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Higher treatment effect after total knee arthroplasty is associated with higher patient satisfaction
PURPOSE: The aim of this study was to investigate what influence the treatment effect after total knee arthroplasty (TKA) had on patient satisfaction. METHODS: Prospective registry data of a University-based arthroplasty centre were used. 582 patients with unilateral bicondylar TKA were analyzed. Tr...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8458187/ https://www.ncbi.nlm.nih.gov/pubmed/32918556 http://dx.doi.org/10.1007/s00167-020-06272-2 |
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author | Lützner, Jörg Beyer, Franziska Günther, Klaus-Peter Huber, Jörg |
author_facet | Lützner, Jörg Beyer, Franziska Günther, Klaus-Peter Huber, Jörg |
author_sort | Lützner, Jörg |
collection | PubMed |
description | PURPOSE: The aim of this study was to investigate what influence the treatment effect after total knee arthroplasty (TKA) had on patient satisfaction. METHODS: Prospective registry data of a University-based arthroplasty centre were used. 582 patients with unilateral bicondylar TKA were analyzed. Treatment effect (TE) was deduced from Oxford Knee Score (OKS) before and one year after surgery. Positive values correspond to improved symptoms (maximum 1.0 reflect no symptoms at all) and negative values correspond to deterioration of symptoms. Satisfaction on a visual-analogue scale from 0 to 10 and the willingness to undergo TKA surgery again was assessed one year after surgery. RESULTS: The mean OKS improved from 22.1 before to 36.7 one year after TKA. Treatment effects ranged from 1.0 to –0.62 with a mean TE of 0.56. Taking an individual treatment effect of 0.2 as a cut-off between responder and non-responder, a total of 85.8% would be classified as responder after TKA. The mean satisfaction score with the TKA was 8.1. There was a significant correlation between the individual treatment effect and satisfaction after TKA (p < 0.001). The majority of patients (84.5%) would undergo surgery again. Patients not willing to undergo surgery again or those uncertain about this had lower satisfaction scores, a lower treatment effect and were more often female compared to patients who would undergo surgery again. CONCLUSION: Higher individual treatment effects resulted in higher patient satisfaction and willingness to undergo surgery again. However, some patients with a relatively low treatment effect were highly satisfied, which indicates the need for both information. LEVEL OF EVIDENCE: II. |
format | Online Article Text |
id | pubmed-8458187 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-84581872021-10-07 Higher treatment effect after total knee arthroplasty is associated with higher patient satisfaction Lützner, Jörg Beyer, Franziska Günther, Klaus-Peter Huber, Jörg Knee Surg Sports Traumatol Arthrosc Knee PURPOSE: The aim of this study was to investigate what influence the treatment effect after total knee arthroplasty (TKA) had on patient satisfaction. METHODS: Prospective registry data of a University-based arthroplasty centre were used. 582 patients with unilateral bicondylar TKA were analyzed. Treatment effect (TE) was deduced from Oxford Knee Score (OKS) before and one year after surgery. Positive values correspond to improved symptoms (maximum 1.0 reflect no symptoms at all) and negative values correspond to deterioration of symptoms. Satisfaction on a visual-analogue scale from 0 to 10 and the willingness to undergo TKA surgery again was assessed one year after surgery. RESULTS: The mean OKS improved from 22.1 before to 36.7 one year after TKA. Treatment effects ranged from 1.0 to –0.62 with a mean TE of 0.56. Taking an individual treatment effect of 0.2 as a cut-off between responder and non-responder, a total of 85.8% would be classified as responder after TKA. The mean satisfaction score with the TKA was 8.1. There was a significant correlation between the individual treatment effect and satisfaction after TKA (p < 0.001). The majority of patients (84.5%) would undergo surgery again. Patients not willing to undergo surgery again or those uncertain about this had lower satisfaction scores, a lower treatment effect and were more often female compared to patients who would undergo surgery again. CONCLUSION: Higher individual treatment effects resulted in higher patient satisfaction and willingness to undergo surgery again. However, some patients with a relatively low treatment effect were highly satisfied, which indicates the need for both information. LEVEL OF EVIDENCE: II. Springer Berlin Heidelberg 2020-09-12 2021 /pmc/articles/PMC8458187/ /pubmed/32918556 http://dx.doi.org/10.1007/s00167-020-06272-2 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Knee Lützner, Jörg Beyer, Franziska Günther, Klaus-Peter Huber, Jörg Higher treatment effect after total knee arthroplasty is associated with higher patient satisfaction |
title | Higher treatment effect after total knee arthroplasty is associated with higher patient satisfaction |
title_full | Higher treatment effect after total knee arthroplasty is associated with higher patient satisfaction |
title_fullStr | Higher treatment effect after total knee arthroplasty is associated with higher patient satisfaction |
title_full_unstemmed | Higher treatment effect after total knee arthroplasty is associated with higher patient satisfaction |
title_short | Higher treatment effect after total knee arthroplasty is associated with higher patient satisfaction |
title_sort | higher treatment effect after total knee arthroplasty is associated with higher patient satisfaction |
topic | Knee |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8458187/ https://www.ncbi.nlm.nih.gov/pubmed/32918556 http://dx.doi.org/10.1007/s00167-020-06272-2 |
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