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Titre : | Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty: A Prospective Multicenter Cohort Study (2023) |
Auteurs : | Yvonne van Zaanen ; Tessa Siertsema ; Arthur J. Kievit ; Rutger C.I. van Geenen ; Thijs M.J. Pahlplatz ; Marco J.M. Hoozemans ; Leendert Blankevoort ; Matthias U. Schafroth ; Daniel Haverkamp ; Ton M.J.S. Vervest ; Dirk H.P.W. Das ; Vanessa A. Scholtes ; P. Paul F.M. Kuijer |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 12, 2023) |
Article en page(s) : | p. 2051-2058 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.05.004 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthroplastie prothétique de genou ; Mesures des résultats rapportés par les patients (PROM) ; Motivation ; Réadaptation ; Satisfaction des patients |
Résumé : | Objective To investigate whether preoperative expectations regarding performing work-related knee-straining activities were associated with being dissatisfied 6 months after total knee arthroplasty (TKA) among working patients, and, to identify prognostic factors for being dissatisfied with performing these work-related knee-straining activities. Design Multicenter prospective cohort study. Setting Orthopedic surgery departments of 7 hospitals in the Netherlands. Participants A consecutive sample of 175 working patients who were on the waiting list for TKA (median age 59 years, 53% women) and intended to return to work (N=175). Interventions Not applicable. Main Outcome Measure(s) Dissatisfaction with performing work-related knee-straining activities 6 months postoperative was measured using the Work Osteoarthritis or joint-Replacement Questionnaire (score range 0-100). The clinically relevant cut-off points for being satisfied and dissatisfied were ?71 and ?50, respectively. Results Thirty-three patients (19%) were dissatisfied with performing work-related knee-straining activities 6 months after TKA. Patients who expected to be dissatisfied preoperative had a 5.1 times higher odds (95% CI 1.7-15.5) of being dissatisfied 6 months postoperatively compared with patients who expected to be satisfied preoperative. Regression analyses revealed that only patients? expectations were prognostic for being dissatisfied 6 months postoperatively rather than age, pain level, or having a knee-straining job. Conclusions Two in 10 working patients are dissatisfied with performing work-related knee-straining activities 6 months after TKA. Only preoperative patients? expectations appeared prognostic. Therefore, we should better prepare working patients with low expectations by managing their preoperative expectations and improving their performance of work-related knee-straining activities in rehabilitation. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323003374 |