The impacts of pre-surgery wait for total knee replacement on pain, function and health-related quality of life six months after surgery.

Abstract:

OBJECTIVE:The purpose of the current study was to assess, in patients scheduled for primary total knee replacement (TKR), the effects of pre-surgery waiting time on pain and functional limitations related to the knee joint undergoing surgery, on health-related quality of life (HRQoL) and on contralateral knee pain 6 months after surgery. METHOD:A total of 141 patients scheduled for TKR were recruited from three hospitals in Quebec City, Canada, and followed up until 6 months after surgery. Pre-surgery wait, defined as the time between enrolment on the pre-surgery waiting list and surgery, was considered in four categories (≤3, >3-6, >6-9, >9 months). Pain and functional limitations were measured with the Western Ontario and McMaster Osteoarthritis Index (WOMAC). HRQoL was measured with the SF-36. RESULTS:Mean pre-surgery waiting time was 184 (SD: 120.8) days. Six months after TKR, a significant difference was seen between the four groups of pre-surgery wait in terms of HRQoL SF-36 role physical [F(3, 136) = 2.74, P = 0.046] and contralateral knee WOMAC pain [F(3, 136) = 5.78, P = 0.0009] scores. Participants with the longest pre-surgery wait (>9 months) showed the worst scores 6 months after TKR. CONCLUSIONS:Longer pre-surgery waiting time had a negative clinically important impact on HRQoL and contralateral knee pain 6 months after surgery.

journal_name

J Eval Clin Pract

authors

Desmeules F,Dionne CE,Belzile ÉL,Bourbonnais R,Frémont P

doi

10.1111/j.1365-2753.2010.01541.x

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

111-20

issue

1

eissn

1356-1294

issn

1365-2753

journal_volume

18

pub_type

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