Knee arthroplasty: are patients' expectations fulfilled? A prospective study of pain and function in 102 patients with 5-year follow-up

Anna K Nilsdotter, Sören Toksvig-Larsen, Ewa Roos

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Udgivelsesdato: Feb
OriginalsprogEngelsk
TidsskriftActa Orthopaedica (Print Edition)
Vol/bind80
Udgave nummer1
Sider (fra-til)55-61
Antal sider6
ISSN1745-3674
DOI
StatusUdgivet - 1. feb. 2009

Fingeraftryk

Knee Replacement Arthroplasties
Prospective Studies
Dancing
Exercise
Retirement
Knee Osteoarthritis
Leisure Activities
Population
Counseling

Citer dette

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title = "Knee arthroplasty: are patients' expectations fulfilled?: A prospective study of pain and function in 102 patients with 5-year follow-up",
abstract = "BACKGROUND AND PURPOSE: With an aging population expecting an active life after retirement, patients' expectations of improvement after surgery are also increasing. We analyzed the relationship between preoperative expectations and postoperative satisfaction and self-reported outcomes with regard to pain and physical function after knee arthroplasty. PATIENTS AND METHODS: 102 patients (39 men) with knee osteoarthritis and who were assigned for TKR (mean age 71 (51-86) years) were investigated with KOOS, SF-36, and additional questions concerning physical activity level, expectations, satisfaction, and relevance of the outcome to the patient. These investigations took place preoperatively and postoperatively after 6 months, 1 year, and 5 years of follow-up. RESULTS: Response rate at 5 years was 86{\%}. In general, the patients' preoperative expectations were higher than their postoperative ability. For example, 41{\%} expected to be able to perform activities such as golfing and dancing while only 14{\%} were capable of these activities at 5 years. Having high or low preoperative expectations with regard to walking ability or leisure-time activities had no influence on the KOOS scores postoperatively. 93{\%} of the patients were generally satisfied 5 years postoperatively, while 87{\%} were satisfied with the relief of pain and 80{\%} with their improvement in physical function at that time. INTERPRETATION: With an expanding population of mentally alert elderly, we can expect that great demands will be put on joint replacements. This study shows that patients have high preoperative expectations concerning reduction of pain. To a considerable extent, these expectations are fulfilled after one year. Expectations concerning demanding physical activities are not fulfilled to the same degree; however, most patients reported general satisfaction with the outcome indicating that satisfaction is not equivalent to fulfilled expectations. Preoperative counseling should include realistic information on outcomes concerning physical function and pain relief.",
keywords = "Activities of Daily Living, Aged, Aged, 80 and over, Arthroplasty, Replacement, Knee, Exercise, Female, Follow-Up Studies, Humans, Leisure Activities, Male, Middle Aged, Osteoarthritis, Knee, Outcome Assessment (Health Care), Pain, Patient Satisfaction, Prospective Studies, Questionnaires, Recovery of Function, Walking",
author = "Nilsdotter, {Anna K} and S{\"o}ren Toksvig-Larsen and Ewa Roos",
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journal = "Acta Orthopaedica (Print Edition)",
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Knee arthroplasty: are patients' expectations fulfilled? A prospective study of pain and function in 102 patients with 5-year follow-up. / Nilsdotter, Anna K; Toksvig-Larsen, Sören; Roos, Ewa.

I: Acta Orthopaedica (Print Edition), Bind 80, Nr. 1, 01.02.2009, s. 55-61.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Knee arthroplasty: are patients' expectations fulfilled?

