ArticleThe Journal of arthroplasty2016
Preoperative Pain and Function: Profiles of Patients Selected for Total Knee Arthroplasty.
Article in The Journal of arthroplasty, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Translating clinical and patient-reported data to tailored shared decision reports with predictive analytics for knee and hip arthritis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Trial
- Efficacy of preoperative transcutaneous electrical acupoint stimulation in reducing postoperative delirium in older adults undergoing orthopedic surgery: a randomized controlled trial.Frontiers in neurology · 2025Article
- Association of Preoperative Opioid and Glucocorticoid Use With Mortality and Complication After Total Knee or Hip Arthroplasty.Journal of Korean medical science · 2024Article
- Linking Intra-Articular Inflammatory Biomarkers with Peripheral and Central Sensitization in Late-Stage Knee Osteoarthritis Pain: A Pilot Study.Journal of clinical medicine · 2024Article
- Head-to-head comparison of appropriate use criteria for knee arthroplasty: A multicenter cohort study.Osteoarthritis and cartilage open · 2024Article
- Radiofrequency ablation prior to total knee arthroplasty does not improve post-surgical pain or recovery: a double-blinded, multi-center, randomized clinical trial.Annals of joint · 2023Article
- Continuous Lumbar Plexus Block under the Guidance of the "Shamrock Method" Ultrasound: Analgesic Effects and Hemodynamic Effects after Total Knee Arthroplasty in Elderly Patients.Evidence-based complementary and alternative medicine : eCAM · 2021Article
- Cost-effectiveness of duloxetine for knee OA subjects: the role of pain severity.Osteoarthritis and cartilage · 2021Article
- Changes of Somatosensory Phenotype in the Course of Disease in Osteoarthritis Patients.International journal of environmental research and public health · 2020Article
- Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundTotal knee arthroplasty (TKA) is an effective treatment to relieve pain and restore function in patients with advanced knee osteoarthritis. TKA utilization is growing rapidly, and the appropriateness of current TKA use is of great interest. We examined patient-reported preoperative pain and function profiles to understand symptom severity at the time of TKA decision.
methodsData were from the Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement. We included patients undergoing primary, unilateral TKAs between 2011 and 2014 for osteoarthritis and had data on the Knee Injury and Osteoarthritis Outcome Score (KOOS) pain and Short-Form 36-item Physical Component Summary (PCS) score. We compared patient profiles across groupings by symptoms: (1) little pain and high function (KOOS ≥70, PCS ≥40); (2) little pain but poor function (KOOS ≥70, PCS <40); (3) high pain but high function (KOOS <70, PCS ≥40); and (4) high pain and poor function (KOOS <70, PCS <40).
resultsOf 6936 patients, 77% had high pain and poor function (group 4), 19% had high pain "or" poor function (groups 2-3), and 5% had little pain and high function before TKA (group 1). In group 1, 86% were constantly aware of their knee problem, 48% reported pain daily yet 5% experienced severe or extreme pain on stairs, and 1% pain in bed. Over half had a lot of limitations in vigorous activities. Compared with group 4, group 1 were older, less obese, more educated, and included more men and people reporting being healthy, less disabled, and happy (P < .05 for all).
conclusionMost patients undergoing TKAs had significant pain and/or poor function. Our results provide critical information given the current debate of potentially inappropriate TKA utilization in the United States.
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