s):  
Georgios Evgeniadis ◽  
Anastasia Beneka ◽  
Paraskevi Malliou ◽  
Savvas Mavromoustakos ◽  
Georgios Godolias
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Therapeutic Exercise ◽  
Before And After ◽  
Total Knee

Similar Healthcare Utilization and 1-Year Patient-Reported Outcomes between Cemented and Cementless Primary Total Knee Arthroplasty: A Propensity Score-Matched Analysis

2021 ◽  
Author(s):  
Michael P. Erossy ◽  
Ahmed K. Emara ◽  
Christopher A. Rothfusz ◽  
Alison K. Klika ◽  
Michael R. Bloomfield ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Propensity Score ◽  
Healthcare Utilization ◽  
Knee Arthroplasty ◽  
Cementless Fixation ◽  
Significant Difference ◽  
Patient Reported ◽  
Total Knee

AbstractCementless fixation for total knee arthroplasty (TKA) has gained traction with the advent of newer fixation technologies. This study assessed (1) healthcare utilization (length of stay (LOS), nonhome discharge, 90-day readmission, and 1-year reoperation); (2) 1-year mortality; and (3) 1-year joint-specific and global health-related patient-reported outcome measures (PROMs) among patients who received cementless versus cemented TKA. Patients who underwent cementless and cemented TKA at a single institution (July 2015–August 2018) were prospectively enrolled. A total of 424 cementless and 5,274 cemented TKAs were included. The cementless cohort was propensity score-matched to a group cemented TKAs (1:3-cementless: n = 424; cemented: n = 1,272). Within the matched cohorts, 76.9% (n = 326) cementless and 75.9% (n = 966) cementless TKAs completed 1-year PROMs. Healthcare utilization measures, mortality and the median 1-year change in knee injury and osteoarthritis outcome score (KOOS)-pain, KOOS-physical function short form (PS), KOOS-knee related quality of life (KRQOL), Veteran Rand (VR)-12 mental composite (MCS), and physical composite (PCS) scores were compared. The minimal clinically important difference (MCID) for PROMs was calculated. Cementless TKA exhibited similar rates of median LOS (p = 0.109), nonhome discharge disposition (p = 0.056), all-cause 90-day readmission (p = 0.226), 1-year reoperation (p = 0.597), and 1-year mortality (p = 0.861) when compared with cemented TKA. There was no significant difference in the median 1-year improvement in KOOS-pain (p = 0.370), KOOS-PS (p = 0.417), KOOS-KRQOL (p = 0.101), VR-12-PCS (p = 0.269), and VR-12-MCS (p = 0.191) between the cementless and cemented TKA cohorts. Rates of attaining MCID were similar in both cohorts for assessed PROMs (p > 0.05, each) except KOOS-KRQOL (cementless: n = 313 (96.0%) vs. cemented: n = 895 [92.7%]; p = 0.036). Cementless TKA provides similar healthcare-utilization, mortality, and 1-year PROM improvement versus cemented TKA. Cementless fixation in TKA may provide value through higher MCID improvement in quality of life. Future episode-of-care cost-analyses and longer-term survivorship investigations are warranted.

scholarly journals Comparison of Knowledge, Skills of Exercise and Ambulation, Outcome of Care and Quality of Life Before and After Implementing the Hospital to Homecare Pathway for Patients With Total Knee Arthroplasty

2021 ◽  
Vol 44 (1) ◽  
pp. 29-39
Author(s):  
Parichart Pronsawatchai ◽  
Suchitra Auefuea ◽  
Yothaga Phanyateaim ◽  
Wannapa Yensirikul ◽  
Anong Dittasung
Keyword(s):  
Quality Of Life ◽  
Total Knee Arthroplasty ◽  
Home Health Care ◽  
Knee Arthroplasty ◽  
Knee Extension ◽  
Assessment Tools ◽  
Before And After ◽  
Post Operation ◽  
Total Knee

Background: The hospital to homecare pathway for patients with total knee arthroplasty was developed and needed to be evaluated for effectiveness and improvement. Objective: To compare knowledge, skills of exercise and ambulation, outcomes of nursing care and quality of life before and after implementing the hospital to homecare pathway for patients with total knee arthroplasty (HHPTKA). Methods: This quasi-experimental study was purposively selected 50 cases referred to the home health care unit, ambulatory care nursing service, Ramathibodi Hospital. The HHPTKA included providing and evaluating the knowledge, exercise and ambulation skill, and other outcomes at day 0 (before operation), day 3 (post operation), day 10 (home visit), and day 14 (outpatient follow-up). Data were collected by questionnaire and assessment tools which analyzed by descriptive statistics, paired t test, and analysis of variance (ANOVA). Results: There were statistically significant differences before and after the implementation of HHPTKA (P < .001). Mean scores of knowledge, skills of exercise and ambulation, quality of life, and degree of range of motion of knee were higher than before, pain score was decreased, and knee extension was increased. Only 1 case faced with wound bleeding at day 14 post operation. Conclusions: HHPTKA could direct standard practice for home care nurses.

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