An examination of the effect of different methods of scoring pain after a total knee replacement on the number of patients who report unchanged or worse pain.
(2014) In The Bone & Joint Journal 96B(9). p.1222-1226- Abstract
- We identified a group of patients from the Swedish Arthroplasty Register who reported no relief of pain or worse pain one year after a total knee replacement (TKR). A total of two different patient-reported pain scores were used during this process. We then evaluated how the instruments used to measure pain affected the number of patients who reported no relief of pain or worse pain, and the relative effect of potential risk factors. Between 2008 and 2010, 2883 TKRs were performed for osteoarthritis in two Swedish arthroplasty units. After applying exclusion criteria, 2123 primary TKRs (2123 patients) were included in the study. The Knee injury and Osteoarthritis Outcome Score (KOOS) and a Visual Analogue Scale (VAS) for knee pain were... (More)
- We identified a group of patients from the Swedish Arthroplasty Register who reported no relief of pain or worse pain one year after a total knee replacement (TKR). A total of two different patient-reported pain scores were used during this process. We then evaluated how the instruments used to measure pain affected the number of patients who reported no relief of pain or worse pain, and the relative effect of potential risk factors. Between 2008 and 2010, 2883 TKRs were performed for osteoarthritis in two Swedish arthroplasty units. After applying exclusion criteria, 2123 primary TKRs (2123 patients) were included in the study. The Knee injury and Osteoarthritis Outcome Score (KOOS) and a Visual Analogue Scale (VAS) for knee pain were used to assess patients pre-operatively and one year post-operatively. Only 50 of the 220 patients (23%) who reported no pain relief on either the KOOS pain subscale or the VAS for knee pain did so with both of these instruments. Patients who reported no pain relief on either measure tended to have less pain pre-operatively but a higher degree of anxiety. Charnley category C was a predictor for not gaining pain relief as measured on a VAS for knee pain. The number of patients who are not relieved of pain after a TKR differs considerably depending on the instrument used to measure pain. Cite this article: Bone Joint J 2014;96-B:1222-6. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4692447
- author
- W-Dahl, Annette
LU
; Sundberg, Martin
LU
; Lidgren, Lars LU ; Ranstam, Jonas LU and Robertsson, Otto LU
- organization
- publishing date
- 2014
- type
- Contribution to journal
- publication status
- published
- subject
- in
- The Bone & Joint Journal
- volume
- 96B
- issue
- 9
- pages
- 1222 - 1226
- publisher
- British Editorial Society of Bone & Joint Surgery
- external identifiers
-
- pmid:25183594
- wos:000341342000014
- pmid:25183594
- scopus:84907246980
- ISSN
- 2049-4408
- DOI
- 10.1302/0301-620X.96B9.33363
- language
- English
- LU publication?
- yes
- id
- 10d0aa44-2601-417b-adb6-5e31c01a4567 (old id 4692447)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/25183594?dopt=Abstract
- date added to LUP
- 2016-04-01 10:39:11
- date last changed
- 2022-02-17 20:04:58
@article{10d0aa44-2601-417b-adb6-5e31c01a4567, abstract = {{We identified a group of patients from the Swedish Arthroplasty Register who reported no relief of pain or worse pain one year after a total knee replacement (TKR). A total of two different patient-reported pain scores were used during this process. We then evaluated how the instruments used to measure pain affected the number of patients who reported no relief of pain or worse pain, and the relative effect of potential risk factors. Between 2008 and 2010, 2883 TKRs were performed for osteoarthritis in two Swedish arthroplasty units. After applying exclusion criteria, 2123 primary TKRs (2123 patients) were included in the study. The Knee injury and Osteoarthritis Outcome Score (KOOS) and a Visual Analogue Scale (VAS) for knee pain were used to assess patients pre-operatively and one year post-operatively. Only 50 of the 220 patients (23%) who reported no pain relief on either the KOOS pain subscale or the VAS for knee pain did so with both of these instruments. Patients who reported no pain relief on either measure tended to have less pain pre-operatively but a higher degree of anxiety. Charnley category C was a predictor for not gaining pain relief as measured on a VAS for knee pain. The number of patients who are not relieved of pain after a TKR differs considerably depending on the instrument used to measure pain. Cite this article: Bone Joint J 2014;96-B:1222-6.}}, author = {{W-Dahl, Annette and Sundberg, Martin and Lidgren, Lars and Ranstam, Jonas and Robertsson, Otto}}, issn = {{2049-4408}}, language = {{eng}}, number = {{9}}, pages = {{1222--1226}}, publisher = {{British Editorial Society of Bone & Joint Surgery}}, series = {{The Bone & Joint Journal}}, title = {{An examination of the effect of different methods of scoring pain after a total knee replacement on the number of patients who report unchanged or worse pain.}}, url = {{http://dx.doi.org/10.1302/0301-620X.96B9.33363}}, doi = {{10.1302/0301-620X.96B9.33363}}, volume = {{96B}}, year = {{2014}}, }