Use of rehabilitation after hip and knee replacement in New Zealand: a national survey.

Autor:	Snell DL; Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch., Jerram KAS; Burwood Academy of Independent Living (BAIL), Burwood Hospital, Christchurch., Dunn JA; Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch., Hsieh CJ; MedStar Health Research Institute, Hyattsville MD, USA; MedStar National Rehabilitation Hospital, Washington, DC, USA., DeJong G; Department of Rehabilitation Medicine, Georgetown University School of Medicine, Washington DC, USA; MedStar National Rehabilitation Hospital, Washington, DC, USA., Hooper GJ; Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch.
Jazyk:	angličtina
Zdroj:	The New Zealand medical journal [N Z Med J] 2020 Feb 21; Vol. 133 (1510), pp. 45-55. Date of Electronic Publication: 2020 Feb 21.
Abstrakt:	Aims: Our objective was to describe rehabilitation used before and after joint replacement in New Zealand and evaluate variation based on geography and ethnicity. Methods: In this descriptive cross-sectional questionnaire-based study we recruited participants 45 years or older (n=608) from the New Zealand Joint Registry six months after primary total hip, total knee or uni-compartmental knee replacement. Results: The cohort was predominantly New Zealand European (89.9%). The average age of participants was 68.2 years. Less rehabilitation was used pre-operatively (31.0%) than post-operatively (79.6%) and total hip replacement participants reported using less rehabilitation (63.3%) than those after total knee (90.7%) or uni-compartmental knee (80.3%) replacement (p<0.01). There were trends towards more pre-operative rehabilitation for participants living in larger urban areas, most evident for total hip replacement (p<0.05). Conclusions: Participants reported generally positive outcomes six months after primary total hip, knee and uni-compartmental knee replacement. However, differences in use of rehabilitation services before and after joint replacement were evident depending on joint replaced. Broadening setting options for rehabilitation might improve use of rehabilitation resources. Competing Interests: Dr Snell reports grants from Canterbury Medical Research Foundation during the conduct of the study.
Databáze:	MEDLINE
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