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Indications for total and unicondylar knee arthroplasty (KA) have expanded to younger patients, in which Patient-Reported Outcome Measures (PROMs) often show ceiling effects. This might be due to higher expectations. Our aims were to explore expectations of younger patients concerning activities in daily life, work and leisure time after KA and to assess to what extent PROMs meet and evaluate these activities of importance.
Focus groups were performed among osteoarthritis (OA) patients <65 years awaiting KA, in which they indicated what activities they expected to perform better in daily life, work and leisure time after KA. Additionally, 28 activities of daily life, 17 of work and 27 of leisure time were depicted from seven PROMS, which were rated on importance, frequency and bother. A total score, representing motivation for surgery, was also calculated.
Data saturation was reached after six focus groups including 37 patients. Younger OA patients expect to perform better on 16 activities after KA, including high-impact leisure time activities. From the PROMs, daily life and work activities were rated high in both importance and motivation for surgery, but for leisure time activities importance varied highly between patients. All seven PROMs score activities of importance, but no single PROM incorporates all activities rated important.
Younger patients expect to perform better on many activities of daily life, work and leisure time after KA, and often at demanding levels. To measure outcomes of younger patients, we suggest using PROMs that include work and leisure time activities besides daily life activities, in which preferably scored activities can be individualized.
Losina, E., & Katz, J. N. (2012). Total knee arthroplasty on the rise in younger patients: Are we sure that past performance will guarantee future success? Arthritis Rheumatology, 29(2), 997–1003.
Healy, W. L., Iorio, R., & Lemos, M. J. (2000). Total knee arthroplasty. Clinical Orthopadics and Related Research, 380, 65–71. CrossRef
Kurtz, S. M., Lau, E., Zhao, K., Kelly, M., & Bozic, K. J. (2009). Future young patient demand for primary and revision jpint replacement: National projections from 2010 to 2030. Clinical Orthopadics and Related Research, 467(10), 2606–2612. CrossRef
Riddle, D. T., Jiranek, W. A., & Hayes, C. W. (2014). Use of a validated algorithm to judge the appropriateness of total knee arthroplasty in the United States. Arthritis & Rheumatology, 66(8), 2134–2143. CrossRef
Carr, A. J., Robertsson, O., Graves, S., Price, A. J., Arden, N. K., Judge, A., et al. (2012). Knee replacement. The Lancet, 379(9823), 1331–1340. CrossRef
Bourne, R. B., Chesworth, B., Davis, A., Mahomed, N., & Charron, K. (2010). Comparing patient outcomes after THA and TKA: Is there a difference? Clinical Orthopadics and Related Research, 468(2), 542–546. CrossRef
Mont, M. A., Serna, F. K., Krackow, K. A., & Hungerford, D. S. (1996). Exploration of radiographically normal total knee replacements for unexplained pain. Clinical Orthopadics and Related Research, 331, 216–220. CrossRef
Matsuda, S., Kawahara, S., Okazaki, K., Tashiro, Y., & Iwamoto, Y. (2013). Postoperative alignment and ROM affect patient satisfaction after TKA. Clinical Orthopadics and Related Research, 471(1), 127–133. CrossRef
Dorr, L. D., & Chao, L. (2007). The emotional state of the patient after total hip and knee arthroplasty. Clinical Orthopadics and Related Research, 463, 7–12.
Jacobs, C. A., & Christensen, C. P. (2014). Factors influencing patient satisfaction two to five years after primary total knee arthroplasty. The Journal of Arthroplasty, 29(8), 8–10. CrossRef
Bourne, R. B., Chesworth, B. M., Davis, A. M., Mahomed, N. N., & Charron, K. D. (2010). Patient satisfaction after total knee arthroplasty: Who is satisfied and who is not? Clinical Orthopadics and Related Research, 468(1), 57–63. CrossRef
Lingard, E. A., Sledge, C. B., & Learmonth, I. D. (2006). Patient expectations regarding total knee arthroplasty: Differences among the United States, United kingdom, and Australia. The Journal of Bone and Joint Surgery, 88, 1201–1207. PubMed
Kumar, M., Battepathi, P., & Bangalore, P. (2015). Expectation fulfilment and satisfaction in total knee arthroplasty patients using the “PROFEX” questionnaire. Orthopaedics and Traumatology: Surgery & Research, 101(3), 325–330.
Mahomed, N. N., Liang, M. H., Cook, E. F., Daltroy, L. H., Fortin, P. R., Fossel, A. H., et al. (2002). The importance of patient expectations in predicting functional outcomes after total joint arthroplasty. The Journal of Rheumatology, 29(6), 1273–1279. PubMed
Scott, C. E., Bugler, K. E., Clement, N. D., MacDonald, D., Howie, C. R., & Biant, L. C. (2012). Patient expectations of arthroplasty of the hip and knee. The Journal of Bone & Joint Surgery, 94-B(7), 974–981. CrossRef
Noble, P. C., Conditt, M. A., Cook, K. F., & Mathis, K. B. (2006). The John Insall award: Patient expectations affect satisfaction with total knee arthroplasty. Clinical Orthopadics and Related Research, 452, 35–43. CrossRef
Long, W. J., Bryce, C. D., Hollenbeak, C. S., Benner, R. W., & Scott, W. (2014). Total knee replacement in young, active patients. Long-term follow-up and functional outcome. The Journal of Bone and Joint Surgery, 79, 575–582.
