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Impact of gender and race on expectations and outcomes in total knee arthroplasty

World Journal of Orthopedics 2020年第5期11卷 265-277页

作者： Brian A Perez james slover Emmanuel Edusei Annamarie Horan Afshin Anoushiravani Atul F Kamath Charles L Nelson Department of Orthopedics University of PennsylvaniaPhiladelphiaPA 19104United States Department of Orthopedic Surgery New York University Langone HealthNew YorkNY 10016United States Department of Orthopaedic Surgery Cleveland ClinicClevelandOH 44195United States

BACKGROUND Total joint arthroplasty is one of the most common surgeries performed in the United States with total knee arthroplasty(TKA)being one of the most successful surgeries for restoring function and diminishing *** with the demonstrated success of TKA and a higher prevalence of arthritis and arthritis related disability among minorities,racial and gender disparity remains a constant issue in providing care for the adult reconstruction *** To assess the role of demographics and expectations on differences in perioperative patient reported outcomes(PRO)following *** One hundred and thirty-three patients scheduled for primary unilateral TKA secondary to moderate to severe osteoarthritis were enrolled in this twoinstitution prospective *** PRO questionnaires were collected at four time *** analysis was conducted to determine the impact of gender,ethnic background and expectation surveys responses to assess PRO at these time *** Females were associated with worse preoperative Knee Injury and Osteoarthritis Outcome Scores(KOOS)for symptoms,pain,and activities of daily *** Americans were associated with worse KOOS for pain,activities of daily living,and quality of *** worse preoperative scores,no difference was noted in these categories between the groups ***,all pre-operative psychometric scales were equivalent across groups except Geriatric Depression scale,which was significantly different between groups within the Race and Age Group(P<0.05).Conversely,Pain Catastrophizing Scale,was significantly different for all subscales and total score within Age Group(P<0.05),and the Magnification,Helplessness subscales as well as the Total score were significantly different between groups for Race and Relationship Status(P<0.01).CONCLUSION We conclude that female and African American patients have lower preoperative KOOS scores compared to white male *** postoper

关键词： Knee Joints Arthroplasty Osteoarthritis Race Gender Postoperative Outcomes

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