Preoperative Pain and Function: Profiles of Patients Selected for Total Knee Arthroplasty
Preoperative Pain and Function: Profiles of Patients Selected for Total Knee Arthroplasty
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DOI：
10.1016/j.arth.2016.04.015
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发表时间：
2016-11-01
影响因子：
3.5
通讯作者：
Franklin, Patricia D.
中科院分区：
文献类型：
--
作者：
Nguyen, Uyen-Sa D. T.;Ayers, David C.;Franklin, Patricia D.
背景：全膝关节置换术(TKA)是缓解晚期膝关节骨性关节炎患者疼痛和恢复功能的有效方法。TKA的使用正在迅速增长，目前TKA的使用是否合适引起了人们的极大兴趣。我们检查了患者报告的术前疼痛和功能特征，以了解TKA决定时的症状严重程度。方法：数据来自功能和结果研究，用于比较全关节置换术的有效性。我们纳入了2011至2014年间因骨关节炎接受单侧全膝关节置换术的患者，并获得了膝关节损伤和骨关节炎结果评分(KOOS)疼痛和简式36项身体成分摘要(PCS)评分的数据。我们根据症状分组比较患者的特征：(1)轻微疼痛和高功能(Koos&>=70，PCS&>；=40)；(2)轻微疼痛但功能不佳(Koos&>=70，PCS&>；
Background: Total knee arthroplasty (TKA) is an effective treatment to relieve pain and restore function in patients with advanced knee osteoarthritis. TKA utilization is growing rapidly, and the appropriateness of current TKA use is of great interest. We examined patient-reported preoperative pain and function profiles to understand symptom severity at the time of TKA decision.Methods: Data were from the Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement. We included patients undergoing primary, unilateral TKAs between 2011 and 2014 for osteoarthritis and had data on the Knee Injury and Osteoarthritis Outcome Score (KOOS) pain and Short-Form 36-item Physical Component Summary (PCS) score. We compared patient profiles across groupings by symptoms: (1) little pain and high function (KOOS >= 70, PCS >= 40); (2) little pain but poor function (KOOS >= 70, PCS