Presence of back pain prior total knee arthroplasty and its effects on short-term patient-reported outcome measures.
Vivek SinghStephen ZakJoseph X RobinDavid N KugelmanMatthew S HepinstallWilliam J LongRan SchwarzkopfPublished in: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie (2021)
Knee pain and back pain both exert negative effects on outcome instruments designed to measure pain and function. Although mean improvement from pre- to postoperative KOOS JR scores for patients with severe pre-existing back pain was higher than their counterparts, this statistical difference is likely not clinically significant. This implies that all patients may experience similar benefits from TKA despite the presence or absence of back pain. Attempts to measure TKA outcomes using PROMs should seek to control for lumbago and other sources of body pain. Level of Evidence IIIRetrospective Cohort Study.
Keyphrases
- patient reported outcomes
- total knee arthroplasty
- chronic pain
- total hip
- pain management
- neuropathic pain
- end stage renal disease
- chronic kidney disease
- metabolic syndrome
- patients undergoing
- prognostic factors
- early onset
- type diabetes
- adipose tissue
- peritoneal dialysis
- insulin resistance
- drinking water
- glycemic control
- weight loss
- postoperative pain