Vince, K. G. (2014). You can do arthroplasty in a young patient, but…commentary & persepctive. The Journal of Bone and Joint Surgery, 58, 17–19.
Kievit, A. J., Kuijer, P. P. F. M., Kievit, R. A., Sierevelt, I. N., Blankevoort, L., & Frings-dresen, M. H. W. (2014). A reliable, valid and responsive questionnaire to score the impact of knee complaints on work following total knee arthroplasty: The WORQ. Journal of Arthroplasty, 29, 1169–1175. CrossRefPubMed
Noble, P. C., Scuderi, G. R., Brekke, A. C., Sikorskii, A., Benjamin, J. B., Lonner, J. H., et al. (2012). Development of a new knee society scoring system. Clinical Orthopadics and Related Research, 470, 20–32. CrossRef
Scuderi, G. R., Bourne, R. B., Noble, P. C., Benjamin, J. B., Lonner, J. H., & Scott, W. N. (2012). The new knee society knee scoring system. Clinical Orthopadics and Related Research, 470, 3–19. CrossRef
Seale, C. (1999). Grounding theory. In C. Seale (Ed.), The quality of qualitative research (pp. 87–105). London: SAGE Publications. CrossRef
Roos, E. M., & Lohmander, L. S. (2003). The Knee injury and Osteoarthritis Outcome Score (KOOS): From joint injury to osteoarthritis Pilot study. Health and Quality of Life Outcomes, 8, 1–8.
Rabin, R., & de Charroo, F. (2001). EQ-5D: A measure of health status from the EuroQol Group. Annual Review of Medicine, 33, 337–343. CrossRef
Wendel-Vos, G. C. W., Schuit, A. J., Saris, W. H. M., & Kromhout, D. (2013). Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. The Journal of Clinical Epidemiology, 56(12), 1163–1169. CrossRef
Weiss, J. M., Noble, P. C., Conditt, M. A., Kohl, H. W., Roberts, S., Cook, K. F., et al. (2002). What functional activities are important to patients with knee replacements? Clinical Orthopadics and Related Research, 404, 172–188. CrossRef
Vail, T. P., Mallon, W. J., & Liebelt, R. A. (1996). Athletic activities after joint arthroplasty. Sports Medicine and Arthroscopic Review, 4, 298–305. CrossRef
Manusco, C. A., Sculco, T. P., Wickiewicz, T. L., Jones, E. C., Robbins, L., Warren, R. F., et al. (2001). Patients’ expectations of knee surgery. The Journal of Bone and Joint Surgery, 83-A(7), 1005–1012.
Witjes, S., Gouttebarge, V., Kuijer, P. P. F. M., van Geenen, R. C. I., Poolman, R. P. W., & Kerkhoffs, G. M. M. J. (2016). Return to sports and physical activity after total- and unicondylar knee arthroplasty: A systematic review and meta- analysis. Sports Medicine, 46(2), 269–292. CrossRefPubMedPubMedCentral
Hawker, G. A. (2006). Who, when, and why total joint replacement surgery? The patient’s perspective. Current Opinion in Rheumatology, 18, 526–530. PubMed
Iorio, R., Healy, W. L., & Applegate, T. (2006). Validity of preoperative demand matching as an indicator of activity after TKA. Clinical Orthopadics and Related Research, 452, 44–48. CrossRef
Pritchett, J. (2015). Bicruciate-retaining total knee replacement provides satisfactory function and implant survivorship at 23 Years. C Clinical Orthopadics and Related Research, 473(7), 2327–2333. CrossRef
Boyd, J. L., Kurtenbach, C. A., & Sikka, R. S. (2014). Patient-specific instrumentation and return to activities after unicondylar knee arthroplasty. Clinical Sports Medicine, 33(1), 133–148. CrossRef
Walker, T., Gotterbarm, T., Bruckner, T., Merle, C., & Streit, M. R. (2014). Return to sports, recreational activity and patient-reported outcomes after lateral unicompartmental knee arthroplasty. Knee Surgery, Sports Traumatology and Arthroscopy, 23(11), 3281–3287. CrossRef
Hanusch, B. C., O’Connor, D. B., Ions, P., Scott, A., & Gregg, P. J. (2014). Effect of psychological distress and perceptions of illness on recovery from total knee replacement. The Bone & Joint Journal, 96-B, 210–216. CrossRef
Morse, J. M. (1999). Myth # 93: Reliability and validity are not relevant to qualitative inquiry. Qualitive Health Research, 9(6), 717–718. CrossRef
- Expectations of younger patients concerning activities after knee arthroplasty: are we asking the right questions?
Rutger C. I. van Geenen
Koen L. M. Koenraadt
Cor P. van der Hart
Gino M. M. J. Kerkhoffs
P. Paul F. M. Kuijer
- Springer International Publishing