Change in patient concerns following total knee arthroplasty described with the International Classification of Functioning, Disability and Health: a repeated measures design
2008

Changes in Patient Concerns After Knee Surgery

Sample size: 54 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ravi Rastogi, Bert M. Chesworth, Aileen M. Davis

Primary Institution: London Health Sciences Centre

Hypothesis

How do patient concerns change during the first six weeks following total knee arthroplasty?

Conclusion

Patient concerns evolve during recovery from knee surgery, with participation becoming increasingly important post-operatively.

Supporting Evidence

  • Patient concerns in the Participation component became increasingly important after the first two weeks following surgery.
  • The importance of Body Function and Activity components changed significantly from before surgery through to post-operative week four.
  • Patients rated the importance of concerns related to Body Function higher at post-operative week two compared to before surgery.

Takeaway

After knee surgery, patients start to care more about getting back to their normal activities as they heal.

Methodology

The study used a repeated measures design with convenience sampling to assess patient concerns at four time points: pre-operatively and at two, four, and six weeks post-surgery.

Potential Biases

Potential bias due to convenience sampling and lack of test-retest reliability.

Limitations

The study was conducted at a single hospital, which may limit generalizability, and it did not include non-English speaking patients.

Participant Demographics

Average age of participants was 68.1 years, with 48% being men.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1186/1477-7525-5-48

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