dc.contributor.author | Enbakom, Mestawet Getachew | |
dc.contributor.author | Lerdal, Anners | |
dc.contributor.author | Småstuen, Milada Cvancarova | |
dc.contributor.author | Gay, Caryl | |
dc.contributor.author | Aamodt, Arild | |
dc.contributor.author | Tesfaye, Million | |
dc.contributor.author | Lindberg, Maren Falch | |
dc.date.accessioned | 2021-02-05T13:33:39Z | |
dc.date.accessioned | 2021-03-14T05:51:52Z | |
dc.date.available | 2021-02-05T13:33:39Z | |
dc.date.available | 2021-03-14T05:51:52Z | |
dc.date.issued | 2020-10-21 | |
dc.identifier.citation | Enbakom, Lerdal, Småstuen, Gay, Aamodt, Tesfaye, Lindberg. High levels of preoperative pain and fatigue are red flagsfor moderate‐severe pain 12 months after total kneearthroplasty—A longitudinal cohort study. Musculoskeletal Care. 2020:1-7 | en |
dc.identifier.issn | 1478-2189 | |
dc.identifier.issn | 1557-0681 | |
dc.identifier.uri | https://hdl.handle.net/10642/10035 | |
dc.description.abstract | Background: Moderate/severe pain after total knee arthroplasty (TKA) is a poor surgical outcome. Many studies have identified preoperative risk factors of painafter TKA, but studies of the joint contributions of co-occurring symptoms arelacking.
Methods: Patients undergoing primary TKA (n=202) were enrolled in a longitu-dinal cohort study. Preoperatively, patients completed questionnaires measuring demographics and symptoms (pain, fatigue, sleep problems and depression). Painwas re-assessed 12 months after TKA. Logistic regression analysis was used to compute the probabilities of moderate-severe pain at 12 months based on preoperative symptom levels, and results were combined into a risk matrix.
Results: More than one-third (40%) of patients (n=187) reported moderate-severepain after TKA. Among preoperative risk factors included in the logistic regressionanalyses were age, sex, pain, fatigue, sleep problems and depression. Adjusting forpossible confounders, fatigue (p=0.02) and pain (p=0.01) were significant riskfactors for moderate-severe pain at 12-months follow-up and were retained in the final risk matrix. The co-occurrence of high-preoperative fatigue and pain scores resulted in 57% estimated probability of moderate-severe pain at 12 months.Similarly, the co-occurrence of low-preoperative fatigue and pain scores resulted in14% estimated probability of moderate-severe pain 12 months after TKA.
Conclusion: The combination of high fatigue and pain scores prior to surgery was akey risk factor for moderate-severe pain 12 months after TKA. Mapping of these factors could be used preoperatively to identify patients who are at risk to expe-rience a poor outcome of TKA. | en |
dc.description.sponsorship | The South‐Easter Regional Health Authority. Grant Number: 2018060
Norwegian Research Council. Grant Number: 287816
The U.S. Norway Fulbright Foundation | en |
dc.language.iso | en | en |
dc.publisher | Wiley | en |
dc.relation.ispartofseries | Musculoskeletal Care; | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) | en |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.subject | Moderate severe pains | en |
dc.subject | Preoperative fatigues | en |
dc.subject | Preoperative pains | en |
dc.subject | Risk factors | en |
dc.subject | Total knee arthroplasty | en |
dc.title | High levels of preoperative pain and fatigue are red flagsfor moderate‐severe pain 12 months after total kneearthroplasty—A longitudinal cohort study | en |
dc.type | Journal article | en |
dc.type | Peer reviewed | en |
dc.date.updated | 2021-02-05T13:33:39Z | |
dc.description.version | publishedVersion | en |
dc.rights.holder | © 2020 The Authors | |
dc.subject.hrcs | Muskulatur og skjelett: Evaluering av behandlinger og terapeutiske intervensjoner | |
dc.subject.hrcs | Musculoskeletal : Evaluation of Treatments and Therapeutic Interventions | |
dc.identifier.doi | https://doi.org/10.1002/msc.1522 | |
dc.identifier.cristin | 1839851 | |
dc.source.journal | Musculoskeletal Care | |
dc.subject.nsi | VDP::Medisinske fag: 700::Helsefag: 800 | |
dc.subject.nsi | VDP::Midical sciences: 700::Health sciences: 800 | |
dc.subject.nsi | VDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Ortopedisk kirurgi: 784 | |
dc.subject.nsi | VDP::Midical sciences: 700::Clinical medical sciences: 750::Orthopaedic surgery: 784 | |
dc.relation.projectID | Helse Sør-Øst RHF: 2018060 | |
dc.relation.projectID | Norges forskningsråd: 287816 | |
dc.relation.projectID | Helse Vest RHF: 912210 | |