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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(01): 030-035
DOI: 10.1055/s-0042-1757310
Artigo Original
Anestesiologia

Quality of Life and Satisfaction in Patients Above and Under 65 Years Old Submitted to Total Knee Arthroplasty

Article in several languages: português | English
Lucas Silveira Rabello de Oliveira 
1   Departamento de Ortopedia, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Lauro Augusto Veloso Costa 
1   Departamento de Ortopedia, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Brenand Medeiros Asfora 
1   Departamento de Ortopedia, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Paulo Henrique Loureiro 
1   Departamento de Ortopedia, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Mário Ferretti 
1   Departamento de Ortopedia, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
,
Mário Lenza 
1   Departamento de Ortopedia, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil
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Abstract

Objective To compare the level of quality of life and satisfaction after two years of total knee arthroplasties between individuals above and below 65 years of age and to identify predictor factors of poor clinical outcome and low level of satisfaction in patients undergoing arthroplasty.

Methods This is a retrospective cohort with data from patients diagnosed with knee osteoarthritis submitted to primary total knee arthroplasty from 2014 to 2018 (n = 190). Clinical outcomes were assessed using the following scores: visual analog scale (VAS) of pain, EQ-5D-3L and EUROQOL-VAS (quality of life scales), patient satisfaction level, and functional scale of the Knee Injury and Osteoarthritis Outcome Score (KOOS), collected through a questionnaire applied preoperatively, as well as 1, 3, 12 and 24 months after surgery.

Results Patients < 65 years old presented significantly lower values (clinical worsening) in KOOS-pain and KOOS-symptoms. There are no differences in the principal clinical scores that assess pain, function, and quality of life after the procedure, as well as in the rate of satisfaction with the procedure, among patients < 65 years old when compared with patients ≥ 65 years old. It was also observed that patients who were not satisfied with the procedure in the 24-month evaluation presented clinical results in some analyzed scores (KOOS-pain and EQ-VAS) similar to patients who declared themselves satisfied.

Conclusion Scores that assess pain, function, quality of life, as well as satisfaction rate are similar between patients < 65 years old and those ≥ 65 years old.

Keywords

arthroplasty, replacement, knee - musculoskeletal pain - osteoarthritis - patient satisfaction - postoperative complications - perioperative care

Financial Support

The present study received no financial support from either public, commercial, or not-for-profit sources.


Work developed in the Department of Orthopedics, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.




Publication History

Received: 29 May 2022

Accepted: 17 August 2022

Article published online:
24 March 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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