The role of pain and function in determining patient satisfaction following total knee arthroplasty: data from the National Joint Registry for England and Wales

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  2. Paul Baker
  3. Professor Paul Gregg
Author(s)Baker PN, Van Der Meulen J, Lewsey J, Gregg PJ
Publication type Article
JournalJournal of Bone and Joint Surgery (British Volume)
Year2007
Volume89-B
Issue7
Pages893-900
ISSN (print)0301-620X
ISSN (electronic)2044-5377
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A postal questionnaire was sent to 10 000 patients more than one year after their total knee replacement (TKR). They were assessed using the Oxford knee score and were asked whether they were satisfied, unsure or unsatisfied with their TKR. The response rate was 87.4% (8231 of 9417 eligible questionnaires) and a total of 81.8% (6625 of 8095) of patients were satisfied. Multivariable regression modelling showed that patients with higher scores relating to the pain and function elements of the Oxford knee score had a lower level of satisfaction (p < 0.001), and that ongoing pain was a stronger predictor of this. Female gender and a primary diagnosis of osteoarthritis were found to be predictors of lower levels of patient satisfaction. Differences in the rate of satisfaction were also observed in relation to age, the American Society of Anesthesiologists grade and the type of prosthesis. This study has provided data on the Oxford knee score and the expected levels of satisfaction at one year after TKR. The results should act as a benchmark of practice in the United Kingdom and provide a baseline for peer comparison between institutions.
PublisherBritish Editorial Society of Bone and Joint Surgery
URLhttp://dx.doi.org/10.1302/0301-620X.89B7.19091
DOI10.1302/0301-620X.89B7.19091
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