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Pain, Function, and Satisfaction After Total Knee Arthroplasty, with or Without Bariatric Surgery

Ighani Arani, Perna ; Wretenberg, Per ; Ottosson, Johan and W-Dahl, Annette LU (2022) In Obesity Surgery 32(4). p.1164-1169
Abstract

Background: The impact of obesity on patient-reported outcome (PRO) after total knee arthroplasty (TKA) surgery has demonstrated varying results. We evaluated knee pain, Activity in Daily Life function (ADL), and satisfaction after TKA surgery in patients with and without prior bariatric surgery (BS). Methods: Scandinavian Obesity Surgery Registry (SOReg) and the Swedish Knee Arthroplasty Register (SKAR) were used to identify patients operated on with primary TKA for osteoarthritis (OA) between 2009 and 2019 that had a BS within 2 years before the TKA (BS group). These patients were compared to patients with TKA without prior BS (no BS group). The patients filled in the Knee injury and Osteoarthritis Outcome Score (KOOS) preoperatively... (More)

Background: The impact of obesity on patient-reported outcome (PRO) after total knee arthroplasty (TKA) surgery has demonstrated varying results. We evaluated knee pain, Activity in Daily Life function (ADL), and satisfaction after TKA surgery in patients with and without prior bariatric surgery (BS). Methods: Scandinavian Obesity Surgery Registry (SOReg) and the Swedish Knee Arthroplasty Register (SKAR) were used to identify patients operated on with primary TKA for osteoarthritis (OA) between 2009 and 2019 that had a BS within 2 years before the TKA (BS group). These patients were compared to patients with TKA without prior BS (no BS group). The patients filled in the Knee injury and Osteoarthritis Outcome Score (KOOS) preoperatively and one year postoperatively as well as satisfaction with the surgery one year postoperatively. Multiple linear regression analysis was used to evaluate 1-year postoperative KOOS pain and ADL function between the 2 groups. Adjustments were made for sex, age, and preoperative KOOS pain and ADL function respectively. Results: Forty-four patients were included in the BS group and 3,525 patients in the no BS group. We found no statistically or clinically significant difference in one-year postoperative KOOS pain and ADL function between the BS group and the no BS group. The majority of the patients in both groups were classified as satisfied or very satisfied one year postoperatively to the TKA. Conclusions: Our results indicate that patients without BS prior to the TKA gain similar 1-year outcome in pain, ADL function and satisfaction as patients with prior BS. Graphical abstract: [Figure not available: see fulltext.]

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Bariatric surgery, Obesity, Osteoarthritis, Patient-reported outcome, Total knee arthroplasty
in
Obesity Surgery
volume
32
issue
4
pages
6 pages
publisher
Springer
external identifiers
  • scopus:85123958472
  • pmid:35084610
ISSN
0960-8923
DOI
10.1007/s11695-022-05912-5
language
English
LU publication?
yes
id
89c9a45a-ad79-40ff-855c-3eca1bc1edf7
date added to LUP
2022-04-06 12:18:52
date last changed
2024-06-19 23:58:08
@article{89c9a45a-ad79-40ff-855c-3eca1bc1edf7,
  abstract     = {{<p>Background: The impact of obesity on patient-reported outcome (PRO) after total knee arthroplasty (TKA) surgery has demonstrated varying results. We evaluated knee pain, Activity in Daily Life function (ADL), and satisfaction after TKA surgery in patients with and without prior bariatric surgery (BS). Methods: Scandinavian Obesity Surgery Registry (SOReg) and the Swedish Knee Arthroplasty Register (SKAR) were used to identify patients operated on with primary TKA for osteoarthritis (OA) between 2009 and 2019 that had a BS within 2 years before the TKA (BS group). These patients were compared to patients with TKA without prior BS (no BS group). The patients filled in the Knee injury and Osteoarthritis Outcome Score (KOOS) preoperatively and one year postoperatively as well as satisfaction with the surgery one year postoperatively. Multiple linear regression analysis was used to evaluate 1-year postoperative KOOS pain and ADL function between the 2 groups. Adjustments were made for sex, age, and preoperative KOOS pain and ADL function respectively. Results: Forty-four patients were included in the BS group and 3,525 patients in the no BS group. We found no statistically or clinically significant difference in one-year postoperative KOOS pain and ADL function between the BS group and the no BS group. The majority of the patients in both groups were classified as satisfied or very satisfied one year postoperatively to the TKA. Conclusions: Our results indicate that patients without BS prior to the TKA gain similar 1-year outcome in pain, ADL function and satisfaction as patients with prior BS. Graphical abstract: [Figure not available: see fulltext.]</p>}},
  author       = {{Ighani Arani, Perna and Wretenberg, Per and Ottosson, Johan and W-Dahl, Annette}},
  issn         = {{0960-8923}},
  keywords     = {{Bariatric surgery; Obesity; Osteoarthritis; Patient-reported outcome; Total knee arthroplasty}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{1164--1169}},
  publisher    = {{Springer}},
  series       = {{Obesity Surgery}},
  title        = {{Pain, Function, and Satisfaction After Total Knee Arthroplasty, with or Without Bariatric Surgery}},
  url          = {{http://dx.doi.org/10.1007/s11695-022-05912-5}},
  doi          = {{10.1007/s11695-022-05912-5}},
  volume       = {{32}},
  year         = {{2022}},
}