Comment on article by Palazzuolo et al.: Total knee arthroplasty improves the quality-adjusted life years in patients who exceeded their estimated life expectancy
| Autor: | Zhi-Cheng Pan, Hui-Hui Sun, Wei-Feng Ji, Wang-Xin Liu |
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| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Original Paper medicine.medical_specialty business.industry Arthroplasty Replacement Hip MEDLINE Total knee arthroplasty Osteoarthritis Knee Quality-adjusted life year Elderly patients Life Expectancy Orthopedic surgery medicine Life expectancy Physical therapy Humans Quality-adjusted life years Orthopedics and Sports Medicine Surgery In patient Mortality Arthroplasty Replacement Knee business Complication |
| Zdroj: | International Orthopaedics |
| ISSN: | 1432-5195 0341-2695 |
| Popis: | Purpose Total knee arthroplasty (TKA) is the treatment of choice for end-stage osteoarthritis though its risk-benefit ratio in elderly patients remains debated. This study aimed to evaluate the functional outcome, rates of complication and mortality, and quality-adjusted life years (QALY) in patients who exceeded their estimated life expectancy. Methods Ninety-seven TKA implanted in 86 patients who exceeded their estimated life expectancy at the time of TKA were prospectively included in our institutional joint registry and retrospectively analyzed. At latest follow-up, the functional outcome with the Knee Society Score (KSS), rates of complication and mortality, and QALY with utility value of EuroQol-5D score were evaluated. Results At a mean follow-up of three ± one years, the pre- to post-operative KSS improved significantly (p |
| Databáze: | OpenAIRE |
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