Preoperative glycaemic control, number of pain locations, structural knee damage, self-reported central sensitisation, satisfaction and personal control are predictive of 1-year postoperative pain, and change in pain from pre- to 1-year posttotal knee arthroplasty.

Autor: Vervullens S; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.; Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht, The Netherlands.; Pain in Motion International Research Group (PiM), www.paininmotion.be, Antwerp, Belgium., Meert L; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.; Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht, The Netherlands.; Pain in Motion International Research Group (PiM), www.paininmotion.be, Antwerp, Belgium., Smeets RJEM; Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht, The Netherlands.; Pain in Motion International Research Group (PiM), www.paininmotion.be, Antwerp, Belgium.; CIR Clinics in Revalidatie, Eindhoven, The Netherlands., Verbrugghe J; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.; REVAL-Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium., Baert I; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.; Pain in Motion International Research Group (PiM), www.paininmotion.be, Antwerp, Belgium., Rahusen FTG; Department of Orthopaedics, St Jans Gasthuis Weert, The Netherlands., Heusdens CHW; Department of Orthopedics and Traumatology, University Hospital of Antwerp, Antwerp, Belgium.; Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium., Verdonk P; ORTHOCA, Antwerp, Belgium.; ASTARC Department, Antwerp University, Antwerp, Belgium., Meeus M; Research Group MOVANT, Department of Rehabilitation Sciences and Physiotherapy (REVAKI), University of Antwerp, Wilrijk, Belgium.; Pain in Motion International Research Group (PiM), www.paininmotion.be, Antwerp, Belgium.
Jazyk: angličtina
Zdroj: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2024 May 15. Date of Electronic Publication: 2024 May 15.
DOI: 10.1002/ksa.12265
Abstrakt: Purpose: The aim of this study was to identify preoperative predictors for 1-year posttotal knee arthroplasty (TKA) pain and pre- to post-TKA pain difference in knee osteoarthritis (KOA) patients.
Methods: From March 2018 to July 2023, this prospective longitudinal cohort study enrolled KOA patients awaiting TKA from four hospitals in Belgium and the Netherlands. Different biopsychosocial predictors were assessed preoperatively by questionnaires and physical examinations (input variables). The Knee injury and Osteoarthritis Outcome Score (KOOS) subscale pain was used to measure pain intensity. The absolute KOOS subscale pain score 1-year post-TKA and the difference score (ΔKOOS = 1-year postoperative - preoperative) were used as primary outcome measures (output variables). Two multivariable linear regression analyses were performed.
Results: Two hundred and twenty-three participants were included after multiple imputation. Worse absolute KOOS subscale pain scores 1-year post-TKA and negative or closer to zero ΔKOOS subscale pain scores were predicted by self-reported central sensitisation, lower KOA grade and preoperative satisfaction, and higher glycated haemoglobin, number of pain locations and personal control (adjusted R 2  = 0.25). Additional predictors of negative or closer to zero ΔKOOS subscale pain scores were being self-employed, higher preoperative pain and function (adjusted R 2  = 0.37).
Conclusion: This study reports different biopsychosocial predictors for both outcomes that have filtered out other potential predictors and provide value for future studies on developing risk assessment tools for the prediction of chronic TKA pain.
Protocol Registration: The protocol is registered at clinicaltrials.gov (NCT05380648) on 13 May 2022.
Level of Evidence: Level II.
(© 2024 The Authors. Knee Surgery, Sports Traumatology, Arthroscopy published by John Wiley & Sons Ltd on behalf of European Society of Sports Traumatology, Knee Surgery and Arthroscopy.)
Databáze: MEDLINE
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