PMID- 37981110
OWN - NLM
STAT- MEDLINE
DCOM- 20240422
LR  - 20240422
IS  - 1532-8406 (Electronic)
IS  - 0883-5403 (Linking)
VI  - 39
IP  - 5
DP  - 2024 May
TI  - Mental Robustness May Be Associated With Improved Physical Function in Bilateral 
      Total Knee Arthroplasty Patients.
PG  - 1207-1213
LID - S0883-5403(23)01137-3 [pii]
LID - 10.1016/j.arth.2023.11.014 [doi]
AB  - BACKGROUND: In accordance with the high incidence of bilateral knee 
      osteoarthritis, many patients have undergone bilateral total knee arthroplasty 
      (BTKA). Whether patients undergo bilateral procedures in a staged or simultaneous 
      fashion, the physical and mental burden of undergoing 2 major orthopedic 
      procedures is considerable. The aims of this study were to (1) investigate 
      differences between minimal clinically important difference (MCID) achievement 
      between staged versus simultaneous BTKA, and (2) identify the patient variables, 
      specifically mental scores, that were associated with MCID achievement in 
      patients undergoing BTKA. METHODS: Simultaneous and staged BTKA patients within a 
      single health care network from 2016 to 2021 were retrospectively reviewed. 
      Patient demographics, surgery details, and Patient-Reported Outcome Measurement 
      Information System Physical Function Short Forms 10a (PROMIS PF10a), PROMIS 
      Mental scores, and Knee Disability Osteoarthritis Outcome Scores (KOOS) were 
      reviewed. Preoperative and postoperative patient-reported outcome measures were 
      collected before the first total knee arthroplasty (TKA) and after the second 
      TKA, respectively, in staged BTKA patients. The final cohort consisted of 249 
      patients, with an average age of 66 years (range, 21 to 87), 63% women, and an 
      average body mass index of 32 (range, 20 to 52), at a mean follow-up of 1.1 years 
      (range, 0.5 to 2.4). Multivariate regressions were performed on MCID PF10a and 
      KOOS achievement, as well as whether the BTKA was performed simultaneously versus 
      staged. RESULTS: A preoperative PROMIS Mental score in the upper 2 quartiles was 
      associated with MCID PF10a achievement in BTKA. Men and surgeries performed at an 
      Academic Medical Center were negatively associated with the achievement of MCID 
      KOOS. Interestingly, those who underwent simultaneous BTKA were less likely to 
      achieve MCID KOOS than those who underwent a staged BTKA. CONCLUSIONS: 
      Preoperative mental robustness may be positively associated with improved 
      physical function outcome in BTKA patients.
CI  - Copyright (c) 2023 Elsevier Inc. All rights reserved.
FAU - Blackburn, Amy Z
AU  - Blackburn AZ
AD  - Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard 
      Medical School, Boston, Massachusetts; Department of Orthopaedic Surgery, 
      Newton-Wellesley Hospital, Newton, Massachusetts.
FAU - Ottesen, Taylor D
AU  - Ottesen TD
AD  - Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard 
      Medical School, Boston, Massachusetts.
FAU - Katakam, Akhil
AU  - Katakam A
AD  - Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard 
      Medical School, Boston, Massachusetts; Department of Orthopaedic Surgery, 
      Newton-Wellesley Hospital, Newton, Massachusetts.
FAU - Bedair, Hany S
AU  - Bedair HS
AD  - Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard 
      Medical School, Boston, Massachusetts; Department of Orthopaedic Surgery, 
      Newton-Wellesley Hospital, Newton, Massachusetts.
FAU - Melnic, Christopher M
AU  - Melnic CM
AD  - Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard 
      Medical School, Boston, Massachusetts; Department of Orthopaedic Surgery, 
      Newton-Wellesley Hospital, Newton, Massachusetts.
LA  - eng
PT  - Journal Article
DEP - 20231118
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
MH  - Male
MH  - Humans
MH  - Female
MH  - Aged
MH  - *Arthroplasty, Replacement, Knee/adverse effects
MH  - Retrospective Studies
MH  - Postoperative Complications/etiology
MH  - Treatment Outcome
MH  - *Osteoarthritis, Knee/surgery/etiology
MH  - Patient Reported Outcome Measures
OTO - NOTNLM
OT  - bilateral total knee arthroplasty
OT  - grit
OT  - mental health
OT  - minimal clinically important difference
OT  - patient-reported outcome measures
OT  - physical function
EDAT- 2023/11/20 00:43
MHDA- 2024/04/22 06:43
CRDT- 2023/11/19 19:30
PHST- 2023/07/27 00:00 [received]
PHST- 2023/11/09 00:00 [revised]
PHST- 2023/11/09 00:00 [accepted]
PHST- 2024/04/22 06:43 [medline]
PHST- 2023/11/20 00:43 [pubmed]
PHST- 2023/11/19 19:30 [entrez]
AID - S0883-5403(23)01137-3 [pii]
AID - 10.1016/j.arth.2023.11.014 [doi]
PST - ppublish
SO  - J Arthroplasty. 2024 May;39(5):1207-1213. doi: 10.1016/j.arth.2023.11.014. Epub 
      2023 Nov 18.