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Serial changes in patient‑reported outcome measures and satisfaction rate during long‑term follow‑up after total knee arthroplasty: a systematic review and meta‑analysis

Tae Woo Kim|Hyuk-Soo Han|Jisu Park|Moon Jong Chang|Darryl D. D’Lima|Hyunkwon Kim
대한슬관절학회 (Korean Knee Society)|2024.12|Knee Surgery and Related Research|제36권 |pp. 43-43|DOI 10.1186/s43019-024-00241-6

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SatisfactionSystematic reviewMeta-analysisLong-term follow-upTotal knee arthroplastyPatient-reported outcome measures

초록

Purpose This study aimed to investigate the sequential changes in patient-reported outcome measures (PROMs) and the satisfaction rate during long-term follow-up after total knee arthroplasty (TKA). Methods Studies published until December 2023 were searched in MEDLINE, EMBASE, SCOPUS and Cochrane Library. The inclusion criteria were TKA as the primary procedure, a final post-operative follow-up period of at least seven years and reporting of PROMs data. The exclusion criteria were studies not reporting serial data of the same patient cohort, studies without mid-term data, comparative studies and reviews, comments or practice guidelines. Heterogeneity was assessed with the I2 and tau2 statistics. The quality of each study was evaluated using the methodological index for non-randomized studies (MINORS) criteria. The follow-up periods were divided into short-term, mid-term and long-term. Data were synthesised by narrative reviews and random-effects metaanalysis using standardised mean difference. Results Among the 13 studies included in the review, six were included in the meta-analysis. The overall PROMs were maintained until the mid-term (0.14; 95% CI [confidence interval], −0.05 to 0.34; I2 = 96%; tau2 = 0.10; P = 0.16), but declined in the long-term (−0.23; 95% CI −0.34 to −0.13; I2 = 88%; tau2 = 0.04; P < 0.0001). According to the subgroup analysis, pain improved from the short-term to mid-term (0.21; 95% CI 0.14 to 0.29 I2 = 0%; tau2 = 0). Subscales including function (−0.28; 95% CI −0.52 to −0.03; I2 = 94%; tau2 = 0.09) and objective measure (−0.23; 95% CI −0.31 to −0.15; I2 = 62%; tau2 = 0.01) declined from the mid-term to long-term. The patient satisfaction rate remained consistent throughout the study period. Conclusions The overall PROMs after TKA were maintained, with improvement observed in the pain subscale until the mid-term follow-up. However, in the long-term, overall PROMs, including function and objective measure, declined compared with those in the mid-term. Despite the decline in the physical aspects of PROMs over the longterm follow-up period, the patient satisfaction rate remained consistently high throughout the study period. Providing this information to patient pre-operatively may assist in establishing realistic expectations.

Abstract

Purpose This study aimed to investigate the sequential changes in patient-reported outcome measures (PROMs) and the satisfaction rate during long-term follow-up after total knee arthroplasty (TKA). Methods Studies published until December 2023 were searched in MEDLINE, EMBASE, SCOPUS and Cochrane Library. The inclusion criteria were TKA as the primary procedure, a final post-operative follow-up period of at least seven years and reporting of PROMs data. The exclusion criteria were studies not reporting serial data of the same patient cohort, studies without mid-term data, comparative studies and reviews, comments or practice guidelines. Heterogeneity was assessed with the I2 and tau2 statistics. The quality of each study was evaluated using the methodological index for non-randomized studies (MINORS) criteria. The follow-up periods were divided into short-term, mid-term and long-term. Data were synthesised by narrative reviews and random-effects metaanalysis using standardised mean difference. Results Among the 13 studies included in the review, six were included in the meta-analysis. The overall PROMs were maintained until the mid-term (0.14; 95% CI [confidence interval], −0.05 to 0.34; I2 = 96%; tau2 = 0.10; P = 0.16), but declined in the long-term (−0.23; 95% CI −0.34 to −0.13; I2 = 88%; tau2 = 0.04; P < 0.0001). According to the subgroup analysis, pain improved from the short-term to mid-term (0.21; 95% CI 0.14 to 0.29 I2 = 0%; tau2 = 0). Subscales including function (−0.28; 95% CI −0.52 to −0.03; I2 = 94%; tau2 = 0.09) and objective measure (−0.23; 95% CI −0.31 to −0.15; I2 = 62%; tau2 = 0.01) declined from the mid-term to long-term. The patient satisfaction rate remained consistent throughout the study period. Conclusions The overall PROMs after TKA were maintained, with improvement observed in the pain subscale until the mid-term follow-up. However, in the long-term, overall PROMs, including function and objective measure, declined compared with those in the mid-term. Despite the decline in the physical aspects of PROMs over the longterm follow-up period, the patient satisfaction rate remained consistently high throughout the study period. Providing this information to patient pre-operatively may assist in establishing realistic expectations.

