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Gepubliceerd in:

07-01-2020

Characterizing patients’ expectations in hip and knee osteoarthritis

Auteurs: Frederique J. Hafkamp, Paul Lodder, Jolanda de Vries, Taco Gosens, Brenda L. den Oudsten

Gepubliceerd in: Quality of Life Research | Uitgave 6/2020

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Abstract

Purpose

Previous research reported conflicting findings regarding the association of sociodemographic and clinical variables with expectations for surgical outcomes. The current study aimed to identify and characterize different subgroups of osteoarthritis patients with respect to amount and level of expectations, and to examine factors that are associated with expectations.

Methods

Hip and knee patients (n = 287) completed a questionnaire 1 week post consultation. Linear regression analyses were performed to examine whether sociodemographic (e.g., age, sex) and clinical factors (e.g., pain, function) were associated with expectations. Latent class analysis (LCA) was used to identify different subgroups and the step 3 method was conducted to assess subgroup characteristics.

Results

Mean age of patients was 70 years (SD = 8) and 57% of patients was female. Most improvement was expected in walking ability and pain relief. Higher expectations were associated with younger age, male sex, and functional disability. Both hip and knee patients could be classified into three subgroups. These subgroups differed significantly on pain and other symptoms, and functional disability.

Conclusion

Both hip and knee patients reported pain and other osteoarthritis symptoms and functional disability and consequently had high expectations in these areas for treatment outcomes. Higher expectations were characterized by more pain, more symptoms and more functional disability. These insights could guide physicians in the discussion of expectations during consultation.
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Metagegevens
Titel
Characterizing patients’ expectations in hip and knee osteoarthritis
Auteurs
Frederique J. Hafkamp
Paul Lodder
Jolanda de Vries
Taco Gosens
Brenda L. den Oudsten
Publicatiedatum
07-01-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02403-6

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