TY - JOUR
T1 - Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty
T2 - A Prospective Multicenter Cohort Study
AU - van Zaanen, Yvonne
AU - Siertsema, Tessa
AU - Kievit, Arthur J
AU - van Geenen, Rutger C I
AU - Pahlplatz, Thijs M J
AU - Hoozemans, Marco J M
AU - Blankevoort, Leendert
AU - Schafroth, Matthias U
AU - Haverkamp, Daniel
AU - Vervest, Ton M J S
AU - Das, Dirk H P W
AU - Scholtes, Vanessa A
AU - Kuijer, P Paul F M
N1 - Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.
PY - 2023/12
Y1 - 2023/12
N2 - 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.
AB - 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.
KW - Arthroplasty
KW - Knee
KW - Motivation
KW - Patient Reported Outcome Measure
KW - Patient satisfaction
KW - Rehabilitation
KW - Replacement
UR - http://www.scopus.com/inward/record.url?scp=85163280595&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.apmr.2023.05.004
DO - https://doi.org/10.1016/j.apmr.2023.05.004
M3 - Article
C2 - 37270023
SN - 0003-9993
VL - 104
SP - 2051
EP - 2058
JO - Archives of physical medicine and rehabilitation
JF - Archives of physical medicine and rehabilitation
IS - 12
ER -