참고문헌 (46)

  1. Evans JT, "How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up", Lancet, 393(10172), pp.655~663 (2019)
  2. Rudan JF, "Determining patient concerns before joint arthroplasty", J Arthroplasty, 24(7), pp.1115~1119 (2009)
  3. Moran M, "Evaluation of patient concerns before total knee and hip arthroplasty", J Arthroplasty, 18(4), pp.442~445 (2003)
  4. McCalden RW, "Comparison of outcomes and survivorship between patients of different age groups following TKA", J Arthroplasty, 28, pp.83~86 (2013)
  5. Bin Abd Razak HR, "Age and preoperative knee society score are significant predictors of outcomes among Asians following total knee arthroplasty", JBJS, 98(9), pp.735~741 (2016)
  6. Franklin PD, "The chitranjan ranawat award", Clin Orthop Relat Res, 466(11), pp.2597~2604 (2008)
  7. Lange JK, "Satisfaction rates and quality of life changes following total knee arthroplasty in age-differentiated cohorts", J Arthroplasty, 33(5), pp.1373~1378 (2018)
  8. Ulivi M, "Medium-term patient’s satisfaction after primary total knee arthroplasty : enhancing prediction for improved care", Orthop Traumatol Surg Res, 110(2), pp.103734~ (2024)
  9. Shan L, "Intermediate and long-term quality of life after total knee replacement : a systematic review and meta-analysis", J Bone Joint Surg Am, 97(2), pp.156~168 (2015)
  10. Siddiqi A, "Demographic, comorbidity, and episode-of-care differences in primary total knee arthroplasty", JBJS, 103(3), pp.227~234 (2021)
  11. Cesari M, "Comorbidity and physical function : results from the aging and longevity study in the Sirente geographic area(ilSIRENTE Study)", Gerontology, 52(1), pp.24~32 (2006)
  12. Harris IA, "Discordance between patient and surgeon satisfaction after total joint arthroplasty", J Arthroplasty, 28(5), pp.722~727 (2013)
  13. Dunbar MJ, "I can’t get no satisfaction after my total knee replacement : rhymes and reasons", Bone Joint J, 95, pp.148~152 (2013)
  14. Khanna G, "Comparison of patient-reported and clinician-assessed outcomes following total knee arthroplasty", J Bone Joint Surg Am, 93(20), pp.e117~ (2011)
  15. Graham B, "Measuring patient satisfaction in orthopaedic surgery", J Bone Joint Surg Am, 97(1), pp.80~84 (2015)
  16. Kahlenberg CA, "Patient satisfaction after total knee replacement : a systematic review", Hss j, 14(2), pp.192~201 (2018)
  17. Page MJ, "The PRISMA 2020 statement : an updated guideline for reporting systematic reviews", BMJ, 372, pp.n71~ (2021)
  18. Slim K, "Methodological index for non-randomized studies(minors) : development and validation of a new instrument", ANZ J Surg, 73(9), pp.712~716 (2003)
  20. Woo BJ, "Improvements in functional outcome and quality of life are not sustainable for patients ≥ 68 years old 10 years after total knee arthroplasty", Knee Surg Sports Traumatol Arthrosc, 29(10), pp.3330~3336 (2021)
  21. Jiang Y, "Predictors of patient-reported pain and functional outcomes over 10 years after primary total knee arthroplasty : a prospective cohort study", J Arthroplasty, 32(1), pp.92~100 (2017)
  22. Williams DP, "Long-term trends in the Oxford knee score following total knee replacement", Bone Joint J, 95(1), pp.45~51 (2013)
  23. Sebastia-Forcada E, "Functional outcome change over 10 years after primary total knee arthroplasty a prospective longitudinal cohort study", J Arthroplasty (2023)[DOI]
  24. Arikupurathu OM, "Medium-to long-term results of the nexgen legacy posterior stabilized fixed-bearing knee replacement", J Knee Surg, 32(6), pp.554~559 (2019)
  25. Schrøder HM, "Cementless porous-coated total knee arthroplasty : 10-year results in a consecutive series", J Arthroplasty, 16(5), pp.559~567 (2001)
