dc.date.accessioned | 2021-03-15T19:33:51Z | |
dc.date.available | 2021-03-15T19:33:51Z | |
dc.date.created | 2020-10-15T14:05:09Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Enbakom, Mestawet Getachew Lerdal, Anners Småstuen, Milada Cvancarova Gay, Caryl Aamodt, Arild Tesfaye, Million Lindberg, Maren Falch . High levels of preoperative pain and fatigue are red flags for moderate‐severe pain 12 months after total knee arthroplasty—A longitudinal cohort study. Musculoskeletal Care. 2020, 1-7 | |
dc.identifier.uri | http://hdl.handle.net/10852/84075 | |
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. | |
dc.language | EN | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.title | High levels of preoperative pain and fatigue are red flags for moderate‐severe pain 12 months after total knee arthroplasty—A longitudinal cohort study | |
dc.type | Journal article | |
dc.creator.author | Enbakom, Mestawet Getachew | |
dc.creator.author | Lerdal, Anners | |
dc.creator.author | Småstuen, Milada Cvancarova | |
dc.creator.author | Gay, Caryl | |
dc.creator.author | Aamodt, Arild | |
dc.creator.author | Tesfaye, Million | |
dc.creator.author | Lindberg, Maren Falch | |
cristin.unitcode | 185,52,12,0 | |
cristin.unitname | Avdeling for sykepleievitenskap | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1839851 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Musculoskeletal Care&rft.volume=&rft.spage=1&rft.date=2020 | |
dc.identifier.jtitle | Musculoskeletal Care | |
dc.identifier.doi | https://doi.org/10.1002/msc.1522 | |
dc.identifier.urn | URN:NBN:no-86841 | |
dc.subject.nvi | VDP::Ortopedisk kirurgi: 784VDP::Helsefag: 800 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 1478-2189 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/84075/2/M.Getachew%2BMSC%2B2020.pdf | |
dc.type.version | PublishedVersion | |
cristin.articleid | msc.1522 | |
dc.relation.project | HSØ/2018060 | |
dc.relation.project | NFR/287816 | |
dc.relation.project | HV/912210 | |