Higher Preoperative Patient Activation Associated With Better Patient-reported Outcomes After Total Joint Arthroplasty

Clinical Orthopaedics and Related Research
John AndrawisKevin J Bozic

Abstract

Despite widely reported success associated with hip and knee replacements, some patients remain dissatisfied with their outcomes. Patient activation, an individual's propensity to engage in adaptive health behaviors, has been measured as a potentially important factor contributing to health outcomes, cost, and patient experience of care. However, to our knowledge, it has not been studied in patients undergoing total joint arthroplasties (TJAs). We wanted to determine whether patients with higher activation scores would experience (1) greater resolution of pain and improved activity, (2) greater improvements in postoperative physical and mental health, and (3) greater patient satisfaction after primary THA or TKA. We approached 174 patients and enrolled 135 who were undergoing primary THA or TKA at one of two hospitals between January 2013 and May 2014. Patient Activation Measure (PAM) scores were obtained preoperatively and patient-reported outcomes were assessed and completed for 125 patients pre- and postoperatively at the 6- or 12-month visit. We assessed pain and activity with the Hip Disability and Osteoarthritis Outcome Score (HOOS), Knee Injury and Osteoarthritis Outcome Score (KOOS), and University of California Los Ang...Continue Reading

References

Dec 31, 1997·Annals of Internal Medicine·M Von KorffE H Wagner
Jan 8, 1999·The Journal of Arthroplasty·C A ZahiriH C Amstutz
Oct 18, 2001·The Journal of Bone and Joint Surgery. British Volume·Y YildizY Saglik
Jun 13, 2003·Health and Quality of Life Outcomes·Ewa M Roos, Sören Toksvig-Larsen
Nov 14, 2003·Health and Quality of Life Outcomes·Ewa M Roos, L Stefan Lohmander
May 1, 2004·The Journal of Bone and Joint Surgery. American Volume·Olivier EthgenJean-Yves Reginster
Nov 4, 2004·The Journal of Bone and Joint Surgery. American Volume·R John WrightElizabeth A Lingard
Dec 13, 2005·Health Services Research·Judith H HibbardMartin Tusler
Jun 8, 2006·The Journal of Bone and Joint Surgery. American Volume·Elizabeth A LingardUNKNOWN Kinemax Outcomes Group
Dec 16, 2006·The Journal of Ambulatory Care Management·David M MosenJim Bellows
Jul 6, 2007·Health Services Research·Judith H HibbardMartin Tusler
Sep 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Carol A MancusoThomas P Sculco
Oct 22, 2009·Clinical Orthopaedics and Related Research·Robert B BourneKory D J Charron
May 14, 2010·The Journal of Arthroplasty·Raymond E AnakweMatthew Moran
Jul 29, 2010·Journal of the American Geriatrics Society·Dominick L FroschCarol M Mangione
Aug 28, 2010·The Journal of Bone and Joint Surgery. British Volume·C E H ScottL C Biant
Aug 31, 2010·Patient Education and Counseling·Darwin DeenMarthe R Gold
Feb 5, 2011·The Diabetes Educator·Kate Lorig, Sonia Alvarez
Sep 23, 2011·The Journal of Bone and Joint Surgery. American Volume·Richard L SkolaskyLee H Riley
Apr 26, 2012·Rheumatology·Andy JudgePaul A Dieppe
Aug 11, 2012·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Alison J SmithAshley W Blom
Apr 30, 2013·Clinical Orthopaedics and Related Research·John Philip AndrawisKevin J Bozic
Nov 6, 2013·The Bone & Joint Journal·M J DunbarO Robertsson
Apr 18, 2014·The Journal of Bone and Joint Surgery. American Volume·Steven M KurtzKevin J Bozic

❮ Previous
Next ❯

Citations

Dec 3, 2015·Clinical Orthopaedics and Related Research·David Ring, Kevin J Bozic
Apr 24, 2016·The Journal of Arthroplasty·Long-Co L NguyenKevin J Bozic
Apr 8, 2016·Clinical Orthopaedics and Related Research·Judith F Baumhauer, Kevin J Bozic
Apr 23, 2016·The Journal of Arthroplasty·Aakash KeswaniKevin J Bozic
Jun 13, 2018·American Journal of Physical Medicine & Rehabilitation·Ling NaJoel E Streim
Oct 10, 2018·JBJS Reviews·James E FengRichard Iorio
Jun 1, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Marieke A VisserHenry B Ellis
Jun 7, 2019·Clinical Spine Surgery : a Spine Publication·Dil V PatelKern Singh
Jan 30, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Prakash Jayakumar, Kevin J Bozic
May 22, 2019·BMJ Quality & Safety·Jesse I WolfstadtSarah E Ward
May 21, 2019·Clinical Orthopaedics and Related Research·Tom J Crijns
Oct 18, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Robert M CroninMichael R DeBaun
Oct 1, 2019·Clinical Orthopaedics and Related Research·Aaron AlokozaiKevin J Bozic
Jul 6, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Nathaniel W JenkinsKern Singh
Oct 21, 2020·The Journal of Bone and Joint Surgery. American Volume·Eric C Makhni
Jan 21, 2021·The Journal of Bone and Joint Surgery. American Volume·Peters T OtlansKevin B Freedman
May 10, 2021·The Journal of Arthroplasty·Paul W KnappNicholas B Frisch
Jun 5, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Gilbert Manuel SchwarzMadeleine Willegger
Jul 1, 2021·World Journal of Orthopedics·Samuel RosasJohannes Frank Plate

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.