  26. Baek JH, "Long-term survivorship of total knee arthroplasty with a single-radius, high-flexion posterior stabilized prosthesis", Knee, 30, pp.275~282 (2021)
  27. Meding JB, "Pain relief and functional improvement remain 20 years after knee arthroplasty", Clin Orthop Relat Res, 470(1), pp.144~149 (2012)
  28. Wylde V, "Ten-year results of the triathlon knee replacement : a cohort study", Cureus, 13(5), pp.e15211~ (2021)
  29. Watanabe H, "Survival analysis of a cementless, cruciate-retaining total knee arthroplasty clinical and radiographic assessment 10 to 13 years after surgery", J Bone Joint Surg Br, 86(6), pp.824~829 (2004)
  30. Arthur CHC, "Ten-year results of the press fit condylar sigma total knee replacement", Bone Joint J, 95(2), pp.177~180 (2013)
  31. Bajada S, "Ten-year results for a single-surgeon series of Scorpio non-restrictive geometry(NRG)posterior stabilised(PS)total knee replacement", Eur J Orthop Surg Traumatol, 29(7), pp.1533~1538 (2019)
  32. Scott CEH, "Excellent 10-year patient-reported outcomes and survival in a single-radius, cruciate-retaining total knee arthroplasty", Knee Surg Sports Traumatol Arthrosc, 27(4), pp.1106~1115 (2019)
  33. Mancuso CA, "Patients’ expectations of Knee surgery", JBJS, 83(7), pp.1005~1012 (2001)
  34. Yoo JH, "Patient expectations of total knee replacement and their association with sociodemographic factors and functional status", J Bone Joint Surg British Volume, 93(3), pp.337~344 (2011)
  35. Husain A, "Establishing realistic patient expectations following total knee arthroplasty", J Am Acad Orthop Surg, 23(12), pp.707~713 (2015)
  36. Bryan S, "Revisiting patient satisfaction following total knee arthroplasty : a longitudinal observational study", BMC Musculoskelet Disord, 19(1), pp.423~ (2018)
  37. Howells N, "Persistent pain after knee replacement : do factors associated with pain vary with degree of patient dissatisfaction?", Osteoarthritis Cartilage, 24(12), pp.2061~2068 (2016)
  38. DeFrance MJ, "Are 20% of patients actually dissatisfied following total knee arthroplasty? a systematic review of the literature", J Arthroplasty, 38(3), pp.594~599 (2023)
  39. Ghomrawi HMK, "Preoperative expectations associated with postoperative dissatisfaction after total knee arthroplasty : a cohort study", J Am Acad Orthop Surg, 28(4), pp.e145~e150 (2020)
  40. Mitchell WK, "Sarcopenia, dynapenia, and the impact of advancing age on human skeletal muscle size and strength; a quantitative review", Front Physiol, 3, pp.260~ (2012)
  41. Mitchell WK, "Sarcopenia, dynapenia, and the impact of advancing age on human skeletal muscle size and strength; a quantitative review", Front Physiol (2012)[DOI]
  42. Larsson L, "Sarcopenia : aging-related loss of muscle mass and function", Physiol Rev, 99(1), pp.427~511 (2019)
  43. Pitta M, "Age-related functional decline following total knee arthroplasty : risk adjustment is mandatory", J Arthroplasty, 34(2), pp.228~234 (2019)
  44. Baker PN, "Patient satisfaction with total knee replacement cannot be predicted from pre-operative variables alone : a cohort study from the National Joint Registry for England and Wales", Bone Joint J, 95(10), pp.1359~1365 (2013)
  45. Barrack RL, "Impact of socioeconomic factors on outcome of total knee arthroplasty", Clin Orthopaed Related Res, 472(1), pp.86~97 (2014)
  46. Bourne RB, "Patient satisfaction after total knee arthroplasty : who is satisfied and who is not?", Clin Orthop Relat Res, 468(1), pp.57~63 (2010)

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