Ethnic differences in preoperative function of patients undergoing total knee arthroplasty
Ethnic differences in preoperative function of patients undergoing total knee arthroplasty
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DOI：
10.1007/s00264-006-0115-x
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发表时间：
2006-10-01
影响因子：
2.7
通讯作者：
Singh, Binod Kumar
中科院分区：
文献类型：
--
作者：
Joshy, Suraj;Datta, Amit;Singh, Binod Kumar
骨关节炎在所有种族和人口群体中的患病率都很高。手术时机很重要，因为术前功能状态差与术后功能差有关。我们研究的目的是比较亚裔患者和生活在同一社区的高加索患者的术前膝关节功能。我们对63名连续接受全膝关节置换术的亚洲患者和63名年龄性别匹配的高加索患者进行了前瞻性研究。术前膝关节协会临床评分系统评分被记录为单独的膝关节评分和膝关节功能评分。亚洲患者术前膝关节评分平均为37.6分，而高加索患者为41.5分(p<；0.12)；这一差异在统计学上没有统计学意义。亚洲患者术前平均膝关节功能评分为32.5分，而高加索患者为45.0分(p<；0.00015)；这一差异具有高度统计学意义。我们得出结论，接受全膝关节置换术的亚裔患者的术前膝关节功能低于高加索人。文化信仰和社会支持部分解释了这种差异，但医疗保健提供者必须努力教育患者和亲密家庭成员，让他们知道选择手术时机的重要性，以获得疼痛缓解和功能的最佳好处。
The prevalence of osteoarthritis is high in all ethnic and demographic groups. The timing of surgery is important because poor preoperative functional status is related to poor postoperative function. The aim of our study was to compare the preoperative knee function in patients of Asian origin with that of Caucasians living in the same community. We carried out a prospective study of 63 consecutive Asian patients and 63 age- and gender-matched Caucasian patients undergoing total knee arthroplasty. Preoperative Knee Society Clinical Rating System scores were recorded as a separate knee score and knee function score. The mean preoperative knee score in Asian patients was 37.6 compared with 41.5 in Caucasians (p < 0.12); this difference was not statistically significant. The mean preoperative knee function score in Asian patients was 32.5 compared with 45.0 in Caucasians (p < 0.00015); this difference was highly statistically significant. We conclude that patients of Asian origin undergoing total knee arthroplasty have lower preoperative knee function than Caucasians do. Cultural beliefs and social support partially explain this discrepancy, but health care providers must attempt to educate patients and close family members about the importance of timing the surgery to obtain the optimum benefits of pain relief and function.