Patient-reported factors determining long-term follow-up after total knee arthroplasty in individuals with knee osteoarthritis visiting a tertiary care hospital

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-03-15 DOI:10.1016/j.jor.2025.03.011

Saidan Shetty , Sandeep Vijayan , G Arun Maiya , Mohandas Rao Kg , Bincy M. George

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引用次数: 0

Abstract

Purpose

Postoperative follow-up after total knee arthroplasty (TKA) in individuals with knee osteoarthritis (OA) is essential for patients, surgeons, and rehabilitation specialists to monitor patient prognosis. Loss to follow-up is a common problem noted following surgery, and many factors influence follow-up.

Objective

The objective of this study was to report patient-reported factors determining long-term follow-up after TKA in individuals with knee OA visiting a tertiary care hospital.

Methods

Patients who underwent TKA from January 2021 to December 2022 at a tertiary care hospital in South India were contacted via telephone. Demographic details, follow-up history, reasons for loss to follow-up to the hospital, patient satisfaction, pain, patient-reported function, and quality of life (QoL) were noted.

Results

Among the patients, 26.8 % returned for long-term follow-up, whereas 73.2 % were lost to follow-up after TKA. A list of patient-reported factors determining long-term follow-up following TKA was noted. Overall, 81.8 % of patients reported satisfaction following surgery, whereas 18.2 % expressed dissatisfaction. The mean postoperative scores on the numerical pain rating scale (NPRS), lower extremity functional scale (LEFS) score, knee injury and osteoarthritis outcome score (KOOS), and short form-36 (SF-36) health survey questionnaire were noted.

Conclusion

A range of patient-reported factors, such as the absence of symptoms, longer wait times in the hospital, increased travel distance to the hospital, the absence of caregivers, financial constraints, the COVID-19 pandemic, and other unspecified reasons were noted as reasons, for loss to follow-up following TKA.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.