Evaluation of health outcomes in osteoarthritis patients after total knee replacement: a two-year follow-up

• Main Authors: Xie Feng, Lo Ngai-Nung, Pullenayegum Eleanor M, Tarride Jean-Eric, O'Reilly Daria J, Goeree Ron, Lee Hin-Peng
• Format: Article
• Language: English
• Published: BMC 2010-08-01
• Series: Health and Quality of Life Outcomes
• Online Access: http://www.hqlo.com/content/8/1/87

<p>Abstract</p> <p>Objectives</p> <p>To quantify the improvement in health outcomes in patients after total knee replacement (TKR).</p> <p>Methods</p> <p>This was a two-year non-randomized prospective observational study in knee osteoarthritis (OA) patients undergone TKR. Patients were interviewed one week before, six months after, and two years after surgery using a standardized questionnaire including the SF-36, the Oxford Knee Score (OKS), and the Knee Society Clinical Rating Scale (KSS). A generalized estimating equation (GEE) model was used to estimate the magnitudes of the changes with and without the adjustment of age, ethnicity, BMI, and years with OA.</p> <p>Results</p> <p>A total of 298 (at baseline), 176 (at six-months), and 111 (at two-years) eligible patients were included in the analyses. All the scores changed significantly over time, with the exception of SF-36 social functioning, vitality, and mental health. With the adjustment of covariates, the magnitude of changes in these scores was similar to those without the adjustment.</p> <p>Conclusions</p> <p>Both general and knee-specific physical functioning had been significantly improved after TKR, while other health domains have not been substantially improved after the surgery.</p>