Evidence map›Paper›PMID 31471724›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020

Patients return to work sooner after unicompartmental knee arthroplasty than after total knee arthroplasty.

Arthur J Kievit, P Paul F M Kuijer, Laurens J de Haan, Koen L M Koenraadt, Gino M M J Kerkhoffs, Matthias U Schafroth, Rutger C I van Geenen

Abstract readMulticenter Study
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Trial
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  11. Return to work following knee arthroplasty: a retrospective review in urban Asian population.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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  12. Article
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  19. Return to physical activity and change in body mass index after hypoallergenic medial mobile-bearing unicompartmental knee arthroplasty.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021
    Article
  20. Lifetime revision risk for medial unicompartmental knee replacement is lower than expected.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Arthur J KievitDepartment of Orthopedic Surgery, Amsterdam University Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. a.j.kievit@amsterdamumc.nl.ORCID http://orcid.org/0000-0003-1166-5115
P Paul F M KuijerCoronel Institute of Occupational Health, Amsterdam University Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Laurens J de HaanDepartment of Orthopedic Surgery, Amphia, Molengracht 21, 4818 CK, PO Box 90158, 4800 RK, Breda, The Netherlands.
Koen L M KoenraadtDepartment of Orthopedic Surgery, Amphia, Molengracht 21, 4818 CK, PO Box 90158, 4800 RK, Breda, The Netherlands.
Gino M M J KerkhoffsDepartment of Orthopedic Surgery, Amsterdam University Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Matthias U SchafrothDepartment of Orthopedic Surgery, Amsterdam University Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Rutger C I van GeenenDepartment of Orthopedic Surgery, Amphia, Molengracht 21, 4818 CK, PO Box 90158, 4800 RK, Breda, The Netherlands.

Funding

Zimmer Biomet tba
6 · The paper itself

Abstract

purposeIt is not yet known if unicompartmental knee arthroplasty (UKA) patients are more likely to return to work sooner or have improved ability to work (i.e., workability) than total knee arthroplasty (TKA) patients. The following questions were addressed: patients were assessed to determine: (1) whether they returned to work sooner following UKA compared to TKA; (2) whether UKA patients had better WORQ function scores compared to TKA patients; and (3) if UKA patients have higher workability scores and greater satisfaction regarding workability than TKA patients.

methodsA multicenter retrospective cohort study was performed that included patients at least 2 years after having undergone either UKA or TKA surgery and on the condition that patients had been in work in the 2 years prior to surgery. Time period between stopping work and returning to work was assessed; the WORQ scores (0 = worst-100 = best) and the Work Ability Index (WAI = 0-10) and reported satisfaction with work ability.

resultsUKA patients (n = 157, median 60 years, 51% male) were compared to TKA patients (n = 167, median 60 years, 49% male) (n.s.). Of the 157 UKA patients, 115 (73%) returned to work within 2 years compared to 121 (72%) of TKA patients (n.s.). More UKA patients return to work within 3 months (73% versus 48%) (p < 0.01). WORQ scores improved similarly in both groups. The WAI was also comparable between the groups. Dissatisfaction with workability was comparable (UKA 15% versus TKA 18% (n.s.).

conclusionTKA and UKA patients have similar WORQ, WAI, and satisfaction scores. However, in this study population, UKA patients to return to work after surgery significantly sooner than TKA patients, which improves their quality of life and allows them to participate actively in society. This information can help health care providers and patients weigh-up the pros and cons and choose the best treatment and timing for patients in the working population. LEVEL OF EVIDENCE: III.

Indexed as

Return to WorkAdultAgedArthroplasty, Replacement, KneeFemaleHumansMaleMiddle AgedOsteoarthritis, KneeQuality of LifeRetrospective StudiesReturn to workTotal knee arthroplastyUnicompartmental knee arthroplastyWorkabilityWORQ

Identifiers

PMID31471724
PMCPMC7471109

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.