ArticleBMC sports science, medicine & rehabilitation2013
Determinants of pain, functional limitations and health-related quality of life six months after total knee arthroplasty: results from a prospective cohort study.
Article in BMC sports science, medicine & rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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The trial behind it
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Who cites it
24 citing papers in PubMed.
- Outpatient physiotherapy versus home-based rehabilitation for patients at risk of poor outcomes after knee arthroplasty: CORKA RCT.Health technology assessment (Winchester, England) · 2020Trial
- Development and validation of a clinical prediction model for patient-reported pain and function after primary total knee replacement surgery.Scientific reports · 2018Trial
- Research trends in total knee arthroplasty in India: a five-year bibliometric analysis.Archives of orthopaedic and trauma surgery · 2026Article
- Temporal changes in quadriceps and hamstring strength and flexibility following total knee arthroplasty.Journal of orthopaedics · 2026Article
- Postoperative Depression, Anxiety, and Stress in Relation to Health-Related Quality of Life Among Patients Undergoing Total Knee Replacement in Jordan.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Exploration of combined factors related to quality of life after knee replacement surgery.PloS one · 2025Article
- Health-related quality of life after rehabilitation from knee surgery in rural and urban settings: a quasi-experimental study.BMC musculoskeletal disorders · 2024Article
- Factors Correlated with the Quality of Life after Total Knee Arthroplasties: A Literature Review.Malaysian orthopaedic journal · 2024Review
- A Clinical Prediction Rule for Predicting the Health-related Quality of Life after 5 Months in Patients with Knee Osteoarthritis Undergoing Conservative Treatment.Physical therapy research · 2024Article
- Association Between Limited English Language Proficiency and Disparities in Length of Stay and Discharge Disposition After Total Shoulder Arthroplasty: A Retrospective Cohort Study.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2023Article
- Educational Attainment Affects the Early Rehabilitation of Total Knee Arthroplasty in Southwest China.Orthopaedic surgery · 2022Article
- Article
- Preoperative Factors Affecting Patient-reported Outcome Measures for Total Knee Arthroplasty.Progress in rehabilitation medicine · 2022Article
- Anxiety is the cause of the worse outcomes of allergic patients after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Personality traits predict residual pain after total hip and knee arthroplasty.International orthopaedics · 2020Article
- Is social support associated with patient-reported outcomes after joint replacement? A systematic review and meta-analysis.The Lancet. Rheumatology · 2019Article
- Psychosocial predictors for outcome after total joint arthroplasty: a prospective comparison of hip and knee arthroplasty.BMC musculoskeletal disorders · 2018Article
- Patient-reported allergies cause inferior outcomes after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Preoperative Determinants of Patient-reported Pain and Physical Function Levels Following Total Knee Arthroplasty: A Systematic Review.The open orthopaedics journal · 2016Article
- Association between socioeconomic status and pain, function and pain catastrophizing at presentation for total knee arthroplasty.BMC musculoskeletal disorders · 2015Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTotal 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.
methods138 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.
resultsHigher preoperative pain, cruciate retaining implants and the number of complications were significantly associated with worse pain 6 months after TKA (p < 0.05) and explained 11% of the variance of the WOMAC pain score. Higher preoperative functional limitations, being single, separated, divorced or widowed, being unemployed or retired and the number of complications were significantly associated (p < 0.05) with worse functional limitations 6 months after TKA and explained 16% of the variance of the WOMAC function score. Lower preoperative HRQoL, contralateral knee pain, higher psychological distress and comorbidities were significantly associated (p < 0.05) with worse HRQoL 6 months after TKA and explained 23% of the variance of the SF-36 physical functioning score.
conclusionsSeveral variables were found to be significantly associated with worse outcomes 6 months after TKA and may help identify patients at risk of poorer outcome. The identification of these determinants could help manage patients more efficiently and may help target patients who may benefit from extensive rehabilitation.
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Registered trials
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