Mild radiographic osteoarthritis is associated with increased pain and dissatisfaction following total knee arthroplasty when compared with severe osteoarthritis: a systematic review and meta-analysis
| Autor: | Noam Shohat, Dan Sudya, Kefah Khawalde, Muhammad Khatib, Snir Heller, Mustafa Yassin, Ilan Small |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Knee Joint Web of science Radiography Total knee arthroplasty Pain Osteoarthritis 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Orthopedics and Sports Medicine Arthroplasty Replacement Knee 030222 orthopedics business.industry Patient Acuity Chronic pain Outcome measures 030229 sport sciences Osteoarthritis Knee medicine.disease Treatment Outcome Meta-analysis Orthopedic surgery Surgery business |
| Zdroj: | Knee Surgery, Sports Traumatology, Arthroscopy. 30:965-981 |
| ISSN: | 1433-7347 0942-2056 |
| DOI: | 10.1007/s00167-021-06487-x |
| Popis: | The association between severity of radiographic osteoarthritis with patient pain, function, and satisfaction following total knee arthroplasty has been disputed. The discrepancies in current literature prompt us to further examine this association in a systematic review and meta-analysis. The OVID-Medline, Embase, and Web of Science databases were searched from their inception up to Mar 2020. The main independent variable was osteoarthritis severity as defined by preoperative radiographs. The outcomes measured were pain, function and satisfaction following total knee arthroplasty. A minimum of three studies assessing the same patient-reported outcome measures were included in the meta-analysis, as well as those separating patients by chronic pain or dissatisfaction. 29 studies were included in this study. Significant heterogeneity was seen between radiographic evaluation and reported outcomes. Patients with only mild radiographic osteoarthritis were more likely to suffer from chronic pain (odds ratio = 2.45, 95% CI = 1.80–3.34, p |
| Databáze: | OpenAIRE |
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