Skip to main content
main-content

Tipp

Weitere Artikel dieser Ausgabe durch Wischen aufrufen

Erschienen in: Wiener klinische Wochenschrift 11-12/2021

19.03.2021 | original article

Higher patient knowledge and resilience improve the functional outcome of primary total knee arthroplasty

verfasst von: Alexander Bumberger, Katharina Borst, Gerhard M. Hobusch, Madeleine Willegger, David Stelzeneder, Reinhard Windhager, Stephan Domayer, Wenzel Waldstein

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 11-12/2021

Einloggen, um Zugang zu erhalten
share
TEILEN

Summary

Background

A significant percentage of patients have an unfavorable outcome following primary total knee arthroplasty (TKA). This study aimed to evaluate whether specific knowledge about the implant and resilience can influence the functional outcome following TKA.

Methods

A consecutive series of 163 patients following primary TKA at a mean age of 70 years (SD 9.1 years) were included at a regional rehabilitation center between December 2015 and December 2016. Specific patient knowledge (scale 0–7), Connor Davidson Resilience Scale (CD-RISC), Western Ontario and McMaster Universities (WOMAC) score, University of California and Los Angeles (UCLA) score and constitutional parameters were assessed on admission. Pearson’s correlation analysis and stepwise linear regression analysis were performed to investigate associations between knowledge, resilience and functional scores.

Results

The mean overall knowledge score was 3.5 out of 7 and the mean resilience score was 72.9 out of 100. Mean WOMAC and UCLA scores on admission were 23.8 and 5.5, respectively. Stepwise linear regression analysis identified knowledge and age as significant predictors of WOMAC scores (R2 = 14.3%, p = 0.003). Knowledge and resilience were identified as significant predictors of UCLA scores (R2 = 13.8%, p = 0.013).

Conclusion

This study highlights the importance of patient-related factors as part of an integral patient care concept in TKA. Although the identified predictors still need to be refined, it could be demonstrated how better patient knowledge might ultimately lead to better functional outcome following TKA. Routinely assessing patients’ resilience might be a useful tool to identify patients at risk for low activity levels.

Level of evidence

III. Patient-reported outcome study.

Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:

Abo für kostenpflichtige Inhalte

Literatur
2.
8.
Zurück zum Zitat Crijns TJ, Liu TC, Ring D, Bozic KJ, Koenig K. Influence of patient activation, pain self-efficacy, and resilience on pain intensity and magnitude of limitations in patients with hip and knee arthritis. J Surg Orthop Adv. 2019;28:48–52. CrossRef Crijns TJ, Liu TC, Ring D, Bozic KJ, Koenig K. Influence of patient activation, pain self-efficacy, and resilience on pain intensity and magnitude of limitations in patients with hip and knee arthritis. J Surg Orthop Adv. 2019;28:48–52. CrossRef
17.
Zurück zum Zitat Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR). Hip, knee & shoulder arthroplasty: 2018 annual report. Adelaide: AOA; 2018. Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR). Hip, knee & shoulder arthroplasty: 2018 annual report. Adelaide: AOA; 2018.
20.
Zurück zum Zitat Tait MA, Dredge C, Barnes CL. Preoperative patient education for hip and knee arthroplasty: financial benefit? J Surg Orthop Adv. 2015;24:246–51. CrossRef Tait MA, Dredge C, Barnes CL. Preoperative patient education for hip and knee arthroplasty: financial benefit? J Surg Orthop Adv. 2015;24:246–51. CrossRef
Metadaten
Titel
Higher patient knowledge and resilience improve the functional outcome of primary total knee arthroplasty
verfasst von
Alexander Bumberger
Katharina Borst
Gerhard M. Hobusch
Madeleine Willegger
David Stelzeneder
Reinhard Windhager
Stephan Domayer
Wenzel Waldstein
Publikationsdatum
19.03.2021
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 11-12/2021
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-021-01829-8