Patient reported function and quality of life following revision total knee arthroplasty: Analysis of 10,727 patients from the NHS PROMs program
Journal of Arthroplasty Mar 27, 2021
Sabah SA, Alvand A, Knight R, et al. - Researchers aimed at determining how patient-reported outcomes measures (PROMs) change following revision total knee arthroplasty (rTKA). The UK NHS PROMs dataset from 2013 to 2019 yielded data of 10,727 patients undergoing elective rTKA for inclusion in this study. At baseline and 6 months, collection of PROMs was done to assess joint function (Oxford Knee Score, OKS) and quality of life (EQ-5D). Findings revealed a meaningful improvement in joint function after rTKA in two-thirds of patients. However, patient-reported complications were observed at a high frequency. They observed correlation of higher preoperative OKS with lower change in OKS (COKS). Lower COKS was also observed in correlation with postoperative complication(s), age under 60 years, longer duration of knee problems, patients who identified as disabled, problems in anxiety/depression and self-care dimensions of EQ-5D, comorbid conditions (circulatory problems, diabetes and depression) and earlier year of procedure in dataset.
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