T2 - A prospective study of pain and function in 102 patients with 5-year follow-up

AU - Nilsdotter, Anna K

AU - Toksvig-Larsen, Sören

AU - Roos, Ewa

PY - 2009/2/1

Y1 - 2009/2/1

N2 - BACKGROUND AND PURPOSE: With an aging population expecting an active life after retirement, patients' expectations of improvement after surgery are also increasing. We analyzed the relationship between preoperative expectations and postoperative satisfaction and self-reported outcomes with regard to pain and physical function after knee arthroplasty. PATIENTS AND METHODS: 102 patients (39 men) with knee osteoarthritis and who were assigned for TKR (mean age 71 (51-86) years) were investigated with KOOS, SF-36, and additional questions concerning physical activity level, expectations, satisfaction, and relevance of the outcome to the patient. These investigations took place preoperatively and postoperatively after 6 months, 1 year, and 5 years of follow-up. RESULTS: Response rate at 5 years was 86%. In general, the patients' preoperative expectations were higher than their postoperative ability. For example, 41% expected to be able to perform activities such as golfing and dancing while only 14% were capable of these activities at 5 years. Having high or low preoperative expectations with regard to walking ability or leisure-time activities had no influence on the KOOS scores postoperatively. 93% of the patients were generally satisfied 5 years postoperatively, while 87% were satisfied with the relief of pain and 80% with their improvement in physical function at that time. INTERPRETATION: With an expanding population of mentally alert elderly, we can expect that great demands will be put on joint replacements. This study shows that patients have high preoperative expectations concerning reduction of pain. To a considerable extent, these expectations are fulfilled after one year. Expectations concerning demanding physical activities are not fulfilled to the same degree; however, most patients reported general satisfaction with the outcome indicating that satisfaction is not equivalent to fulfilled expectations. Preoperative counseling should include realistic information on outcomes concerning physical function and pain relief.

AB - BACKGROUND AND PURPOSE: With an aging population expecting an active life after retirement, patients' expectations of improvement after surgery are also increasing. We analyzed the relationship between preoperative expectations and postoperative satisfaction and self-reported outcomes with regard to pain and physical function after knee arthroplasty. PATIENTS AND METHODS: 102 patients (39 men) with knee osteoarthritis and who were assigned for TKR (mean age 71 (51-86) years) were investigated with KOOS, SF-36, and additional questions concerning physical activity level, expectations, satisfaction, and relevance of the outcome to the patient. These investigations took place preoperatively and postoperatively after 6 months, 1 year, and 5 years of follow-up. RESULTS: Response rate at 5 years was 86%. In general, the patients' preoperative expectations were higher than their postoperative ability. For example, 41% expected to be able to perform activities such as golfing and dancing while only 14% were capable of these activities at 5 years. Having high or low preoperative expectations with regard to walking ability or leisure-time activities had no influence on the KOOS scores postoperatively. 93% of the patients were generally satisfied 5 years postoperatively, while 87% were satisfied with the relief of pain and 80% with their improvement in physical function at that time. INTERPRETATION: With an expanding population of mentally alert elderly, we can expect that great demands will be put on joint replacements. This study shows that patients have high preoperative expectations concerning reduction of pain. To a considerable extent, these expectations are fulfilled after one year. Expectations concerning demanding physical activities are not fulfilled to the same degree; however, most patients reported general satisfaction with the outcome indicating that satisfaction is not equivalent to fulfilled expectations. Preoperative counseling should include realistic information on outcomes concerning physical function and pain relief.

KW - Activities of Daily Living

KW - Aged

KW - Aged, 80 and over

KW - Arthroplasty, Replacement, Knee

KW - Exercise

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Leisure Activities

KW - Male

KW - Middle Aged

KW - Osteoarthritis, Knee

KW - Outcome Assessment (Health Care)

KW - Pain

KW - Patient Satisfaction

KW - Prospective Studies

KW - Questionnaires

KW - Recovery of Function

KW - Walking

U2 - 10.1080/17453670902805007

DO - 10.1080/17453670902805007

M3 - Journal article

C2 - 19234886

VL - 80

SP - 55

EP - 61

JO - Acta Orthopaedica (Print Edition)

JF - Acta Orthopaedica (Print Edition)

SN - 1745-3674

IS - 1

ER -