Oliveira Lucas Silveira Rabello de, Costa Lauro Augusto Veloso, Asfora Brenand Medeiros, Loureiro Paulo Henrique, Ferretti Mário, Lenza Mário
Departamento de Ortopedia, Hospital Israelita Albert Einstein, São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2023 Mar 24;58(1):30-35. doi: 10.1055/s-0042-1757310. eCollection 2023 Feb.
To compare the level of quality of life and satisfaction after two years of total knee arthroplasties between individuals above and below 65 years of age and to identify predictor factors of poor clinical outcome and low level of satisfaction in patients undergoing arthroplasty. This is a retrospective cohort with data from patients diagnosed with knee osteoarthritis submitted to primary total knee arthroplasty from 2014 to 2018 ( = 190). Clinical outcomes were assessed using the following scores: visual analog scale (VAS) of pain, EQ-5D-3L and EUROQOL-VAS (quality of life scales), patient satisfaction level, and functional scale of the Knee Injury and Osteoarthritis Outcome Score (KOOS), collected through a questionnaire applied preoperatively, as well as 1, 3, 12 and 24 months after surgery. Patients < 65 years old presented significantly lower values (clinical worsening) in KOOS-pain and KOOS-symptoms. There are no differences in the principal clinical scores that assess pain, function, and quality of life after the procedure, as well as in the rate of satisfaction with the procedure, among patients < 65 years old when compared with patients ≥ 65 years old. It was also observed that patients who were not satisfied with the procedure in the 24-month evaluation presented clinical results in some analyzed scores (KOOS-pain and EQ-VAS) similar to patients who declared themselves satisfied. Scores that assess pain, function, quality of life, as well as satisfaction rate are similar between patients < 65 years old and those ≥ 65 years old.
比较65岁及以上和65岁以下个体在全膝关节置换术后两年的生活质量水平和满意度，并确定关节置换术患者临床结局不佳和满意度低的预测因素。 这是一项回顾性队列研究，数据来自2014年至2018年被诊断为膝关节骨关节炎并接受初次全膝关节置换术的患者（n = 190）。使用以下评分评估临床结局：疼痛视觉模拟量表（VAS）、EQ-5D-3L和欧洲生活质量量表（EUROQOL-VAS）（生活质量量表）、患者满意度水平以及膝关节损伤和骨关节炎结局评分（KOOS）的功能量表，这些数据通过术前以及术后1、3、12和24个月应用的问卷收集。 65岁以下的患者在KOOS疼痛和KOOS症状方面的数值显著较低（临床恶化）。与65岁及以上的患者相比，65岁以下的患者在评估术后疼痛、功能和生活质量的主要临床评分以及手术满意度方面没有差异。还观察到，在24个月评估中对手术不满意的患者在一些分析评分（KOOS疼痛和EQ-VAS）中的临床结果与表示满意的患者相似。 65岁以下和65岁及以上患者在评估疼痛、功能、生活质量以及满意度方面的评分相似。
