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Variation in Patient-Reported Outcomes in Young and Old Patients Up to 4 to 6 Years After Arthroscopic Partial Meniscectomy      
Yazarlar (6)
Dr. Öğr. Üyesi Beyza TAYFUR Dr. Öğr. Üyesi Beyza TAYFUR
Kırşehir Ahi Evran Üniversitesi, Türkiye
Kenneth Pihl
Claus Varnum
Stefan Lohmander
Martin Englund
Jonas Bloch Thorlund
Devamını Göster
Özet
Objective: To assess the variation in changes in patient-reported outcomes 4 to 6 years after arthroscopic partial meniscectomy (APM). Design: Prospective cohort study. Setting: Orthopedic departments at public hospitals. Patients: Patients (n = 447) from the Knee Arthroscopy Cohort Southern Denmark undergoing APM. Interventions: All patients underwent APM. Main Outcome Measures: Change in KOOS4 scores from baseline before surgery to similar to 5 years (range 4-6 years) after surgery. KOOS4 is the average aggregated score of 4 of 5 of the Knee injury and Osteoarthritis Outcome Score (KOOS) excluding the activities of daily living subscale (minimal clinical important improvement similar to 10 points). A mixed linear model adjusted for sex and body mass index was used to assess change from baseline to similar to 5-year follow-up. Change in KOOS4 was divided into 5 categories based on change from baseline to similar to 5-year follow-up: <0 points, 0 to 9 points, 10 to 19 points, 20 to 29 points, and >= 30 points. Results: On average, patient-reported outcomes continued to improve from baseline to similar to 5-year follow-up (mean KOOS4 change: 26, 95% CI, 24-28). Proportions in the different response groups were <0 points (12%), 0 to 9 points (13%), 10 to 19 points (16%), 20 to 29 points (19%), and >= 30 points (40%), with no difference between younger (<= 40 years, n = 75) and older (>40 years, n = 337) patients (P = 0.898). Conclusions: Patient-reported outcomes on average improved up to similar to 5 years after APM; however, large variability was observed. The similar variability in younger and older patients questions the assumption that younger patients with traumatic injuries experience larger benefits from APM.
Anahtar Kelimeler
meniscus | arthroscopic surgery | degenerative lesion | traumatic tear | meniscectomy
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Clinical Journal of Sport Medicine
Dergi ISSN 1050-642X
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 09-2022
Cilt No 32
Sayı 5
Sayfalar 523 / 530
Doi Numarası 10.1097/JSM.0000000000001011
Makale Linki https://doi.org/10.1097/jsm.0000000000001011