| Factors predicting patient satisfaction 2 years after total knee arthroplasty for osteoarthritis. | |
| | |
MedLine Citation:
|
PMID: 21196128 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To identify factors predicting patient satisfaction 2 years after total knee arthroplasty (TKA) for osteoarthritis. METHODS: Prospective multicenter study of patients followed up for 2 years after TKA for osteoarthritis. We evaluated pain and function (Lequesne index and WOMAC) at baseline and after 2 years. After 2 years, the patients rated their satisfaction as a percentage, with values greater than 50% defining good satisfaction. Factors associated with good satisfaction were identified by univariate analyses followed by multivariate analysis. RESULTS: Of 299 patients, 264 completed the study (26 were lost to follow-up, six died, and three refused the 2-year evaluation), including 237 (89.8%) with satisfaction scores greater than 50%. Highly significant improvements were found after 2 years versus baseline in the Lequesne index (7.9 vs. 14.5, P<0.0001) and WOMAC index (26.3 vs. 51.3, P<0.0001). There were 26 (9.8%) complications. Factors significantly associated with good satisfaction in the multivariate model were absence of complications (P=0.004), body mass index less than 27 kg/m² (P=0.015), high radiological joint narrowing score (P=0.038), age greater or equal to 70 years (P=0.038), and absence of depression at the 2-year evaluation (P=0.002). CONCLUSION: We report the first prospective multicenter study done in France to assess pain and function in a large number of patients treated with TKA for osteoarthritis. Our results indicate a high success rate. We identified three factors that predict patient satisfaction and can be assessed before surgery (age greater than 70 years, absence of obesity, and severe joint space narrowing). |
| | |
Authors:
|
Florence Merle-Vincent; Chantal M Couris; Anne-Marie Schott; Thierry Conrozier; Muriel Piperno; Pierre Mathieu; Eric Vignon; |
Related Documents
:
|
10831008 - Triamcinolone acetonide aqueous nasal spray versus loratadine in seasonal allergic rhin... 21395358 - Ranibizumab: in macular oedema following retinal vein occlusion. 16967788 - Surgical ligation of scrotal varicocele for male factor infertility is a valid option o... 20591758 - Classification of convex nasal dorsum deformities in asian patients and treatment outco... 22467898 - Effects of intrathecal morphine on transcranial electric motor-evoked potentials in ado... 19154568 - Clinical trial: a randomized, study comparing meperidine (pethidine) and fentanyl in ad... |
Publication Detail:
|
Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't Date: 2010-12-31 |
Journal Detail:
|
Title: Joint, bone, spine : revue du rhumatisme Volume: 78 ISSN: 1778-7254 ISO Abbreviation: Joint Bone Spine Publication Date: 2011 Jul |
Date Detail:
|
Created Date: 2011-07-27 Completed Date: 2011-12-07 Revised Date: 2013-02-07 |
Medline Journal Info:
|
Nlm Unique ID: 100938016 Medline TA: Joint Bone Spine Country: France |
Other Details:
|
Languages: eng Pagination: 383-6 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010. Published by Elsevier SAS. |
Affiliation:
|
Rhumatologie, pavillon 2B, CHLS, 69495 Pierre-Bénite cedex, France. florence.merle-vincent@chu-lyon.fr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Arthroplasty, Replacement, Knee / rehabilitation*, statistics & numerical data Female Humans Knee Joint / physiopathology, radiography, surgery Male Osteoarthritis, Knee / physiopathology, radiography, surgery* Patient Satisfaction / statistics & numerical data* Postoperative Complications Prospective Studies Recovery of Function Risk Factors Severity of Illness Index Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The modulation of pain by attention and emotion: A dissociation of perceptual and spinal nociceptive...
Next Document: Rituximab in rheumatoid arthritis and the risk of malignancies: Report from a French cohort.