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

{"title":"Patient-reported factors determining long-term follow-up after total knee arthroplasty in individuals with knee osteoarthritis visiting a tertiary care hospital","authors":"Saidan Shetty , Sandeep Vijayan , G Arun Maiya , Mohandas Rao Kg , Bincy M. George","doi":"10.1016/j.jor.2025.03.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":16633,"journal":{"name":"Journal of orthopaedics","volume":"69 ","pages":"Pages 124-129"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0972978X25000765","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

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.

查看原文本刊更多论文

患者报告的因素决定全膝关节置换术后到三级医院就诊的膝骨关节炎患者的长期随访

目的：膝关节骨性关节炎（OA）患者全膝关节置换术（TKA）术后随访对患者、外科医生和康复专家监测患者预后至关重要。术后随访困难是术后常见的问题，影响随访的因素有很多。目的本研究的目的是报告患者报告的因素，这些因素决定了在三级医院就诊的膝关节OA患者进行TKA后的长期随访。方法通过电话联系2021年1月至2022年12月在南印度一家三级保健医院接受TKA的患者。记录了人口统计学细节、随访史、未能到医院随访的原因、患者满意度、疼痛、患者报告的功能和生活质量（QoL）。结果26.8%的患者接受了长期随访，73.2%的患者在TKA后失访。记录了患者报告的决定TKA后长期随访的因素列表。总体而言，81.8%的患者表示手术后满意，而18.2%的患者表示不满意。记录术后数值疼痛评定量表（NPRS）、下肢功能量表（LEFS）评分、膝关节损伤及骨关节炎结局评分（oos）、SF-36健康调查问卷的平均评分。结论患者报告的一系列因素，如无症状、在医院等待时间较长、前往医院的路程增加、缺乏护理人员、经济拮据、COVID-19大流行和其他未指明的原因，被认为是TKA后随访失败的原因。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.