| Autor: |
van Zaanen, Yvonne, Siertsema, Tessa, Kievit, Arthur J, van Geenen, Rutger C I, Pahlplatz, Thijs M J, Hoozemans, Marco J M, Blankevoort, Leendert, Schafroth, Matthias U, Haverkamp, Daniel, Vervest, Ton M J S, Das, Dirk H P W, Scholtes, Vanessa A, Kuijer, P Paul F M |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Zdroj: |
van Zaanen, Y, Siertsema, T, Kievit, A J, van Geenen, R C I, Pahlplatz, T M J, Hoozemans, M J M, Blankevoort, L, Schafroth, M U, Haverkamp, D, Vervest, T M J S, Das, D H P W, Scholtes, V A & Kuijer, P P F M 2023, ' Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty : A Prospective Multicenter Cohort Study ', Archives of Physical Medicine and Rehabilitation . https://doi.org/10.1016/j.apmr.2023.05.004 |
| DOI: |
10.1016/j.apmr.2023.05.004 |
| Popis: |
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. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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