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Determinants of pain, functional limitations and health-related quality of life six months after total knee arthroplasty: results from a prospective cohort study
- Source :
- BMC Sports Science, Medicine and Rehabilitation
- Publication Year :
- 2013
- Publisher :
- Springer Science and Business Media LLC, 2013.
-
Abstract
- Background Total knee arthroplasty (TKA) is an effective procedure. However, for some patients, the outcomes are not satisfactory. Identification of TKA determinants could help manage these patients more efficiently. The purpose of this study was to identify pre- and perioperative determinants of pain, functional limitations and health-related quality of life (HRQoL) 6 months after TKA. Methods 138 participants were recruited from 3 hospitals in Quebec City, Canada and followed up until 6 months after surgery. Data were collected through review of the subjects’ medical files and structured telephone interviews before and 6 months after TKA. Pain and functional limitations were measured with the Western Ontario and McMaster Osteoarthritis Index (WOMAC) and HRQoL was measured with the SF-36 Health Survey. Independent variables included demographic, socioeconomic, psychosocial, clinical and surgical characteristics of participants as well as data on health services utilization. Stepwise multiple regression analysis was used to assess the strength of the associations between the independent variables and the WOMAC and SF-36 scores. Results Higher preoperative pain, cruciate retaining implants and the number of complications were significantly associated with worse pain 6 months after TKA (p
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
WOMAC
Sports medicine
medicine.medical_treatment
Health related quality of life (HRQoL)
Physical Therapy, Sports Therapy and Rehabilitation
03 medical and health sciences
0302 clinical medicine
Quality of life
Osteoarthritis and Total knee arthroplasty
Medicine
Orthopedics and Sports Medicine
Prospective cohort study
Determinants
030203 arthritis & rheumatology
030222 orthopedics
Disability
Rehabilitation
business.industry
Research
Perioperative
3. Good health
Orthopedic surgery
Physical therapy
business
Psychosocial
Subjects
Details
- ISSN :
- 17582555
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology
- Accession number :
- edsair.doi.dedup.....2ca1425dd3772f63a4478e293c1c9bdd