Randomized trials to modify patients' preoperative expectations of hip and knee arthroplasties

Clinical Orthopaedics and Related Research
Carol A MancusoThomas P Sculco

Abstract

Patients have multiple expectations of THA and TKA. We asked whether preoperative educational classes addressing recovery during the first year could modify patients' expectations of their 12-month postoperative recovery. Participants were enrolled consecutively in two randomized, controlled trials, one for THA (177 patients) and one for TKA (143 patients). Control patients preoperatively received a standard THA or TKA class addressing recovery immediately after surgery. Intervention patients preoperatively received the standard class plus a joint-specific module addressing recovery during the first 12 months. Before and after the class, patients completed either a hip-specific or knee-specific validated expectations survey. The main outcome was the within-patient change in expectation scores (maximum increase, +100; maximum decrease, -100) before and after the class but preoperatively. Mean changes in hip scores were +3.3+/-8 for intervention patients (range, -22+/-32) and +4.9+/-8 for control patients (range, -13+/-29). Mean changes in knee scores were -3.4+/-10 for intervention patients (range, -26+/-33) and +2.4+/-10 for control patients (range, -30+/-30). Patients' preoperative expectations of their recovery from THA or TK...Continue Reading

References

Jan 1, 1986·Social Work in Health Care·A L Furstenberg
Jul 1, 1984·Medical Care·R F UhlmannW B Carter
Jun 1, 1997·The Journal of Arthroplasty·C A MancusoM E Charlson
Jan 13, 2000·Journal of General Internal Medicine·G K LutzR A Deyo
Feb 15, 2001·The Journal of Arthroplasty·F S HaddadC P Duncan
Jul 14, 2001·The Journal of Bone and Joint Surgery. American Volume·C A MancusoP Williams-Russo
Jun 18, 2002·The Journal of Arthroplasty·T EislerE Elmstedt
Dec 7, 2002·Journal of Shoulder and Elbow Surgery·Carol A MancusoPamela Williams-Russo
Jan 30, 2003·The Journal of Arthroplasty·Jay R LiebermanFrederick Dorey
Oct 21, 2003·The Journal of Arthroplasty·Carol A MancusoEduardo A Salvati
Feb 12, 2004·Arthritis and Rheumatism·Huan J ChangSusan C Scrimshaw
Jun 10, 2004·The Journal of Arthroplasty·Alison H McGregorSean P F Hughes
Apr 4, 2006·Arthritis and Rheumatism·Viji VenkataramananAileen M Davis
Sep 13, 2006·Clinical Orthopaedics and Related Research·Philip C NobleKenneth B Mathis

❮ Previous
Next ❯

Citations

Oct 2, 2012·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Hassan M K GhomrawiAlejandro Gonzalez Della Valle
May 29, 2010·Journal of General Internal Medicine·Leslie R M HausmannSaid A Ibrahim
Jan 25, 2012·PloS One·Claire JourdanPhilippe Ravaud
Feb 26, 2014·BMC Musculoskeletal Disorders·Clémence PalazzoSerge Poiraudeau
May 27, 2014·Archives of Orthopaedic and Trauma Surgery·Paola KoenenSven Shafizadeh
Jun 19, 2009·BMC Musculoskeletal Disorders·Chung-Wei Christine LinMarlene Fransen
Oct 21, 2010·BMC Musculoskeletal Disorders·Inge van den Akker-ScheekMartin Stevens
Jul 8, 2016·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Hassan M K GhomrawiGeoffrey H Westrich
Sep 16, 2010·Orthopedics·David Beverland
Feb 16, 2017·Foot & Ankle International·Elizabeth A CodyUNKNOWN HSS Orthopaedic Foot and Ankle Surgery Group
Jul 12, 2016·Journal of Foot and Ankle Research·Michael R BackhouseAnne-Maree Keenan
Apr 2, 2017·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Brian J ColeAnnabelle Davey
Jan 5, 2017·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Carol A MancusoBryan T Kelly
Mar 30, 2017·Annals of Physical and Rehabilitation Medicine·Pascale MailletteNathaly Gaudreault
Mar 30, 2017·Clinical Orthopaedics and Related Research·Hassan M K GhomrawiAlvin I Mushlin
Mar 16, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Johannes E PlathAndreas B Imhoff
Sep 23, 2016·Foot & Ankle International·Elizabeth A CodyScott J Ellis
Mar 25, 2018·International Journal of Nursing Practice·Sara Cano-PlansAdelaida Zabalegui
Jan 3, 2018·Anesthesia and Analgesia·Ramon E AbolaUNKNOWN Perioperative Quality Initiative (POQI) 2 Workgroup
Jun 29, 2018·AORN Journal·Jennifer L RegisterGermain Orteneau
Sep 10, 2011·Arthritis Care & Research·Hassan M K GhomrawiMichael M Alexiades
May 14, 2014·The Cochrane Database of Systematic Reviews·Steve McDonaldAndrew Sprowson
Dec 4, 2012·Clinics in Orthopedic Surgery·Jong Pil YoonHyun-Joo Lee
Nov 20, 2018·Acta Orthopaedica·Alexander D HarbourneStephanie R Filbay
Jan 27, 2011·Clinical Orthopaedics and Related Research·Mary I O'Connor
Nov 9, 2011·Clinical Orthopaedics and Related Research·Philip C NobleRobert B Bourne
Nov 16, 2011·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Lawrence V GulottaBryan J Nestor
Aug 8, 2018·Spine·Carol A MancusoFederico P Girardi
Oct 3, 2008·The Journal of Bone and Joint Surgery. American Volume·William L HealyRichard Iorio
Feb 11, 2010·Physiotherapy Canada. Physiothérapie Canada·Helen RazmjouMichael Ford
Mar 10, 2015·Knee Surgery & Related Research·Seok Jin KimTae Kyun Kim
Feb 4, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·N D ClementR Burnett
Oct 3, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Matthias J FeuchtStefan Hinterwimmer
May 30, 2019·Pain Management·Samantha M MeintsRobert R Edwards

❮ 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.