The effect of Parkinson’s disease on total knee arthroplasty: a systematic review and meta-analysis
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The purpose of this systematic review was to determine the effect of Parkinson’s disease (PD) on clinical outcomes and complications after total knee arthroplasty (TKA). Our systematic review was conducted to answer the following questions: (1) does TKA negatively affect clinical outcomes in patients with PD? and (2) does TKA cause more complications in patients with PD?A rigorous and systematic approach was used, and each selected study was evaluated for methodological quality. Data on study design, total number of cases enrolled, follow-up duration, PD severity, clinical outcome, and complications after TKA were analyzed.Fourteen studies were included. Nine studies reported clinical scores. TKA significantly increased knee and functional scores in the PD group. However, compared with knee and functional scores in the non-PD group, the increase in scores in the PD group was not statistically significant, but tended to be less than that in the non-PD group. Eleven studies reported complications. In six studies, there was no difference in the complication rate between the PD and non-PD group or did not include a control group. In five studies, the PD group had higher medical complication rates and similar or higher surgical complication rates than the non-PD group.Patients with PD who underwent TKA showed satisfactory functional improvement and pain reduction. However, these outcomes were not as good as those in the non-PD group. The PD group had a higher probability of occurrence of medical complications than the non-PD group. Further, the PD group had a similar or higher surgical complication rate than the non-PD group.
Abstract
The purpose of this systematic review was to determine the effect of Parkinson’s disease (PD) on clinical outcomes and complications after total knee arthroplasty (TKA). Our systematic review was conducted to answer the following questions: (1) does TKA negatively affect clinical outcomes in patients with PD? and (2) does TKA cause more complications in patients with PD?A rigorous and systematic approach was used, and each selected study was evaluated for methodological quality. Data on study design, total number of cases enrolled, follow-up duration, PD severity, clinical outcome, and complications after TKA were analyzed.Fourteen studies were included. Nine studies reported clinical scores. TKA significantly increased knee and functional scores in the PD group. However, compared with knee and functional scores in the non-PD group, the increase in scores in the PD group was not statistically significant, but tended to be less than that in the non-PD group. Eleven studies reported complications. In six studies, there was no difference in the complication rate between the PD and non-PD group or did not include a control group. In five studies, the PD group had higher medical complication rates and similar or higher surgical complication rates than the non-PD group.Patients with PD who underwent TKA showed satisfactory functional improvement and pain reduction. However, these outcomes were not as good as those in the non-PD group. The PD group had a higher probability of occurrence of medical complications than the non-PD group. Further, the PD group had a similar or higher surgical complication rate than the non-PD group.
참고문헌 (24)
- Newman JM, "Parkinson’s disease increases the risk of perioperative complications after total knee arthroplasty : a nationwide database study", Knee Surg Sports Traumatol Arthrosc, 27(7), pp.2189~2195 (2019)
- Oni OO, "Total knee replacement in patients with Parkinson’s disease", J Bone Joint Surg Br, 67(3), pp.424~425 (1985)
- Elbaz A, "Risk tables for parkinsonism and Parkinson’s disease", J Clin Epidemiol, 55(1), pp.25~31 (2002)
- Taylor KS, "Heterogeneity in male to female risk for Parkinson’s disease", J Neurol Neurosurg Psychiatry, 78(8), pp.905~906 (2007)
- Samii A, "Parkinson’s disease", Lancet, 363(9423), pp.1783~1793 (2004)
- Mirelman A, "Gait impairments in Parkinson’s disease", Lancet Neurol, 18(7), pp.697~708 (2019)
- Lethbridge L, "Co-morbidities of persons dying of Parkinson’s disease", Prog Palliat Care, 21(3), pp.140~145 (2013)
- Jämsen E, "Surgical outcomes of primary hip and knee replacements in patients with Parkinson’s disease : a nationwide registry-based case-controlled study", Bone Joint J, 96(4), pp.486~491 (2014)
- Tinning CG, "Primary total knee arthroplasty in patients with Parkinson’s disease : analysis of outcomes", Acta Orthop Belg, 79(3), pp.301~306 (2013)
- Marchand KB, "Impact of Parkinson’s disease on complications, readmission rates, and costs of care following primary total knee arthroplasty", J Knee Surg, 35(1), pp.21~25 (2022)
- Ergin ÖN, "Functional outcomes of total knee arthroplasty in patients with Parkinson’s disease : A case control study", J Orthop Sci, 25(3), pp.487~491 (2020)
- Rong X, "Functional outcomes after total joint arthroplasty are related to the severity of Parkinson’s disease : a mid-term follow-up", J Orthop Surg Res, 14(1), pp.396~ (2019)
- Page MJ, "PRISMA 2020explanation and elaboration : updated guidance and exemplars for reporting systematic reviews", BMJ, 372, pp.n160~ (2021)
- Stang A, "Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses", Eur J Epidemiol, 25(9), pp.603~605 (2010)
- Montiel Terrón V, "Do we really improve life quality after total knee arthroplasty in patients with Parkinson’s disease?", Arch Orthop Trauma Surg, 56, pp.78~ (2020)
- Wong EH, "Outcomes of primary total knee arthroplasty in patients with Parkinson’s disease", J Arthroplasty, 33(6), pp.1745~1748 (2018)
- Baek JH, "Poor outcomes of primary total knee arthroplasty in patients with Parkinson’s disease", Int Orthop, 56, pp.34~ (2021)
- Goh GS, "Patients With Parkinson’s disease have poorer function and more flexion contractures after total knee arthroplasty", J Arthroplasty, 5, pp.34~ (2020)
- Rondon AJ, "Total joint arthroplasty in patients with Parkinson’s disease : survivorship, outcomes, and reasons for failure", J Arthroplasty, 33(4), pp.1028~1032 (2018)
- Zong Y, "Quality of life assessment after total knee arthroplasty in patients with Parkinson’s disease", BMC Musculoskelet Disord, 23(1), pp.230~ (2022)
- Marchand KB, "Impact of Parkinson’s disease on complications, readmission rates, and costs of care following primary total knee arthroplasty", J Knee Surg, 35, pp.21~ (2020)
- Cheppalli NS, "Complications during the hospital stay, length of stay, and cost of care in Parkinson patients undergoing total knee arthroplasty : a propensity matched database study", J Am Acad Orthop Surg Glob Res Rev, 6, pp.7~ (2022)
- Kleiner JE, "Matched cohort analysis of peri-operative outcomes following total knee arthroplasty in patients with and without Parkinson’s disease", Knee, 26(4), pp.876~880 (2019)
- Min H, "Effect of Parkinson’s disease on primary total joint arthroplasty outcomes : a meta-analysis of matched control studies", Int J Surg, 71, pp.124~131 (2019)