PMID- 28548313
OWN - NLM
STAT- MEDLINE
DCOM- 20181015
LR  - 20191210
IS  - 1365-2753 (Electronic)
IS  - 1356-1294 (Linking)
VI  - 23
IP  - 6
DP  - 2017 Dec
TI  - Total knee replacement: Are there any baseline factors that have influence in 
      patient reported outcomes?
PG  - 1232-1239
LID - 10.1111/jep.12765 [doi]
AB  - BACKGROUND: There is conflicting evidence about what factors influence outcomes 
      after total knee replacement (TKR). The objective is to identify baseline factors 
      that differentiate patients who achieve both, minimal clinically important 
      difference (MCID) and a patient acceptable symptom state (PASS) in pain and 
      function, measured by WOMAC, after TKR from those who do not attain scores above 
      the cutoff in either of these dimensions. METHODS: One-year prospective 
      multicentre study. Patients completed WOMAC, SF-12, EQ-5D, expectations, other 
      joint problems and sociodemographic data while in the waiting list, and 1-year 
      post-TKR. Dependent variable was a combination of MCID and PASS in both 
      dimensions (yes/no). Univariate analysis was performed to identify variables 
      associated. Exploratory factor analysis (EFA) was performed to study how these 
      variables grouped into different factors. RESULTS: Total sample comprised 492 
      patients. Mean (SD) age was 71.3 (6.9), and there were a 69.7% of women. Of the 
      total, 106 patients did not attain either MCID or PASS in either dimension, and 
      230 exceeded both thresholds in both dimensions. In the univariate analysis, 13 
      variables were associated with belonging to one group or another. These 13 
      variables were included in EFA; 3 factors were extracted: expectations, mental 
      health, and other joints problems. The percentage of variance explained by the 3 
      factors was 80.4%. CONCLUSION: We have found 2 modifiable baseline factors, 
      expectations and mental health, that should be properly managed by different 
      specialist. Indication of TKR should take into account these modifiable factors 
      for improving outcomes after TKR.
CI  - (c) 2017 John Wiley & Sons, Ltd.
FAU - Escobar, A
AU  - Escobar A
AUID- ORCID: 0000-0001-6566-3006
AD  - Research Unit, Hospital Universitario Basurto, Bilbao, Spain.
AD  - Research Associate, Red de Investigacion en Servicios Sanitarios en Enfermedades 
      Cronicas (REDISSEC), Spain.
FAU - Garcia Perez, L
AU  - Garcia Perez L
AD  - Planning and Evaluation Service, Canary Islands Health Service, Tenerife, Spain.
AD  - Research Associate, Red de Investigacion en Servicios Sanitarios en Enfermedades 
      Cronicas (REDISSEC), Spain.
FAU - Herrera-Espineira, C
AU  - Herrera-Espineira C
AD  - Hospital Virgen de las Nieves, Granada, Spain.
AD  - Research Associate, Red de Investigacion en Servicios Sanitarios en Enfermedades 
      Cronicas (REDISSEC), Spain.
FAU - Aizpuru, F
AU  - Aizpuru F
AD  - Research Unit, Hospital Universitario Araba, Vitoria-Gasteiz, Spain.
AD  - Research Associate, Red de Investigacion en Servicios Sanitarios en Enfermedades 
      Cronicas (REDISSEC), Spain.
FAU - Sarasqueta, C
AU  - Sarasqueta C
AD  - Research Unit, Hospital Universitario Donostia, San Sebastian, Spain.
AD  - Research Associate, Red de Investigacion en Servicios Sanitarios en Enfermedades 
      Cronicas (REDISSEC), Spain.
FAU - Gonzalez Saenz de Tejada, M
AU  - Gonzalez Saenz de Tejada M
AD  - Research Unit, Hospital Universitario Basurto, Bilbao, Spain.
AD  - Research Associate, Red de Investigacion en Servicios Sanitarios en Enfermedades 
      Cronicas (REDISSEC), Spain.
FAU - Quintana, J M
AU  - Quintana JM
AD  - Research Unit, Hospital of Galdakao-Usansolo, Galdakao, Spain.
AD  - Research Associate, Red de Investigacion en Servicios Sanitarios en Enfermedades 
      Cronicas (REDISSEC), Spain.
FAU - Bilbao, A
AU  - Bilbao A
AD  - Research Unit, Hospital Universitario Basurto, Bilbao, Spain.
AD  - Research Associate, Red de Investigacion en Servicios Sanitarios en Enfermedades 
      Cronicas (REDISSEC), Spain.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
DEP - 20170526
PL  - England
TA  - J Eval Clin Pract
JT  - Journal of evaluation in clinical practice
JID - 9609066
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Arthroplasty, Replacement, Knee/*psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Mental Health
MH  - Middle Aged
MH  - Outcome Assessment, Health Care
MH  - *Patient Reported Outcome Measures
MH  - *Patient Satisfaction
MH  - Prospective Studies
MH  - Quality of Life
MH  - Severity of Illness Index
MH  - Socioeconomic Factors
OTO - NOTNLM
OT  - MCID
OT  - PASS
OT  - baseline factors
OT  - outcomes
OT  - total knee replacement
EDAT- 2017/05/27 06:00
MHDA- 2018/10/16 06:00
CRDT- 2017/05/27 06:00
PHST- 2016/09/13 00:00 [received]
PHST- 2017/04/07 00:00 [revised]
PHST- 2017/04/07 00:00 [accepted]
PHST- 2017/05/27 06:00 [pubmed]
PHST- 2018/10/16 06:00 [medline]
PHST- 2017/05/27 06:00 [entrez]
AID - 10.1111/jep.12765 [doi]
PST - ppublish
SO  - J Eval Clin Pract. 2017 Dec;23(6):1232-1239. doi: 10.1111/jep.12765. Epub 2017 
      May 26.