Preoperative Pain and Function: Profiles of Patients Selected for Total Knee Arthroplasty

Total 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...

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Bibliographic Details
Published in:The Journal of arthroplasty 2016-11, Vol.31 (11), p.2402-2407.e2
Main Authors: Nguyen, Uyen-Sa D.T., Ayers, David C., Li, Wenjun, Harrold, Leslie R., Franklin, Patricia D.
Format: Article
Language:English
Subjects:
Aged
Arthroplasty, Replacement, Knee - statistics & numerical data
Cohort Studies
cutoff point
Female
function
Humans
Knee Injuries - surgery
Knee Joint - surgery
Male
Middle Aged
Osteoarthritis, Knee - complications
Osteoarthritis, Knee - surgery
pain
Pain - epidemiology
Pain - etiology
Pain - surgery
Pain Measurement
Physical Examination
Preoperative Period
total joint arthroplasty
total knee arthroplasty
Treatment Outcome
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Summary:Total 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. Data 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
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2016.04.015