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Impact of gender and race on expectations and outcomes in total knee arthroplasty
- Source :
- World J Orthop
- Publication Year :
- 2020
- Publisher :
- Baishideng Publishing Group Inc., 2020.
-
Abstract
- BACKGROUND: Total joint arthroplasty is one of the most common surgeries performed in the United States with total knee arthroplasty (TKA) being one of the most successful surgeries for restoring function and diminishing pain. Even with the demonstrated success of TKA and a higher prevalence of arthritis and arthritis related disability among minorities, racial and gender disparity remains a constant issue in providing care for the adult reconstruction patient. AIM: To assess the role of demographics and expectations on differences in perioperative patient reported outcomes (PRO) following TKA. METHODS: One hundred and thirty-three patients scheduled for primary unilateral TKA secondary to moderate to severe osteoarthritis were enrolled in this two-institution prospective study. Validated PRO questionnaires were collected at four time points. Statistical analysis was conducted to determine the impact of gender, ethnic background and expectation surveys responses to assess PRO at these time points. RESULTS: Females were associated with worse preoperative Knee Injury and Osteoarthritis Outcome Scores (KOOS) for symptoms, pain, and activities of daily living. African Americans were associated with worse KOOS for pain, activities of daily living, and quality of life. Despite worse preoperative scores, no difference was noted in these categories between the groups postoperatively. Additionally, all pre-operative psychometric scales were equivalent across groups except Geriatric Depression scale, which was significantly different between groups within the Race and Age Group (P < 0.05). Conversely, Pain Catastrophizing Scale, was significantly different for all subscales and total score within Age Group (P < 0.05), and the Magnification, Helplessness subscales as well as the Total score were significantly different between groups for Race and Relationship Status (P < 0.01). CONCLUSION: We conclude that female and African American patients have lower preoperative KOOS scores compared to white male patients. No postoperative differences in outcomes between these groups.
- Subjects :
- 030222 orthopedics
medicine.medical_specialty
Activities of daily living
business.industry
medicine.medical_treatment
030229 sport sciences
Osteoarthritis
Perioperative
medicine.disease
Arthroplasty
03 medical and health sciences
0302 clinical medicine
Quality of life
medicine
Physical therapy
Prospective Study
Orthopedics and Sports Medicine
Geriatric Depression Scale
Pain catastrophizing
Prospective cohort study
business
Subjects
Details
- ISSN :
- 22185836
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- World Journal of Orthopedics
- Accession number :
- edsair.doi.dedup.....993716ea3774edd584f33d93212af989